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The effect of increased gravitational stress on bone.

To assess the effects of an altered gravitational state on the physical properties of bone, fifteen sexually mature chickens were centrifuged for 18 weeks. The gravitational forces were gradually increased to allow the chickens to adapt to the increased load. For the last 4 weeks of the experiment, the animals were subjected to a force of 3 x gravity. After sacrifice the tibias were removed and fractured in torsion. Bone diameters, cortical thickness and ash content of the tibias were determined. Histological preparations of the bone specimens were also examined. When the centrifuged animals were compared with control chickens of comparable size and weight, there was no significant change in bone strength or fracture pattern, although the centrifuged birds had smaller mid-tibial shaft diameters and thicker cortices. The mean percentage bone ash for the centrifuged birds was 68.2% which is an accepted value for dry bone ash of adult chickens. Bone density was the same for both centrifuged and control birds. The birds lost an average of 465 grams of body mass during their 18 weeks on a centrifuge.

Adaptation, Physiological↗

Properties of opaque resin composite containing coated and silanized titanium dioxide.

Titanium dioxide (TiO2) is mainly used as a pigment in opaque resin composites for application to the surface of a metal framework. The hypothesis in this paper is that particles of silica/alumina (SiO2/Al2O3)-coated TiO2 treated with a silane coupling agent could bond effectively with resin monomers of opaque resin composites. Untreated TiO2 was used as the control filler. Compressive and flexural strength specimens were prepared by the heat-curing method, because these bulk specimens could not be made by the typical photo-curing method. The treated composite had significantly higher compressive and flexural strengths than the untreated composite after 6 months' immersion in water. Scanning electron microscopy of the fractured composite surfaces showed an interface failure between TiO2 and resin for the untreated composite and cohesive failure within the resin for the treated composite after 6 months' immersion. The light-activated opaque resin composite containing treated TiO2 exhibited significantly higher bond strength to a noble dental alloy after 5000 thermal cycles than that containing untreated TiO2. Thus, silanized SiO2/Al2O3-coated TiO2 appears to be clinically useful as a filler of opaque resin composites.

Aluminum Oxide↗

Mechanical and histological evaluation of a PMMA-based bone cement modified with gamma-methacryloxypropyltrimethoxysilane and calcium acetate.

Polymethylmethacrylate (PMMA) bone cement is widely used for prosthetic fixation in orthopaedic surgery; however, the interface between bone and cement is a weak zone. We developed a bioactive PMMA cement through modification with gamma-methacryloxypropyltrimethoxysilane (MPS) and calcium acetate. The purpose of this study was to compare the handling, mechanical and histological properties of the modified bone cement with those of the conventional cement. The modified specimens exhibited higher bonding strength between bone and implant. Histological observation and micro-focus X-ray computed tomogram (micro-CT) images showed that the modified cement exhibited osteoconduction, which the conventional PMMA bone cement lacked. The modification was found to be effective in enabling osteoconduction with PMMA bone cement, thus providing stable fixation for a long period after implantation.

Acetates↗

Mechanical conditions in the internal stabilization of proximal tibial defects.

OBJECTIVES: The goal was to design a method which would permit an assessment of the suitability of a newly developed implant under physiological-like loading conditions. Information obtained from such an analysis is expected to delineate more clearly the indications for a new device prior to clinical utilization. DESIGN: In vitro mechanical stiffness testing and finite element analysis. METHODS: From in vitro testing of proximal tibiae with defects, the stiffness of an internal stabilization system was determined. Using a finite element model, the loading of both the implant and bone was analyzed including all muscle forces. The variation in implant loading and interfragmentary strain for different defect locations was also investigated. RESULTS: Conventional stiffness testing demonstrated the comparability of the experimental findings with the finite element predictions. Under physiological-like loading the implant experienced high bending and von Mises stresses if defects in the region of the shaft were stabilized. A short working length increased implant loading up to the yield strength of the material. CONCLUSIONS: The finite element analysis illustrated the appropriateness of this new device for proximal defects of the tibia, but the implant should be used with hesitation in fractures or defects extending into the diaphyseal region of the bone. RELEVANCE: This new analytical approach helped to identify clinical indications for the implant in which its mechanical attributes would prove advantageous.

