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Biomedical subjects

F Linde

Publications and source records attributed to F Linde.

At least 19 recordsLinked to original sources

Properties of growing trabecular ovine bone. Part I: mechanical and physical properties.

Our aim was to determine the relationship between age and the mechanical and physical properties of trabecular bone, to describe the patterns in which the variations in these properties take place, and to investigate the influence of the physical properties on the mechanical characteristics of trabecular bone during growth. We used 30 lambs in three age groups and 20 sheep in two age groups. Cubes of subchondral bone were cut from the proximal tibia according to a standardised protocol. We performed non-destructive compression tests of the specimens in three orthogonal directions and compression tests to failure in the axial direction. The physical properties of the specimens were also determined. The data were correlated with age and compared in skeletally immature and mature animals. Multiple regression analyses were performed between the mechanical and the physical properties. Age correlated positively with elastic modulus, bone strength, energy absorption to failure, elastic energy, mechanical anisotropy ratio, tissue density, apparent density, apparent ash density, and bone mineral content, and inversely with ultimate strain, viscoelastic energy absorption, relative energy loss, the collagen content of bone and the percentage porosity. The values of all variables were significantly different in the skeletally mature and immature groups. The apparent density of trabecular bone tissue was found to be the major predictor of its compressive mechanical properties. Together with the content of bone muscle and bone collagen, the apparent density could explain 84% of the variation in the elastic modulus, whereas only a small portion of the variation in ultimate strain could be explained by the variation in apparent density.

Age Factors↗

Properties of growing trabecular ovine bone. Part II: architectural and mechanical properties.

We aimed to highlight the relationship between age and the architectural properties of trabecular bone, to outline the patterns in which the variations in these properties take place, and to investigate the influence of the architecture on the mechanical properties of trabecular bone in growing animals. We studied 30 lambs in three age groups and 20 sheep in two age groups. Cubes of subchondral bone were cut from the proximal tibia according to a standardised protocol. They were serially sectioned and their architectural properties were determined. Similar cubes were obtained from the identical anatomical position of the contralateral tibia and their compressive mechanical properties measured. The values obtained from the skeletally immature and mature individuals were compared. Multiple regression analyses were performed between the architectural and the mechanical properties. The bone volume fraction, the mean trabecular volume, the architectural and the mechanical anisotropy, the elastic modulus, the bone strength, the energy absorption to failure, and the elastic energy correlated positively with increasing age whereas the connectivity density, the bone surface density, the ultimate strain, the absorption of viscoelastic energy and the relative loss of energy correlated inversely. The values of all variables were significantly different in the skeletally mature and immature groups. We determined the patterns in which the variations took place. The bone volume fraction of the trabecular bone tissue was found to be the major predictor of its compressive mechanical properties. Together with the mean trabecular volume and the bone surface density, it explained 81% of the variations in the compressive elastic modulus of specimens obtained from the contralateral tibiae.

Age Factors↗

Mechanical properties of the normal human tibial cartilage-bone complex in relation to age.

OBJECTIVE: This study investigates the age-related variations in the mechanical properties of the normal human tibial cartilage-bone complex and the relationships between cartilage and bone. DESIGN: A novel technique was applied to assess the mechanical properties of the cartilage and bone by means of testing the cartilage-bone complex. BACKGROUND: Up to now, mechanical testing of cartilage and bone has been reported separately, and little is known about the mechanical behaviour of both tissues when examined as a unit. METHODS: Cylindrical human proximal tibial cartilage-bone complex specimens from 31 normal donors aged 16-83 years were tested in compression. The deformation was measured simultaneously in bone and cartilage to obtain the mechanical properties of both tissues. RESULTS: The stiffnesses and elastic energies of both cartilage and bone showed an initial increase, with maxima at 40 years, followed by a steady decline. The viscoelastic energy was maximal at younger ages (16-29 years), followed by a steady decline. The energy absorption capacity did not vary with age. Stiffnesses and elastic energies were correlated significantly between cartilage and bone. CONCLUSIONS: The present study demonstrates that similar age-related trends were seen in cartilage and bone, as if they behaved as a single mechanical unit. RELEVANCE: The basic information presented here on the mechanical properties of cartilage and bone and the correlations between them reveals the unit function of both tissues that are of importance for the understanding of the etiology and pathogenesis of degenerative joint diseases, such as arthrosis.

