Biomechanics of Fractures and Fixation

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Biomechanics of Fractures

and Fixation
Basic Biomechanics
Force
Area
L

Stress = Force/Area Strain Change Height (L) /


Original Height(L0)
Basic Biomechanics
Force, Displacement & Stiffness

Force Slope = Stiffness =


Force/Displacement

Displacement
Basic Biomechanics
Stress-Strain & Elastic Modulus

Stress =
Slope =
Force/Area
Elastic Modulus =
Stress/Strain

Strain =
Change in Length/Original Length (L/ L0)
Basic Biomechanics
• Elastic Deformation Elastic Plastic
• Plastic Deformation
• Energy
Force
Energy
Absorbed

Displacement
Basic Biomechanics
Elastic Plastic
• Stiffness-Flexibility Failure
Yield
• Yield Point
• Failure Point Force
• Brittle-Ductile
• Toughness-Weakness
Stiffness

Displacement
Basic Biomechanics
Common Materials in Orthopaedics

• Elastic Modulus (GPa) • Stainless Steel 200


• Titanium 100
• Cortical Bone 7-21
• Bone Cement 2.5-3.5
Stress • Cancellous Bone 0.7-4.9
• UHMW-PE 1.4-4.2

Strain
Moments of Inertia
• Resistance to bending,
twisting, compression or
tension of an object is a
function of its shape
• Relationship of applied
force to distribution of
mass (shape) with
respect to an axis.
Basic Biomechanics
• Load to Failure • Fatigue Failure
– Continuous application – Cyclical sub-threshold
of force until the loading may result in
material breaks (failure failure due to fatigue.
point at the ultimate – Common mode of
load). failure of orthopaedic
– Common mode of implants and fracture
failure of bone fixation constructs.
Basic Biomechanics
• Anisotropic • Viscoelastic
– Mechanical properties – Stress-Strain character
dependent upon dependent upon rate of
direction of loading applied strain (time
dependent).
Bone Biomechanics
• Bone is anisotropic - its modulus is
dependent upon the direction of loading.
• The bone is weakest in shear, then tension
and strongest in compression.
• Ultimate Stress at Failure Cortical Bone
Compression < 212 N/m2
Tension < 146 N/m2
Shear < 82 N/m2
Bone Biomechanics
• Bone is viscoelastic: its force-deformation
characteristics are dependent upon the rate
of loading.
Bone Mechanics
• Bone Density
– Subtle density changes
greatly changes Cortical Bone
strength and elastic
modulus
• Density changes Trabecular Bone
– Normal aging
– Disease
– Use
– Disuse
Figure from: Browner et al: Skeletal Trauma
2nd Ed. Saunders, 1998.
Bone Mechanics
Basic Biomechanics
• Bending
• Axial Loading
– Tension
– Compression
• Torsion

Bending Compression Torsion


Fracture Mechanics
• Bending load:
– Compression strength
greater than
tensile strength
– Fails in tension
Fracture Mechanics
• Torsion
– The diagonal in the direction of the applied force is in
tension – cracks perpendicular to this tension diagonal
– Spiral fracture 45º to the long axis
Fracture Mechanics
• Combined bending &
axial load
– Oblique fracture
– Butterfly fragment

Figure from: Tencer. Biomechanics in Orthopaedic


Trauma, Lippincott, 1994.

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