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1.
J Mech Behav Biomed Mater ; 158: 106689, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39153409

RESUMO

Accurate transverse deformation measurements are required for the estimation of the Poisson function and volume ratio. In this study, pure silicone and soft composite specimens were subjected to uniaxial tension, and the digital image correlation method was used to measure longitudinal and in- and out-of-plane transverse stretches. To minimize the effects of measurement errors on parameter estimation, the measured transverse stretches were defined in terms of the longitudinal stretch using a new formulation based on Poisson's ratios and two stretch-dependent parameters. From this formulation, Poisson functions and volume ratio for soft materials under large deformations were obtained. The results showed that pure silicone can be considered isotropic and nearly incompressible under large deformations, as expected. In contrast, Poisson's ratio of silicone reinforced with extensible fabric can exceed classical bounds, including negative value (auxetic behavior). The incompressibility assumption can be employed for describing the stress-stretch curve of pure silicone, while volume ratios are required for soft composites. Data of human skin, aortic wall, and annulus fibrosus from the literature were selected and analyzed. Except for the aortic wall, which can be considered nearly incompressible, the studied soft tissues must be regarded as compressible. All tissues presented anisotropic behavior.


Assuntos
Teste de Materiais , Estresse Mecânico , Anisotropia , Humanos , Silicones/química , Fenômenos Mecânicos , Distribuição de Poisson , Pele , Fenômenos Biomecânicos , Testes Mecânicos
2.
J Mech Behav Biomed Mater ; 158: 106688, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39153410

RESUMO

Adequate primary stability is a pre-requisite for the osseointegration and long-term success of dental implants. Primary stability depends essentially on the bone mechanical integrity at the implantation site. Clinically, a qualitative evaluation can be made on medical images, but finite element (FE) simulations can assess the primary stability of a bone-implant construct quantitatively based on high-resolution CT images. However, FE models lack experimental validation on clinically relevant bone anatomy. The aim of this study is to validate such an FE model on human jawbones. Forty-seven bone biopsies were extracted from human cadaveric jawbones. Dental implants of two sizes (Ø3.5 mm and Ø4.0 mm) were inserted and the constructs were subjected to a quasi-static bending-compression loading protocol. Those mechanical tests were replicated with sample-specific non-linear homogenized FE models. Bone was modeled with an elastoplastic constitutive law that included damage. Density-based material properties were mapped based on µCT images of the bone samples. The experimental ultimate load was better predicted by FE (R2 = 0.83) than by peri-implant bone density (R2 = 0.54). Unlike bone density, the simulations were also able to capture the effect of implant diameter. The primary stability of a dental implant in human jawbones can be predicted quantitatively with FE simulations. This method may be used for improving the design and insertion protocols of dental implants.


Assuntos
Implantes Dentários , Análise de Elementos Finitos , Arcada Osseodentária , Humanos , Arcada Osseodentária/fisiologia , Fenômenos Mecânicos , Estresse Mecânico , Idoso , Fenômenos Biomecânicos , Masculino , Feminino , Pessoa de Meia-Idade , Testes Mecânicos , Teste de Materiais
3.
J Mech Behav Biomed Mater ; 158: 106644, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39088941

RESUMO

Ceramic lattices hold great potential for bone scaffolds to facilitate bone regeneration and integration of native tissue with medical implants. While there have been several studies on additive manufacturing of ceramics and their osseointegrative and osteoconductive properties, there is a lack of a comprehensive examination of their mechanical behavior. Therefore, the aim of this study was to assess the mechanical properties of different additively manufactured ceramic lattice structures under different loading conditions and their overall ability to mimic bone tissue properties. Eleven different lattice structures were designed and manufactured with a porosity of 80% using two materials, hydroxyapatite (HAp) and zirconium dioxide (ZrO2). Six cell-based lattices with cubic and hexagonal base, as well as five Voronoi-based lattices were considered in this study. The samples were manufactured using lithography-based ceramic additive manufacturing and post-processed thermally prior to mechanical testing. Cell-based lattices with cubic and hexagonal base, as well as Voronoi-based lattices were considered in this study. The lattices were tested under four loading conditions: compression, four-point bending, shear and tension. The manufacturing process of the different ceramics leads to different deviations of the lattice geometry, hence, the elastic properties of one structure cannot be directly inferred from one material to another. ZrO2 lattices prove to be stiffer than HAp lattices of the same designed structure. The Young's modulus for compression of ZrO2 lattices ranges from 2 to 30GPa depending on the used lattice design and for HAp 200MPa to 3.8GPa. The expected stability, the load where 63.2% of the samples are expected to be destroyed, of the lattices ranges from 81 to 553MPa and for HAp 6 to 42MPa. For the first time, a comprehensive overview of the mechanical properties of various additively manufactured ceramic lattice structures is provided. This is intended to serve as a reference for designers who would like to expand the design capabilities of ceramic implants that will lead to an advancement in their performance and ability to mimic human bone tissue.