Journal Article↗

Changes in the stiffness of the human tibial cartilage-bone complex in early-stage osteoarthrosis.

Cylindrical human tibial cartilage-bone unit specimens were removed from 9 early-stage medial osteoarthrotic (OA) tibiae (mean age 74 years) and 10 normal age-matched tibiae (mean age 73 years). These specimens were divided into 4 groups: OA, lateral comparison, medial age-matched, and lateral age-matched and were tested to 0.5% bone strain with a novel technique to obtain the stiffnesses of both cartilage and bone simultaneously. We found a pronounced reduction in the stiffnesses of OA cartilage and subchondral bone when compared with the medial age-matched group. OA cartilage was significantly thinner than that of the lateral comparison and the medial age-matched control groups. However, this reduction in thickness was not correlated with the reduction in stiffness for OA cartilage. The stiffnesses did not correlate between OA cartilage and bone, whereas the stiffness relationships between cartilage and bone remained significant in the three control groups. Our findings suggest that both cartilage and bone in early-stage OA are mechanically inferior to normal, and that OA cartilage and bone have lost their unit function to mechanical loading.

Aged↗

Simultaneous measurement of stiffness and energy absorptive properties of articular cartilage and subchondral trabecular bone.

The purpose of this study was to develop a method for simultaneous measurement of the mechanical properties of articular cartilage and underlying trabecular bone. Cylindrical bone-cartilage specimens from human cadaver knees were tested under non-destructive axial compression. The specimens wer mounted in a cage by three screws fixed to the subchondral bone plate to create a reference plane between the cartilage and the bone. Each test was carried out as a single test cycle between a 0.12 MPa (4 N) pre-stress and 0.5 per cent bone strain. Twenty conditioning cycles were performed prior to each test cycle. In order to determine the reproducibility of the test method, the test procedure was repeated after turning the cage through 90 degrees. The specimens were then kept at +5 degrees C for 24 hours, and the procedure was repeated. The normalized stiffness and energy absorptive properties were calculated from each test cycle. No significant difference was found between the results obtained on the first and on the second day. Both days the stiffness of cartilage was significantly larger during the second test, indicating that 20 conditioning cycles may not provide a viscoelastic steady state.

Adult↗

Age variations in the properties of human tibial trabecular bone.

We tested in compression specimens of human proximal tibial trabecular bone from 31 normal donors aged from 16 to 83 years and determined the mechanical properties, density and mineral and collagen content. Young's modulus and ultimate stress were highest between 40 and 50 years, whereas ultimate strain and failure energy showed maxima at younger ages. These age-related variations (except for failure energy) were non-linear. Tissue density and mineral concentration were constant throughout life, whereas apparent density (the amount of bone) varied with ultimate stress. Collagen density (the amount of collagen) varied with failure energy. Collagen concentration was maximal at younger ages but varied little with age. Our results suggest that the decrease in mechanical properties of trabecular bone such as Young's modulus and ultimate stress is mainly a consequence of the loss of trabecular bone substance, rather than a decrease in the quality of the substance itself. Linear regression analysis showed that collagen density was consistently the single best predictor of failure energy, and collagen concentration was the only predictor of ultimate strain.

Adolescent↗

Elastic and viscoelastic properties of trabecular bone by a compression testing approach.