Biomechanical Phenomena↗

The effect of surface treated UHMWPE beads on some properties of acrylic resin denture base material.

UHMWPE in the form of experimental surface treated beads was added to acrylic resin denture base material in various percentages to form a composite material. The influence on doughing and manipulation times, and transverse and impact strength was examined. The results indicated that the manipulation times, were not significantly affected as the percentage of UHMWPE beads in the acrylic resin powder increased. Increasing the percentage of incorporated UHMWPE beads resulted in an inconsistent decrease in the modulus of rupture and no effect on the impact fracture resistance. It was concluded that the use of treated UHMWPE beads is of no significant benefit to the properties of acrylic resin.

Acrylic Resins↗

Effects of the frequency and duration of cyclic stress on the mechanical properties of cultured collagen fascicles from the rabbit patellar tendon.

The effects of frequency or duration of cyclic stress on the mechanical properties of collagen fascicles were studied by means of in vitro tissue culture experiments. Collagen fascicles of approximately 300 microm in diameter were obtained from rabbit patellar tendons. During culture, cyclic stress having the peak stress of approximately 2 MPa was applied to the fascicles at 1 Hz for 1 hour/day (1 Hz-1 h group), at 1 Hz for 4 hours/day (1 Hz-4 h group), or at 4 Hz for 1 hour/day (4 Hz-1 h group). The frequency of 4 Hz and the duration of 1 hour/day are considered to be similar to those of the in vivo stress applied to fascicles in the intact rabbit patellar tendon. After culture for 1 or 2 weeks, the mechanical properties of the fascicles were determined using a microtensile tester, and were compared to the properties of non-cultured, fresh fascicles (control group) and the fascicles cultured under no load condition (non-loaded group). The tangent modulus and tensile strength of fascicles in the 4 Hz-1 h group were similar to those in the control group; however, the fascicles of the 1 Hz-1 h and 1 Hz-4 h groups had significantly lower values than those of the control group. There was no significant difference in the tensile strength between the 1 Hz-1 h and non-loaded groups, although the strength in the 1 Hz-4 h group was significantly higher than that of the non-loaded group. It was concluded that the frequency and duration of cyclic stress significantly affect the mechanical properties of cultured collagen fascicles. If we apply cyclic stress having the frequency and duration which are experienced in vivo, the biomechanical properties are maintained at control, normal level. Lower frequencies or less cycles of applied force induce adverse effects.

Animals↗

Effect of load and temperature on in vitro degradation of poly(glycolide-co-L-lactide) multifilament braids.

The effects of load and temperature on in vitro degradation behaviors of poly(glycolide-co-L-lactide) 90/10 multifilament braids were investigated in phosphate buffer solution at pH 7.4. The property changes of the braids with time were monitored by tensile test, gel permeation chromatography analysis, and scanning electron microscopy. The interrelationships between material properties, time and experimental conditions were explored. The results showed that the polymer braids gradually lost their strength and molecular weight with the increasing in vitro time. While the load levels applied had no effect on the materials, raising temperatures significantly accelerated the degradation. It was found that for a given tensile breaking strength retention (BSR), the dependence of degradation time on temperature could be illustrated by an Arrhenius-type equation, from which the activation energy could be derived. Further analysis indicated that there are well-defined relationships between molecular weight, BSR and breaking strain retention, and these relationships can be illustrated mathematically. Finally, the surface morphology of the fiber showed visible change during the degradation process.

Absorbable Implants↗

Bonding to worn or fractured incisal edges: shear bond strength of new adhesive systems.