Assuntos
Cerâmica , Durapatita , Teste de Materiais , Fenômenos Mecânicos , Zircônio , Zircônio/química , Cerâmica/química , Durapatita/química , Testes Mecânicos , Porosidade
4.
J Mech Behav Biomed Mater ; 158: 106662, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39096682

RESUMO

Minimally invasive spine treatments have been sought after for elderly patients with comorbidities suffering from advanced degenerative disc disease. Percutaneous cement discoplasty (PCD) is one such technique where cement is injected into a degenerated disc with a vacuum phenomenon to relieve patients from pain. Adjacent vertebral fractures (AVFs) are however an inherent risk, particularly for osteoporotic patients, due to the high stiffness of the used cements. While low-modulus cements have been developed for vertebroplasty through the addition of linoleic acid, there are no such variations with a high-viscosity base cement, which is likely needed for the discoplasty application. Therefore, a low-modulus polymethyl methacrylate was developed by the addition of 12%vol. linoleic acid to a high-viscosity bone cement (hv-LA-PMMA). Initial experimental validation of the cement was performed by mechanical testing under compression over a period of 24 weeks, after storage in 37 °C phosphate buffer saline (PBS) solution. Furthermore, cement extracts were used to evaluate residual monomer release and the cytotoxicity of hv-LA-PMMA using fibroblastic cells. Relative to the base commercial cement, a significant reduction of Young's modulus and compressive strength of 36% and 42% was observed, respectively. Compression-tension fatigue tests at 5 MPa gave an average fatigue limit of 31,078 cycles. This was higher than another low-modulus cement and comparable to the fatigue properties of the disc annulus tissue. Monomer release tests showed that hv-LA-PMMA had a significantly higher release between 24 h and 7 days compared to the original bone cement, similarly to other low-modulus cements. Also, the control cement showed cytocompatibility at all time points of extract collection for 20-fold dilution, while hv-LA-PMMA only showed the same for extract collections at day 7. However, the 20-fold dilution was needed for both the control and the hv-LA-PMMA extracts to demonstrate more than 70% fibroblast viability at day 7. In conclusion, the mechanical testing showed promise in the use of linoleic acid in combination with a high-viscosity PMMA cement to achieve properties adequate to the application. Further testing and in vivo studies are however required to fully evaluate the mechanical performance and biocompatibility of hv-LA-PMMA for possible future clinical application.


Assuntos
Cimentos Ósseos , Ácido Linoleico , Teste de Materiais , Fenômenos Mecânicos , Cimentos Ósseos/química , Animais , Ácido Linoleico/química , Camundongos , Testes Mecânicos , Polimetil Metacrilato/química , Materiais Biocompatíveis/química , Materiais Biocompatíveis/farmacologia , Viscosidade , Força Compressiva , Humanos
5.
Med Eng Phys ; 130: 104194, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39160012

RESUMO

Intervertebral disc herniation is not a common injury in the adolescent population, but the correlation between trauma and herniation warrants concern. Previous research demonstrated the capacity for rapid internal pressurization to reduce the mechanical integrity of the intervertebral disc's annulus fibrosus, even in the absence of fracture. The purpose of this study was to modify previous internal pressurization procedures towards a more transferable injury model, then investigate the capacity for these procedures to damage the mechanical integrity of the annulus fibrosus. Porcine cervical motion segments with intact facet joints were confined between a vice and force plate under 300 N of static compression, then a single, manual, rapid internal pressurization was delivered. Posterolateral annulus samples were extracted and situated in a 180° peel test configuration, exposing the interlamellar matrix of samples to separations of 0.5 mm/s, until complete separation of the sample occurred. Multilayer tensile testing was performed on superficial and mid-span samples of annulus by applying uniaxial tension of 1 %/s to 50 % strain. Compared to unpressurized controls, rapid pressurization causing fracture resulted in reduced lamellar adhesion and increased toe-region stress and strain properties in the annulus. Morphological assessment reported similar fracture patterns between endplate fractures achieved in the present experiment and endplate fractures documented in human patients. Mechanical plus morphological results suggest that rapid internal pressurization resulting in endplate fracture may represent a potent mechanism for subsequent damage to the intervertebral disc.