In this review the advantages and disadvantages of different variants of compression testing of trabecular bone are discussed. Factors affecting the precision and the accuracy of mechanical properties of trabecular bone derived from such tests are analysed. Below are listed some of the important conclusions which can be drawn. Conclusions based on the author's previous studies (I-IX) are shown in italic. 1) Trabecular bone is a viscoelastic solid. 2) Stiffness, strength, ultimate strain, and failure energy are derived from a standard compression test to failure. Viscoelastic properties such as energy dissipation and the relative energy loss (loss tangent) can be obtained from non-destructive cyclic tests. 3) A non-destructive test conducted between a lower load level (zero strain) and an upper strain limit of about 0.8% specimen strain has been developed. The reproducibility of such a test technique has been assessed at different conditions. The reproducibility was best after a number of conditioning cycles in order to achieve a viscoelastic steady state. Orthotropic properties can be determined by non-destructive testing in different directions of cubic specimens. The reproducibility of such testing has been established. 4) The stiffness derived from non-destructive tests will be lower than that obtained from a destructive test because of the non-linearity of the load-deformation curve, but the stiffnesses will be strongly correlated. 5) Stiffnesses derived from destructive and non-destructive tests have an elastic and a viscoelastic contribution. Since the viscoelastic contribution is time dependent, the results will be dependent on strain rate and loading frequency in cyclic tests. 6) Standard testing of small trabecular bone specimens is associated with systematic errors. The most significant of these errors are believed to be related to trabecular disintegrity at the surface of the specimen and to friction at the specimen-platen interface. Structural disintegrity causes an axial strain inhomogeneity resulting in a overestimation of axial strain and a corresponding underestimation of specimen stiffness. Friction at the interface causes an uneven stress and strain distribution in the layer nearest to the test platen resulting in a overestimation of stiffness. The net result of these systematic errors is a 20-40 per cent underestimation of stiffness. 7) The specimen geometry has a highly significant influence on mechanical properties such as stiffness, ultimate strain and energy absorption. A cube with a side length of 6.5 mm and a cylindrical specimen with a length of 6.5 mm and a diameter of 7.5 mm are suggested as standard geometries providing comparable results.

Biomechanical Phenomena↗

The effect of different storage methods on the mechanical properties of trabecular bone.

The effect of different storage methods on the elastic and viscoelastic properties of trabecular bone was examined using non-destructive compression tests to 0.45% specimen strain. There was a 10% decrease in stiffness during the first 24 h post mortem. Storage by freezing or in ethanol for 100 d did not change the stiffness, and neither did several thawing, testing and refreezing sequences. The viscoelastic properties were more sensitive to storage and showed significant although small changes during 100 d of storage. The effect of defatting the specimens was a 30% increase in stiffness and a 50% decrease in viscoelastic energy dissipation.

Adult↗

The effect of specimen geometry on the mechanical behaviour of trabecular bone specimens.

The effect of specimen geometry on the mechanical behaviour of trabecular bone specimens was studied by non-destructive uniaxial compression to 0.4% strain using cylindrical specimens with different sizes and length-to-diameter ratios, and by comparing cubic and cylindrical specimens with the same cross-sectional area. Both the length and the cross-sectional area of the specimen had a highly significant influence on the mechanical behaviour (p less than 0.0001). Within the actual range of length (2.75-11.0 mm) the normalized stiffness (Young's modulus) was related nearly linearly to the specimen length. This dependency on specimen length is suggested to be caused mainly by structural disintegrity of the trabecular specimens near the surface. The normalized stiffness (Young's modulus) was also positively correlated to the cross-sectional area. This dependency on cross-sectional area is probably due to friction-induced stress inhomogeneity at the platen-specimen interface. A cube with side length 6.5 mm or a cylindrical specimen with 7.5 mm diameter and 6.5 mm length are suggested as standard specimens for comparative studies on trabecular bone mechanics.

Adult↗

Tensile and compressive properties of cancellous bone.

The relationship between the mechanical properties of trabecular bone in tension and compression was investigated by non-destructive testing of the same specimens in tension and compression, followed by random allocation to a destructive test in either tension or compression. There was no difference between Young's modulus in tension and compression, and there was a strong positive correlation between the values (R = 0.97). Strength, ultimate strain and work to failure was significantly higher in tensile testing than in compressive testing.

Adult↗

Mechanical properties of trabecular bone. Dependency on strain rate.

The effect of strain rate (epsilon) and apparent density (rho) on stiffness (E), strength (sigma u), and ultimate strain (epsilon u) was studied in 60 human trabecular bone specimens from the proximal tibia. Testing was performed by uniaxial compression to 5% specimen strain. Six different strain rates were used: 0.0001, 0.001, 0.01, 0.1, 1, and 10 s-1. Apparent density ranged between 0.23 and 0.59 g cm-3. Linear and non-linear regression analyses using strength, stiffness and ultimate strain as dependent variables (Y) and strain rate and apparent density as independent variables were performed using the following models: Y = a rho b epsilon c, Y = rho b(a + c epsilon; Y = (a + b rho)epsilon c, Y = a rho 2 epsilon c, E = a rho 3 epsilon c. The variations of strength and stiffness were explained equally well by the linear and the power function relationship to strain rate. The exponent was 0.07 in the power function relationship between strength and strain rate and 0.05 between stiffness and strain rate. The variation of ultimate strain was explained best using a power function relationship to strain rate (exponent = 0.03). The variation of strength and stiffness was explained equally well by the linear, power function and quadratic relationship to apparent density. The cubic relationship between stiffness and apparent density showed a less good fit. Ultimate strain varied independently of apparent density.