OBJECTIVES: Resin composites can be proposed for the restoration of incisal edges. If a progressive wear or an old fracture is responsible for the loss of the incisal edge, the bonding substrate is likely to be sclerotic dentin, surrounded by enamel. The purpose of the study was to measure under laboratory conditions, the shear bond strength of three adhesive systems to the enamel and dentin exposed on the edge of incisors as a result of a long-time wear or an old fracture. METHOD AND MATERIALS: Thirty extracted human incisors were selected. The teeth had to exhibit some exposed dentin on their edges, a result of old fractures or wear. The 30 specimens were randomly divided into three groups. In each group, a different adhesive system was tested for the ability to efficiently bond a resin composite restoration to the dental substrate. A three-step system (Scotchbond Multipurpose Plus), a one-bottle adhesive (Scotchbond 1), and a self-etching adhesive (Prompt-L-Pop) were compared. The shear bond strength of the restored samples was measured under a loading machine. The pattern of failure that each sample underwent as a result of loading was assessed under a stereomicroscope. RESULTS: The highest values of bond strength were yielded by Scotchbond Multipurpose Plus (28.14 MPa), followed by Scotchbond 1 (16.15 MPa), and Prompt-L-Pop (9.26 MPa). These differences were statistically significant (P < .05). The most frequent pattern of failure was the combined adhesive-cohesive in resin fracture. CONCLUSION: Adhesive systems involving phosphoric acid etching of the substrate were more dependable than a self-etch adhesive when bonding a resin composite restoration to worn or fractured incisal edges.

Acid Etching, Dental↗

Bone-cement interface of the glenoid component: stress analysis for varying cement thickness.

BACKGROUND: Although shoulder arthroplasty is an accepted treatment for osteoarthritis, loosening of the glenoid component, which mainly occurs at the bone-cement interface, remains a major concern. Presently, the mechanical effect of the cement mantel thickness on the bone-cement interface is still unclear. METHODS: Finite element analysis of a prosthetic scapula was used to evaluate the effect of cement thickness on stresses and micromotions at the bone-cement interface. The glenoid component was all-polyethylene, keeled and flat back. Cement mantel thickness was gradually increased from 0.5 to 2.0 mm. Two glenohumeral contact forces were applied: concentric and eccentric. Two extreme cases were considered for the bone-cement interface: bonded and debonded. FINDINGS: Within cement, stress increased as cement thickness decreased, reaching the fatigue limit below 1.0 mm. Bone stress was below its ultimate strength and was minimum between 1.0 and 1.5mm. Interface stress was close to the interface strength, and also minimum between 1.0 and 1.5 mm. Both the decentring of the load and the debonding of the interface increased the stress. INTERPRETATION: A cement thinning weakens the cement, but also the bone-cement interface, along the back-keel edges. Conversely, a cement thickening rigidifies the cemented implant, consequently increasing interfacial stresses and micromotions. To avoid both excessive cement fatigue and interface failure, an ideal cement thickness has been identified between 1.0 and 1.5 mm.

Bone Cements↗

Characteristics of hydroxypropyl methylcellulose influencing compactibility and prediction of particle and tablet properties by infrared spectroscopy.

Particle characteristics, chemical substitution, compaction behavior, and tablet properties of hydroxypropyl methylcellulose powders from two different suppliers were related using multivariate data analysis. By Principal Component Analysis it was shown that the the degree of substitution of the HPMC powders did not correlate to the particle and compaction properties as strongly as anticipated. Particle shape and powder surface area seem to be more important for the compaction behaviour of the powders than the degree of substitution. In addition, particle and tablet properties were predicted from infrared spectral data. Fourier transform infrared (FTIR) and near infrared (NIR) spectral data of the powders were combined with measured values of the particle characteristics, compaction behavior, and tablet properties using the multivariate data analysis program SIMCA 7.1. Properties like density, particle shape, tablet tensile strength, and drug release characteristics of the HPMC powders and corresponding tablets in this study could be predicted using Partial Least Squares models. In conclusion, the particle shape and powder surface area of HPMC powders seem to be important factors for the quality of tablet attained. Further, this study confirms that NIR and FTIR analysis used in combination with multivariate analysis are powerful tools for predicting the properties of materials and the quality of the end product.