Assuntos
Anel Fibroso , Pressão , Animais , Suínos , Fenômenos Biomecânicos , Fenômenos Mecânicos , Estresse Mecânico , Testes Mecânicos , Disco Intervertebral/lesões , Resistência à Tração
6.
Med Eng Phys ; 130: 104199, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39160027

RESUMO

Quantifying the mechanical behavior of skin has been foundational in applications of cosmetics, surgical techniques, forensic science, and protective clothing development. However, previous puncture studies have lacked consistent and physiological boundary conditions of skin. To determine natural skin tension, excision of in situ porcine skin resulted in significantly different diameter reduction (shrinkage) in leg (19.5 %) and abdominal skin (38.4 %) compared to flank skin (28.5 %) (p = 0.047). To examine effects of initial tension and pre-conditioning, five conditions of initial tension (as percentage of diameter increase) and pre-conditioning were tested in quasistatic puncture with a 5 mm spherical impactor using an electrohydraulic load frame and custom clamping apparatus. Samples with less than 5 % initial tension resulted in significantly greater (p = 0.011) force at failure (279.2 N) compared to samples with greater than 25 % initial tension (195.1 N). Eight pre-conditioning cycles of 15 mm displacement reduced hysteresis by 45 %. The coefficient of variance was substantially reduced for force, force normalized by cutis thickness, displacement, stiffness, and strain energy up to 46 %. Pre-conditioned samples at physiological initial tension (14-25 %) resulted in significantly greater (p = 0.03) normalized forces at failure (278.3 N/mm) compared to non-conditioned samples of the same initial tension (234.4 N/mm). Pre-conditioned samples with 14-25 % initial tension, representing physiological boundary conditions, resulted in the most appropriate failure thresholds with the least variation. For in vitro puncture studies, the magnitude of applied initial tension should be defined based on anatomical location, through a shrinkage experimentation, to match natural tension of skin. Characterizing the biological behavior and tolerances of skin may be utilized in finite element models to aid in protective clothing development and forensic science analyses.


Assuntos
Pele , Animais , Suínos , Teste de Materiais , Fenômenos Biomecânicos , Punções , Fenômenos Mecânicos , Estresse Mecânico , Fenômenos Fisiológicos da Pele , Testes Mecânicos
7.
Med Eng Phys ; 130: 104210, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39160032

RESUMO

In addition to human donor bones, bone models made of synthetic materials are the gold standard substitutes for biomechanical testing of osteosyntheses. However, commercially available artificial bone models are not able to adequately reproduce the mechanical properties of human bone, especially not human osteoporotic bone. To overcome this issue, new types of polyurethane-based synthetic osteoporotic bone models have been developed. Its base materials for the cancellous bone portion and for the cortical portion have already been morphologically and mechanically validated against human bone. Thus, the aim of this study was to combine the two validated base materials for the two bone components to produce femur models with real human geometry, one with a hollow intramedullary canal and one with an intramedullary canal filled with synthetic cancellous bone, and mechanically validate them in comparison to fresh frozen human bone. These custom-made synthetic bone models were fabricated from a computer-tomography data set in a 2-step casting process to achieve not only the real geometry but also realistic cortical thicknesses of the femur. The synthetic bones were tested for axial compression, four-point bending in two planes, and torsion and validated against human osteoporotic bone. The results showed that the mechanical properties of the polyurethane-based synthetic bone models with hollow intramedullary canals are in the range of those of the human osteoporotic femur. Both, the femur models with the hollow and spongy-bone-filled intramedullary canal, showed no substantial differences in bending stiffness and axial compression stiffness compared to human osteoporotic bone. Torsional stiffnesses were slightly higher but within the range of human osteoporotic femurs. Concluding, this study shows that the innovative polyurethane-based femur models are comparable to human bones in terms of bending, axial compression, and torsional stiffness.


Assuntos
Força Compressiva , Fêmur , Teste de Materiais , Osteoporose , Poliuretanos , Poliuretanos/química , Humanos , Fêmur/diagnóstico por imagem , Fêmur/fisiopatologia , Fenômenos Biomecânicos , Osteoporose/diagnóstico por imagem , Osteoporose/fisiopatologia , Testes Mecânicos
8.
J Biomech Eng ; 146(11)2024 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-38949883

RESUMO

This study sought to evaluate the effects of prolonged cyclic loading on the tissue-level mechanical properties of the spinal annulus fibrosus. Functional spinal units (FSUs) were obtained from porcine cervical spines at the C3-C4 and C5-C6 levels. Following a 15-min preload of 300 N of axial compression, the FSUs were split into three groups: the cyclic loading group cycled between 0.35 MPa and 0.95 MPa for 2 h (n = 8); the static loading group was compressed at 0.65 MPa for 2 h (n = 10); and a control group which only underwent the 300 N preload (n = 11). Following loading, samples of the annulus were excised to perform intralamellar tensile testing and interlamellar 180 deg peel tests. Variables analyzed from the intralamellar test were stress and strain at the end of the toe region, stress and strain at initial failure (yield point), Young's modulus, ultimate stress, and strain at ultimate stress. Variables evaluated from the interlamellar tests were lamellar adhesion strength, adhesion strength variability, and stiffness. The analysis showed no significant differences between conditions on any measured variable; however, there was a trend (p = 0.059) that cyclically loaded tissues had increased adhesion strength variability compared to the static and control conditions. The main finding of this study is that long-duration axial loading did not impact the intra- or interlamellar mechanical properties of the porcine annulus. A trend of increased adhesion strength variability in cyclically loaded samples could indicate a potential predisposition of the annulus to delamination.