Aged↗

Topographical distribution of trabecular bone strength in the human os calcanei.

Mechanical properties of twenty human os calcanei were determined by uniaxial compression testing of bone specimens from facies articularis talaris posterior, facies articularis cuboidea, and tuber calcanei. Specimens were taken oriented perpendicular to the planes of the facies articularis, and in tuber along the presumed loading axis throughout the gait cycle. Young's modulus and strength at facies articularis cuboidea and facies articularis talaris posterior were about three times those at the tuber calcanei. The variation of the relationship between Young's modulus and apparent density indicated differences in the orientation of the trabecula, in relation to the direction of evaluation between these locations. A more detailed analysis of the topographical variation of strength within each location was made using penetration testing of a further nineteen specimens. The results of both types of measurements indicated that the major part of the load during walking is carried by facies articularis talaris posterior and facies articularis cuboidea.

Adult↗

The underestimation of Young's modulus in compressive testing of cancellous bone specimens.

In order to determine the accuracy of measurements of Young's modulus of cancellous bone by conventional compression testing, two independent strain measurements were made simultaneously during non-destructive uniaxial compression to 0.8% strain of rectangular specimens (n = 18). Strain was measured by an extensometer attached to the compression anvils close to the specimen and by an optical system covering the central half of the specimens. Mean Young's modulus determined by the extensometer technique was 689 MPa, but was 871 MPa when determined by the optical technique (mean difference = 182 MPa, SED = 50 MPa, p less than 0.002). Uneven strain distribution due to lack of support of cut vertical trabeculae at the anvil-specimen interface is believed to be causing the underestimation of Young's modulus measured by the extensometer technique. The influence of friction at the specimen-anvil interface was studied by performing a finite element analysis. It is concluded that Young's modulus of specimens of the chosen geometry on average is underestimated by about 20% by conventional compressing testing. The underestimation seems not to be dependent upon specimen density.

Biomedical Engineering↗

Three-axial strain controlled testing applied to bone specimens from the proximal tibial epiphysis.

Reproducibility of the determination of Young's modulus and energy absorption along the three axes of trabecular bone cubes was analysed by non-destructive compression to 0.5% strain using different testing protocols. These protocols included testing with and without pre-conditioning to a viscoelastic steady state, and different orders of test directions. Reproducibility of conditioned tests was generally better than that of non-conditioned tests. No major effect of changing the order of the test direction was found. Three-axial conditioned testing of cubes from the proximal tibial epiphysis of five humans revealed a global transverse isotrophy while most cubes showed orthotropy. The ratio between stiffness along the long axis of the tibia and the stiffness in the transverse plane was 3.7 +/- 0.4 (mean +/- 2 SE). The corresponding ratios for elastic energy storage and viscoelastic energy dissipation were 2.5 +/- 0.2. There was no difference between the relative energy loss during a testing cycle (loss tangent) in the three axes.

Adult↗

Heterotopic bone formation after total hip arthroplasty in patients with primary or secondary coxarthrosis.

Heterotopic bone formation was investigated in 392 Charnley low-friction total hip arthroplasties. A multivariate linear regression analysis was used to account for the influence of co-variables: sex, age at surgery, postoperative treatment with antiinflammatory drugs during at least the first 2 weeks, and previous ipsilateral hip surgery. A total of 232 hips had been treated for primary coxarthrosis, and 114 and 46 hips for secondary coxarthrosis due to congenital dislocation and fracture-dislocation of the hip, respectively. None of the hips with primary coxarthrosis previously had ipsilateral hip surgery, whereas 41 hips (36%) in patients with congenital dislocation of the hip and 28 hips (61%) in patients with fracture-dislocation of the hip had one or more ipsilateral surgical procedures prior to the arthroplasty. The sex ratio varied between the groups, with a male:female hip ratio of 1:1, 1:10, and 3:1 for the three groups, respectively. The risk of developing grades 2 or 3 heterotopic ossification after total hip arthroplasty were significantly higher in men, patients without postoperative treatment with antiinflammatory drugs, and patients above age 60. In contrast, the analysis documented that previous ipsilateral hip surgery and type of coxarthrosis did not influence lesion development, supporting the theory that a systemic, rather than local factor, is responsible for the development of heterotopic bone formation after total hip arthroplasty.

