Biomechanics of Fractures and Fixation
Biomechanics of Fractures and Fixation
Biomechanics of Fractures and Fixation
and Fixation
Basic Biomechanics
Force
Area
L
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
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