Assuntos
Anel Fibroso , Estresse Mecânico , Suporte de Carga , Animais , Anel Fibroso/fisiologia , Suínos , Fenômenos Biomecânicos , Testes Mecânicos , Teste de Materiais , Resistência à Tração , Módulo de Elasticidade/fisiologia
9.
J Mech Behav Biomed Mater ; 158: 106651, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39059120

RESUMO

Quantitative assessment of skin mechanical properties can play a pivotal role in diagnosing and tracking various dermatological conditions. Myoton is a promising tool that rapidly and noninvasively measures five skin biomechanical parameters. Accurate interpretation of these parameters requires systematic in vitro testing with easy-to-fabricate, cost-effective skin-mimicking phantoms with controllable properties. In this study, we assessed the ability of phantoms made with 5% and 10% gelatin crosslinked with microbial transglutaminase (mTG) to mimic the human skin for Myoton measurements. We discovered that each of the five Myoton parameters displayed moderate to high correlations with shear elastic modulus of the phantoms. Furthermore, Myoton effectively tracked changes in the mechanical properties of these models over time. Additionally, we designed bilayer phantoms incorporating both dermis and subcutaneous tissue-mimicking layers. Myoton successfully distinguished changes in the mechanical properties of the bilayer phantoms due to the introduction of a stiff 2 mm top layer. We also found that 5% mTG-gelatin phantoms mimic Myoton measurements from healthy subjects and 10% phantoms mimic patients with sclerotic chronic graft-versus-host disease (cGVHD). Therefore, multi-layered mTG-gelatin models for skin and soft tissues can serve as standardized testbeds to study different sclerotic skin conditions in a systematic manner.


Assuntos
Gelatina , Fenômenos Mecânicos , Imagens de Fantasmas , Pele , Gelatina/química , Fenômenos Biomecânicos , Humanos , Teste de Materiais/instrumentação , Testes Mecânicos
10.
J Mech Behav Biomed Mater ; 158: 106653, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39074439

RESUMO

The remarkable mechanical properties of nickel-titanium (NiTi) shape memory alloy, particularly its super-elasticity, establish it as the material of choice for fabricating self-expanding vascular stents, including the metallic backbone of peripheral stents and the metallic frame of stent-grafts. The super-elastic nature of NiTi substantially influences the mechanical performance of vascular stents, thereby affecting their clinical effectiveness and safety. This property shows marked sensitivity to the primary parameters of the heat treatment process used in device fabrication, specifically temperature and processing time. In this context, this study integrates experimental and computational analyses to explore the potential of designing the mechanical characteristics of NiTi vascular stents by adjusting heat treatment parameters. To reach this aim, differently heat-treated NiTi wire samples were experimentally characterized using calorimetric and uniaxial tensile testing. Subsequently, the mechanical response of a stent-graft model featuring a metallic frame made of NiTi wire was assessed in terms of radial forces generated at various implantation diameters through finite element analysis. The stent-graft served as an illustrative case of NiTi vascular stent to investigate the impact of the heat treatment parameters on its mechanical response. From the study a strong linear relationship emerged between NiTi super-elastic parameters (i.e., austenite finish temperature, martensite elastic modulus, upper plateau stress, lower plateau stress and transformation strain) and heat treatment parameters (R2 > 0.79, p-value < 0.001) for the adopted ranges of temperature and processing time. Additionally, a strong linear relationship was observed between: (i) the radial force generated by the stent-graft during expansion and the heat treatment parameters (R2 > 0.82, p-value < 0.001); (ii) the radial force generated by the stent-graft during expansion and the lower plateau stress of NiTi (R2 > 0.93, p-value < 0.001). In conclusion, the findings of this study suggest that designing and optimizing the mechanical properties of NiTi vascular stents by finely tuning temperature and processing time of the heat treatment process is feasible.