Compressive Strength↗

Effects of pigeon pea and plantain starches on the compressional, mechanical, and disintegration properties of paracetamol tablets.

A study has been made of the effects of pigeon pea starch obtained from the plant Cajanus cajan (L) Millisp. (family Fabaceae) and plantain starch obtained from the unripe fruit of Musa paradisiaca L. (family Musaceae) on the compressional, mechanical, and disintegration properties of paracetamol tablets in comparison with official corn starch BP. Analysis of compressional properties was done by using density measurements, and the Heckel and Kawakita equations, whereas the mechanical properties of the tablets were evaluated by using tensile strength (T--a measure of bond strength) and brittle fracture index (BFI--a measure of lamination tendency). The ranking for the mean yield pressure, P(y), for the formulations containing the different starches was generally corn < pigeon pea < plantain starch while the ranking for P(k), an inverse measure of the amount of plasticity, was pigeon pea < plantain < corn starch, which indicated that formulations containing corn starch generally exhibited the fastest onset of plastic deformation, whereas those formulations containing pigeon pea starch exhibited the highest amount of plastic deformation during tableting. The tensile strength of the tablets increased with increase in concentration of the starches while the Brittle Fracture Index decreased. The ranking for T was pigeon pea > plantain > corn starch while the ranking for BFI was corn > plantain > pigeon pea starch. The bonding capacity of the formulations was in general agreement with the tensile strength results. The disintegration time (DT) of the formulation increased with concentration of plantain and corn starches but decreased with concentration of pigeon pea starch. The general ranking of DT values was plantain < pigeon pea < corn starch. Notably, formulations containing pigeon pea starch exhibited the highest bond strength and lowest brittleness, suggesting the usefulness of pigeon pea starch in producing strong tablets with minimal lamination tendency. Plantain starch, on the other hand, would be more useful where faster disintegration of tablet is desired. The results show that the starches could be useful in various formulations depending on the intended use of the tablets with the implication that the experimental starches can be developed for commercial purposes.

Acetaminophen↗

Investigation of newly developed added damping and stiffness device with low yield strength steel.

Energy dissipators, isolated-resistant and specific structural forms for earthquake resistance are popular topics in the research to improve shock-resistance. In this work, experimental methods were used to investigate the property of low yield strength steel. Carbon content in LYS material is lower than that in other steels; the ultimate stress is three times the yield stress. The ultimate elongation rate is about 62% and the ductility is 2-3 times that of A36 steel. In order to overcome some defects of ordinary use metallic dampers, the mechanical characteristic of low yield strength steel is used to develop added damping and stiffness for rhombic steel plate absorber. Test of the energy dissipation behavior for this newly developed device indicated that LYS could stably dissipate or absorb the input energy of earthquake. Then, the analytical model for the hysteretic behavior of this new device is proposed. Comparison of experimental data and numerical simulation results showed that this analytical model is suitable for simulating the hysteretic energy behavior of this new device.

Compressive Strength↗

The strength of different fixation techniques for bicondylar tibial plateau fractures--a biomechanical study.