Adolescent↗

Energy absorptive properties of human trabecular bone specimens during axial compression.

Human trabecular bone specimens (n = 121) from the proximal tibial epiphysis of nine macroscopically normal cadaver knees were tested nondestructively to a fixed strain (0.6%) for analysis of unloading energy and hysteresis energy followed by a destructive test for analysis of work to failure. All energy properties showed interindividual variation (p less than 0.005). There was a strong positive correlation between unloading energy and both stress (r = 0.95) and stiffness (r = 0.89) determined at 0.6% strain. A less strong, but statistically significant, correlation was found between hysteresis energy and stress (r = 0.82) and stiffness (r = 0.76) at 0.6% strain. There was a negative correlation between the loss tangent and stiffness at 0.6% strain (r = -0.40, p less than 0.001). Work to failure correlated positively with modulus of elasticity (r = 0.75), ultimate stress (r = 0.92), and ultimate strain (r = 0.51). There was a positive mutual correlation between all energy properties (p less than 0.001).

Aged↗

Compressive axial strain distributions in cancellous bone specimens.

The compressive axial strain distribution in cylindrical trabecular bone specimens was studied using digitized images of the specimen surface. Specimens were tested with strain rate 0.00015 s-1. Images were taken at 0, 1, 2, 3, 4, 6, 8 and 10% strain. Using an optical illusion of movement by rapidly changing succeeding images, failures were classified as transverse (33%) or oblique collapses (67%). The location of failure was not determined by the specimen density gradient. Local axial strain in the distal, intermediate and proximal third was measured throughout the compression in the transversely failing specimens, whereas local strain in the obliquely failing specimens was measured in the pre-failure phase only. Axial strain inhomogeneity was observed in the pre-failure as well as in the post-failure phase. In the pre-failure phase the intermediate third was strained significantly less than the thirds near the ends. In the post-failure phase specimen strain occurred solely in the collapsed part. Ultimate strain of the transversely failing specimens was 2.5% and ultimate strain of the failing third was 3.7%. At failure less than 1% strain was observed in the intermediate third and at 10% specimen strain 1.5% local strain was found in the intermediate third. The results indicate unreliability of conventional stiffness and strain measurements in trabecular bone specimens probably due to lack of trabecular constraint at the end surfaces. Conventional measurements tend to underestimate stiffness and, by giving an average value of strain in spite of considerable strain inhomogeneity, to underestimate failure strain.

Bone Density↗

X-ray quantitative computed tomography: the relations to physical properties of proximal tibial trabecular bone specimens.

Cylindrical bone specimens from the proximal epiphysis of ten normal human proximal tibiae were randomly assigned to a destructive axial compression test-series (N = 94) or to a protocol of standardized mechanical conditioning followed by non-destructive repeated testing to 0.6% strain and a final destructive test (N = 121). Specimen X-ray quantitative computed tomography (QCT) obtained at different scanning energies (100, 120 and 140 kVp) yielded closely related results (r = 1.00). Accordingly, predictions of physically measured densities or mechanical properties were not improved by using more than one scanning energy. QCT and physically measured densities were intimately related (QCT at 140 kVp to apparent density using linear regression: r = 0.94, and to apparent ash density: r = 0.95) and did not differ significantly in their ability to predict the mechanical properties, thus favouring the more easily implemented QCT for routine work. Evaluation of the relation of apparent density to Young's modulus and ultimate strength suggested that a power law regression model is preferable to a linear model, although linear model prediction of mechanical properties does not have significantly worse accuracy within the narrow density range investigated. The effect of conditioning on the behaviour of bone specimens subjected to destructive compression tests was to increase the stiffness and strength by approximately 50 and 20% respectively.

Absorptiometry, Photon↗