Assuntos
Análise de Elementos Finitos , Temperatura Alta , Teste de Materiais , Fenômenos Mecânicos , Níquel , Titânio , Titânio/química , Níquel/química , Stents , Resistência à Tração , Estresse Mecânico , Ligas/química , Testes Mecânicos , Stents Metálicos Autoexpansíveis
11.
Proc Inst Mech Eng H ; 238(7): 774-792, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39045911

RESUMO

When treating orthopaedic damage or illness and accidental fracture, bone grafting remains the gold standard of treatment. In cases where this approach does not seem achievable, bone tissue engineering can offer scaffolding as a substitute. Defective and fractured bone tissue is extracted and substituted with porous scaffold structures to aid in the process of tissue regeneration. 3D bioprinting has demonstrated enormous promise in recent years for producing scaffold structures with the necessary capabilities. In order to create composite biomaterial inks for 3D bioprinting, three different materials were combined such as silk fibroin, bone particles, and synthetic biopolymer poly (ε-caprolactone) (PCL). These biomaterials were used to fabricate the two composites scaffolds such as: silk fibroin + bovine bone (SFB) and silk fibroin + bovine bone + Polycaprolactone (SFBP). The biomechanical, structural, and biological elements of the manufactured composite scaffolds were characterized in order to determine their suitability as a possible biomaterial for the production of bone tissue. The in vitro bioactivity of the two composite scaffolds was assessed in the simulated body fluids, and the swelling and degradation characteristics of the two developed scaffolds were analyzed separately over time. The results showed that the mechanical durability of the composite scaffolds was enhanced by the bovine bone particles, up to a specific concentration in the silk fibroin matrix. Furthermore, the incorporation of bone particles improved the bioactive composite scaffolds' capacity to generate hydroxyapatite in vitro. The combined findings show that the two 3D printed bio-composites scaffolds have the required mechanical strength and may be applied to regeneration of bone tissue and restoration, since they resemble the characteristics of native bone.


Assuntos
Materiais Biocompatíveis , Fibroínas , Teste de Materiais , Impressão Tridimensional , Alicerces Teciduais , Fibroínas/química , Animais , Materiais Biocompatíveis/química , Materiais Biocompatíveis/farmacologia , Bovinos , Alicerces Teciduais/química , Osso e Ossos/cirurgia , Fenômenos Mecânicos , Poliésteres/química , Testes Mecânicos , Próteses e Implantes
12.
J Mech Behav Biomed Mater ; 157: 106648, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38996625

RESUMO

Mechanical properties are essential for the biological activities of cells, and they have been shown to be affected by diseases. Therefore, accurate mechanical characterization is important for studying the cell lifecycle, cell-cell interactions, and disease diagnosis. While the cytoskeleton and actin cortex are typically the primary structural stiffness contributors in most live cells, oocytes possess an additional extracellular layer known as the vitelline membrane (VM), or envelope, which can significantly impact their overall mechanical properties. In this study, we utilized nanoindentation via an atomic force microscope to measure the Young's modulus of Xenopus laevis oocytes at different force setpoints and explored the influence of the VM by conducting measurements on oocytes with the membrane removed. The findings revealed that the removal of VM led to a significant decrease in the apparent Young's modulus of the oocytes, highlighting the pivotal role of the VM as the main structural component responsible for the oocyte's shape and stiffness. Furthermore, the mechanical behavior of VM was investigated through finite element (FE) simulations of the nanoindentation process. FE simulations with the VM Young's modulus in the range 20-60 MPa resulted in force-displacement curves that closely resemble experimental in terms of shape and maximum force for a given indentation depth.


Assuntos
Módulo de Elasticidade , Fenômenos Mecânicos , Microscopia de Força Atômica , Oócitos , Xenopus laevis , Animais , Oócitos/citologia , Fenômenos Biomecânicos , Análise de Elementos Finitos , Testes Mecânicos , Teste de Materiais
13.
J Mech Behav Biomed Mater ; 157: 106658, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39018919

RESUMO

Although the sacroiliac (SI) joint can be a source of lower back and buttock pain, no comprehensive characterization studies on SI cartilage have been conducted. Using the minipig as a large animal model, this study conducted the first biomechanical, biochemical, and histological characterization of SI joint cartilage. Because previous literature has reported that sacral cartilage and iliac cartilage within the SI joint are histologically distinct, concomitantly it was expected that functional properties of the sacral cartilage would differ from those of the iliac cartilage. Creep indentation, uniaxial tension, biochemical, and histological analyses were conducted on the sacral and iliac cartilage of skeletally mature female Yucatan minipigs (n = 6-8 for all quantitative tests). Concurring with prior literature, the iliac cartilage appeared to be more fibrous than the sacral cartilage. Glycosaminoglycan content was 2.2 times higher in the sacral cartilage. The aggregate modulus of the sacral cartilage was 133 ± 62 kPa, significantly higher than iliac cartilage, which only had an aggregate modulus of 51 ± 61 kPa. Tensile testing was conducted in both cranial-caudal and ventral-dorsal axes, and Young's modulus values ranged from 2.5 ± 1.5 MPa to 13.6 ± 1.5 MPa, depending on anatomical structure (i.e., sacral vs. iliac) and orientation of the tensile test. The Young's modulus of sacral cartilage was 5.5 times higher in the cranial-caudal axis and 2.0 times higher in the ventral-dorsal axis than the iliac cartilage. The results indicate that the sacral and iliac cartilages are functionally distinct from each other. Understanding the distinct differences between sacral and iliac cartilage provides insight into the structure and function of the SI joint, which may inform future research aimed at repairing SI joint cartilage.