OBJECTIVE: To compare the mechanical strength of fixation of bicondylar tibial plateau fractures using internal and external fixation techniques. DESIGN: A randomised laboratory testing of fixation methods currently in clinical use. BACKGROUND: To reduce the high complication rate associated with the double plating, many surgeons have started to use less invasive techniques. However the literature comparing the mechanical performance of these methods is still scarce. METHODS: Bicondylar tibial plateau fractures were simulated on Sawbones tibiae and fixed with one of the five fixation methods: dual plating, a two-ring hybrid fixator with inter-fragmentary screws, a ring-bar hybrid fixator with inter-fragmentary screws, lateral plate and medial monolateral external fixator, lateral plate and medial inter-fragmentary screws. Following statistical power calculations, seven tibiae were used for each fixation method. The specimens were tested in cyclical compression to failure. The vertical subsidence in the medial or lateral plateau was measured using extensometers. RESULTS: In all cases the mode of failure was consistent with collapse occurring in the medial plateau. There was no significant difference in the failure load between dual plating and the two-ring hybrid fixator (4218 N and 4184 N respectively; P=0.28, t-test). Failure was seen at significantly lower loads with the other fixation systems. CONCLUSION: Weight-bearing mobilisation of the patient may be undertaken earlier with more confidence by using the double plating or two-ring hybrid fixator rather than other less strong techniques. The choice on which of these two methods to use may depend on tissue viability and surgeon preference.

Compressive Strength↗

Mechanical properties of cancellous bone of the distal humerus.

BACKGROUND: The objectives of this study were to quantify the indentation strength and modulus of distal humeral cancellous bone, and to identify regional variations. The motivations were to assist in prosthesis development and to optimize screw placement. METHODS: Three consecutive 3mm transverse slices were sectioned from the distal ends of seven fresh-frozen cadaveric specimens. A 3 x 3mm grid was drawn on each slice, providing locations for indentation using a flat cylindrical indenter (diameter=1.6mm) attached to a materials testing machine. The mean indentation modulus and local yield strength were calculated for each site, and pooled into nine anatomically defined regions. FINDINGS: Indentation modulus was found to range from 2.9 to 1041.7 MPa with a mean of 309.8 (242.0)MPa. Local yield strength was found to range from 0.6 to 16.3 MPa, with a mean value of 4.4 (2.5)MPa. The most distal slice had higher modulus values (P<0.05), and the posterior lateral region had lower modulus values (P<0.05). There were no slice or regional differences in strength. INTERPRETATION: The influence of slice depth emphasizes the importance of minimizing the amount of bone removed during prosthetic replacement. Regional variations in indentation modulus suggest that the posterior lateral region should be avoided during fixation of implants or placement of screws. A comparison with proximal tibial cancellous bone properties suggests the distal humerus may carry loads approaching 45% of those at the knee, assuming that bone adapts to stress magnitudes.

Aged↗

Equal and local-load-sharing micromechanical models for collagens: quantitative comparisons in response of non-diabetic and diabetic rat tissue.

Chemical crosslinks in collagens resulting from binding of advanced glycation end-products, have long been presumed to alter the stiffness and permeability of glycated tissues. Recently, we developed a stochastic mechanical model for the response and failure of uniaxially deformed sciatic nerve tissue from diabetic and control rats. Here, we use our model to determine the likely correlation of fibril glycation with failure response, by quantifying statistical differences in their response. Our four-parameter model describes both the non-linear toe region and non-linear failure region of these tissues; the four parameters consist of (1) collagen fibril alignment, (2) fiber bundle waviness, (3) Weibull shape parameter for fibrillar strength, and (4) modulus-normalized Weibull scale parameter for fibrillar strength. Using an equal load sharing model we find that diabetic and control tissues had shape parameters of 9.88+/-5.50 and 4.33+/-3.67 (p=0.043), respectively, and scale parameters of 0.28+/-0.07 and 0.58+/-0.25 (p=0.033), respectively, implying that the diabetic tissue behaves in a more brittle manner, consistent with more highly crosslinked fibrils. We conclude that biochemical crosslinking directly affects measured mechanical properties. Further, this mechanical characterization may prove useful in mapping alterations in stiffness and permeability observed in glycated tissues.

Animals↗

Biomechanical evaluation of a bioresorbable odontoid screw.