Assuntos
Fenômenos Mecânicos , Articulação Sacroilíaca , Porco Miniatura , Animais , Suínos , Fenômenos Biomecânicos , Feminino , Cartilagem/fisiologia , Cartilagem/citologia , Teste de Materiais , Cartilagem Articular/fisiologia , Cartilagem Articular/citologia , Testes Mecânicos , Glicosaminoglicanos/metabolismo
14.
J Orthop Surg Res ; 19(1): 416, 2024 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-39030623

RESUMO

BACKGROUND: The displacement and rotation of the Kirschner wire (K-wire) in the traditional tension band wiring (TBW) led to a high rate of postoperative complications. The anti-rotation tension band wiring (ARTBW) could address these issues and achieve satisfactory clinical outcomes. This study aimed to investigate the biomechanical performance of the ARTBW in treating transverse patellar fracture compared to traditional TBW using finite element analysis (FEA) and mechanical testing. METHODS: We conducted a FEA to evaluate the biomechanical performance of traditional TBW and ARTBW at knee flexion angles of 20°, 45°, and 90°. Furthermore, we compared the mechanical properties under a 45° knee flexion through static tensile tests and dynamic fatigue testing. The K-wire pull-out test was also conducted to evaluate the bonding strength between K-wires and cancellous bone of two surgical approaches. RESULTS: The outcome of FEA demonstrated the compression force on the articular surface of ARTBW was 28.11%, 27.32%, and 52.86% higher than traditional TBW at knee flexion angles of 20°, 45°, and 90°, respectively. In mechanical testing, the mechanical properties of ARTBW were similar to the traditional TBW. In the K-wire pull-out test, the pull-out strength of ARTBW was significantly greater than the traditional TBW (111.58 ± 2.38 N vs. 64.71 ± 4.22 N, P < 0.001). CONCLUSIONS: The ARTBW retained the advantages of traditional TBW, and achieved greater compression force of articular surface, and greater pull-out strength of K-wires. Moreover, ARTBW effectively avoided the rotation of the K-wires. Therefore, ARTBW demonstrates potential as a promising technique for treating patellar fractures.


Assuntos
Fios Ortopédicos , Análise de Elementos Finitos , Fraturas Ósseas , Patela , Humanos , Patela/cirurgia , Patela/lesões , Fraturas Ósseas/cirurgia , Fixação Interna de Fraturas/métodos , Fixação Interna de Fraturas/instrumentação , Testes Mecânicos/métodos , Fenômenos Biomecânicos , Rotação , Masculino , Amplitude de Movimento Articular
15.
J Mech Behav Biomed Mater ; 157: 106631, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38986216

RESUMO

Fall-related hip fractures are a serious public health issue in older adults. As most mechanistic hip fracture risk prediction models incorporate tissue tolerance, test methods that can accurately characterize the fracture force of the femur (and factors that influence it) are imperative. While bone possesses viscoelastic properties, experimental characterization of rate-dependencies has been inconsistent in the whole-femur literature. The goal of this study was to investigate the influence of experimental paradigm on loading rate and fracture force (both means and variability) during mechanical tests simulating lateral fall loadings on the proximal femur. Six pairs of matched femurs were split randomly between two test paradigms: a 'lower rate' materials testing system (MTS) with a constant displacement rate of 60 mm/s, and a hip impact test system (HIT) comprised of a custom-built vertical drop tower utilizing an impact velocity of 4 m/s. The loading rate was 88-fold higher for the HIT (mean (SD) = 2465.49 (807.38) kN/s) compared to the MTS (27.78 (10.03) kN/s) paradigm. However, no difference in fracture force was observed between test paradigms (mean (SD) = 4096.4 (1272.6) N for HIT, and 3641.3 (1285.8) N for MTS). Within-paradigm variability was not significantly different across paradigms for either loading rate or fracture force (coefficients of variation ranging from 0.311 to 0.361). Within each test paradigm, significant positive relationships were observed between loading rate and fracture force (HIT adjusted R2 = 0.833, p = 0.007; MTS adjusted R2 = 0.983, p < 0.0001). Overall, this study provides evidence that energy-based impact simulators can be a valid method to measure femoral bone strength in the context of fall-related hip fractures. This study motivates future research to characterize potential non-linear relationships between loading rate and fracture threshold at both macro and microscales.


Assuntos
Acidentes por Quedas , Fêmur , Teste de Materiais , Suporte de Carga , Humanos , Fêmur/fisiologia , Idoso , Masculino , Testes Mecânicos , Feminino , Fenômenos Biomecânicos , Fraturas do Fêmur/fisiopatologia , Idoso de 80 Anos ou mais , Estresse Mecânico , Fraturas Proximais do Fêmur
16.
Proc Inst Mech Eng H ; 238(7): 764-773, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38831562

RESUMO

The delamination of ultra-high molecular weight polyethylene (UHMWPE) in artificial joints is a major cause limiting the long-term clinical results of arthroplasty. However, the conventional test method using simple reciprocation to evaluate the delamination resistance of UHMWPE materials has insufficient detection sensitivity. To reproduce delamination, the unconformity contact must be maintained throughout the test so that the maximum stress is generated below the surface. Therefore, a test method that applies a U-shaped motion comprising two long-linear and one short linear sliding motion was developed. The sensitivity, robustness, and reproducibility of the U-shaped delamination test were investigated and compared with the traditional test method. The traditional test method could reproduce delamination only in materials that had degraded considerably, whereas the U-shaped delamination test could reproduce delamination in a wide range of materials, demonstrating its superior sensitivity. Additionally, using a higher load helped accelerate the test without affecting the test results. The optimal length of the short linear sliding motion was confirmed to be 1 mm. Finally, the inter-laboratory reproducibility of the U-shaped delamination test was confirmed using the round-robin test. The U-shaped delamination test demonstrates high sensitivity, robustness, and reproducibility and contributes to the selection and development of UHMWPE materials and artificial joints with a lower risk of delamination.


Assuntos
Teste de Materiais , Polietilenos , Polietilenos/química , Reprodutibilidade dos Testes , Prótese Articular , Testes Mecânicos , Artroplastia de Substituição/instrumentação
17.
J Mech Behav Biomed Mater ; 157: 106629, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38889531

RESUMO

In this paper, the Ti6Al4V alloy surface was modified via ceramic conversion treatment (CCT) with or without a pre-deposited silver layer. After characterizing the surface morphologies, microstructure and phase constituents of the ceramic oxide layer formed at 620 °C, we investigated the surface hardness and the cross-sectional nano-hardness profile under the oxide layer. The static load-bearing capacity of the oxide layers was examined by applying discrete loads via a Vickers indenter and observing the indentations. A scratch test was used to evaluate the load-bearing capacity and the adhesion/cohesion of the oxide layers. The wettability of the surface changed due to the incorporation of silver and the change of surface morphology. Reciprocating friction and wear test was used to assess the tribological properties. Small and dispersed silver nanoparticles and clusters were found in the oxide layer of the Ag pre-deposited Ti6Al4V samples, and they had much better tribological properties in terms of reduced coefficient of friction and wear volume. With the assistance of silver, the efficiency of the CCT was significantly improved.


Assuntos
Ligas , Cerâmica , Fricção , Teste de Materiais , Fenômenos Mecânicos , Prata , Propriedades de Superfície , Titânio , Ligas/química , Titânio/química , Prata/química , Cerâmica/química , Dureza , Testes Mecânicos
18.
J Mech Behav Biomed Mater ; 156: 106575, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38824865

RESUMO

Articular cartilage tissue exhibits a spatial dependence in material properties that govern mechanical behaviour. A mathematical model of cartilage tissue under one dimensional confined compression testing is developed for normal tissue that takes account of these variations in material properties. Modifications to the model representative of a selection of mechanisms driving osteoarthritic cartilage are proposed, allowing application of the model to both physiological and pathophysiological, osteoarthritic tissue. Incorporating spatial variations into the model requires the specification of more parameters than are required in the absence of these variations. A global sensitivity analysis of these parameters is implemented to identify the dominant mechanisms of mechanical response, in normal and osteoarthritic cartilage tissue, to both static and dynamic loading. The most sensitive parameters differ between dynamic and static mechanics of the cartilage, and also differ between physiological and osteoarthritic pathophysiological cartilage. As a consequence changes in cartilage mechanics in response to alterations in cartilage structure are predicted to be contingent on the nature of loading and the health, or otherwise, of the cartilage. In particular the mechanical response of cartilage, especially deformation, is predicted to be much more sensitive to cartilage stiffness in the superficial zone given the onset of osteoarthritic changes to material properties, such as superficial zone increases in permeability and reductions in fixed charge. In turn this indicates that any degenerative changes in the stiffness associated with the superficial cartilage collagen mesh are amplified if other elements of osteoarthritic disease are present, which provides a suggested mechanism-based explanation for observations that the range of mechanical parameters representative of normal and osteoarthritic tissue can overlap substantially.