OBJECT: The authors tested the ability of a resorbable cannulated lag screw composed of a polylactide copolymer to repair Type II odontoid fractures. The resorbable screw was evaluated for its ability to restore strength and stiffness to the fractured odontoid process compared with traditional titanium screws. METHODS: Type II odontoid fractures were created in 14 human cadaveric C-2 vertebrae by applying a posterolaterally directed load and piston displacement was measured. Seven of these specimens were repaired using metal screws and seven were repaired using resorbable screws. Specimens were reinjured using the same mechanism as the initial fracture. Values of ultimate strength and stiffness during failure were statistically compared between metal and resorbable screws and between initial fracture and reinjury. CONCLUSIONS: The stiffness and ultimate strength during initial fracture were significantly greater than those during reinjury in specimens repaired using resorbable screws or titanium screws (p < 0.001). The resorbable and titanium screws both restored 31% of the initial ultimate strength of the intact specimen (p = 0.95). The stiffness of the fractured odontoid process was restored to 15 and 23% of its initial value by repair with resorbable and metal screws, respectively (p = 0.07). The mode of failure in resorbable screws was usually breakage or bending, whereas that in metal screws was consistently cutout of the proximal shaft of the screw through the anterior C-2 vertebral body.

Absorbable Implants↗

Mechanical strength repercussions of various fixative storage methods on bone.

This study compensates for the lack of literature on the actual effects that various fixative storage methods have on the mechanical strength characteristics of bone and attempts to identify the ideal fixative method for preservation of all tissues while maintaining in vivo bone strength. Researchers currently use a wide variety of storage methods that lessen the mechanical strength to varying degrees. Differences could introduce error into a great number of bone fracture studies if an inexact discrepancy in the mechanical properties of fixed bone does actually exist. Furthermore, such disparities could go on to pose clinical risks for patients. This study focuses on the mechanical strength testing of four different groups of rat femora that were retrieved at various times and subjected to differing storage procedures. The first, Group N, were fresh, new femora retrieved just days before testing. The second, Group F, were femora that have been fixed in a 10% formalin bath for just over a year prior to testing. The third, Group W, are femora that have also been fixed in 10% formalin for just over a year but were washed out just prior to testing. The fourth, Group P, were femora that were retrieved from rats that were perfused with formalin immediately following euthanasia. Mechanical strength tests on the four groups revealed that fixing bone in a 10% formalin bath significantly reduces the mechanical fracture strength properties of the bone regardless of whether the formalin is washed out prior to testing. Testing also revealed that bone from perfused animals behaves more similarly to fresh bones from non-perfused animals suggesting that the formalin did not entirely infiltrate the bone and permanently fix the material. These results could have profound implications on how studies equate the behavior of in vitro bone to in vivo bone which could manifest as clinical complications for patients.

Animals↗

The influence of design parameters on the FEA-determined stress distribution in CAD-CAM produced all-ceramic dental crowns.

INTRODUCTION: Knowledge of factors, which influence stress and its distribution is of key importance to the successful production of durable all-ceramic restorations. The objective of this study was to evaluate, by finite element analysis (FEA), the influence of the shape of the preparation and the cement layer on the stress distribution in CAD-CAM produced all-ceramic crowns and in their cement layer. MATERIAL AND METHODS: The CAD models of multi-layer all-ceramic crowns for posterior tooth 46 of three patients produced with CAD-CAM-technology were translated into a three-dimensional FEA program. The stress distribution due to the combined influences of bite forces, residual stresses caused by the difference in expansion coefficient of the two ceramic layers, and the influence of shrinkage of the cement was investigated. RESULTS: The tensile stresses in the crown for the chamfer knife-edge preparation might put the integrity of the currently available ceramic materials at risk, while a non-uniform cement layer might result in stresses exceeding the bond strength. It was concluded that for long lasting restorations in the posterior region it is advisable to make a chamfer with collar preparation, the cement layer as uniform, and the difference in thermal expansion for the two ceramics as small as possible. SIGNIFICANCE: This study indicates that for full ceramic crowns in the posterior region, specific design rules should be followed, and that FEA utilizing CAD-CAM data can be a successful tool to develop design guidelines for all-ceramic restorations.

Bite Force↗