Assuntos
Cartilagem Articular , Osteoartrite , Fenômenos Biomecânicos , Osteoartrite/fisiopatologia , Fenômenos Mecânicos , Modelos Biológicos , Humanos , Estresse Mecânico , Teste de Materiais , Suporte de Carga , Testes Mecânicos
19.
J Mech Behav Biomed Mater ; 156: 106607, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38830315

RESUMO

OBJECTIVES: The aim of the study was to evaluate the influence of surface finishing in three polymer-based composits (composits) on the result of a 3-point bending test using quantitative and qualitative fractography as well as microstructural characteristics. MATERIALS AND METHODS: 270 rectangular specimens (n = 30) of three composits were prepared, stored and tested according to NIST No. 4877. Prior testing, the samples were subjected to three surface treatments: 1) no treatment, to preserve the oxygen inhibition layer, 2) with FEPA P1200 (ANSI equivalent grit 600) SiC paper abraded surface, and 3) polished surface. A three-point bending testing was employed, followed by quantitative (assessment of reason for failure and fracture pattern) and qualitative (fracture mirror measurements) fractography, 3D and 2D surface imaging, surface roughness, reliability and Fe-SEM analysis. The mirror radius that runs in the direction of constant stress was used to calculate the mirror constant (A) using Orr's equation. Uni- and multifactorial ANOVA, Tukey's post hoc test, and Weibull analysis was performed for statistical analysis. RESULTS: Surface finishing has less influence on the fracture pattern, reliability and mechanical parameters and has no influence on the mirror constant. The amount of inorganic filler has a direct impact on flexural strength and modulus, while the ranking of materials was independent of surface treatment. Failures initiated by volume defects were the most common failure mode (77.0%) with surface defects accounting for 14.9% (edge) and 7.7% (corner). Polishing resulted in lower peak-to valley height compared to no treatment, both 3-4 times lower compared to the 600 grit treatment. The increase in roughness within the analyzed range did not lead to an increase in surface-related failures. CONCLUSIONS: The clear dominance of volume defects in all examined materials as a cause of material fracture reduces the impact of roughness on the measured properties. This insight was only possible using qualitative and quantitative research fractography.


Assuntos
Teste de Materiais , Polímeros , Propriedades de Superfície , Polímeros/química , Testes Mecânicos , Estresse Mecânico , Materiais Dentários/química , Fenômenos Mecânicos
20.
Medicine (Baltimore) ; 103(23): e38520, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38847663

RESUMO

BACKGROUND: To elucidate the differences in mechanical performance between a novel axially controlled compression spinal rod (ACCSR) for lumbar spondylolysis (LS) and the common spinal rod (CSR). METHODS: A total of 36 ACCSRs and 36 CSRs from the same batch were used in this study, each with a diameter of 6.0 mm. Biomechanical tests were carried out on spinal rods for the ACCSR group and on pedicle screw-rod internal fixation systems for the CSR group. The spinal rod tests were conducted following the guidelines outlined in the American Society for Testing and Materials (ASTM) F 2193, while the pedicle screw-rod internal fixation system tests adhered to ASTM F 1798-97 standards. RESULTS: The stiffness of ACCSR and CSR was 1559.15 ±â€…50.15 and 3788.86 ±â€…156.45 N/mm (P < .001). ACCSR's yield load was 1345.73 (1297.90-1359.97) N, whereas CSR's was 4046.83 (3805.8-4072.53) N (P = .002). ACCSR's load in the 2.5 millionth cycle of the fatigue four-point bending test was 320 N. The axial gripping capacity of ACCSR and CSR was 1632.53 ±â€…165.64 and 1273.62 ±â€…205.63 N (P = .004). ACCSR's torsional gripping capacity was 3.45 (3.23-3.47) Nm, while CSR's was 3.27 (3.07-3.59) Nm (P = .654). The stiffness of the pedicle screws of the ACCSR and CSR group was 783.83 (775.67-798.94) and 773.14 (758.70-783.62) N/mm (P = .085). The yield loads on the pedicle screws of the ACCSR and CSR group was 1345.73 (1297.90-1359.97) and 4046.83 (3805.8-4072.53) N (P = .099). CONCLUSION: Although ACCSR exhibited lower yield load, stiffness, and fatigue resistance compared to CSR, it demonstrated significantly higher axial gripping capacity and met the stress requirement of the human isthmus. Consequently, ACCSR presents a promising alternative to CSR for LS remediation.


Assuntos
Vértebras Lombares , Teste de Materiais , Parafusos Pediculares , Espondilólise , Vértebras Lombares/cirurgia , Humanos , Fenômenos Biomecânicos , Espondilólise/cirurgia , Espondilólise/fisiopatologia , Fixadores Internos , Testes Mecânicos
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