Propagation of fatigue cracks in acrylic bone cements containing different radiopaque agents

In this work three iodine-containing monomers were proposed as new radiopaque agents for acrylic bone cements. In previous studies the addition of iodine-containing methacrylate monomers provided a statistically significant increase in tensile stress, fracture toughness and ductility, with respect to the barium sulphate (BaSO4)-containing cement. However, since fatigue resistance is one of the main properties required to ensure a good long-term performance of permanent prostheses, it is important to compare the fatigue properties of these new bone cement formulations with the radiolucent and BaSO4-containing bone cements. Because the acrylic cements have initial cracks, fatigue crack propagation studies were performed. It can be observed that these acrylic cements followed the Paris-Erdogan model. The results showed that the addition of some organic radiopacifiers (DISMA, TIBMA) increased the fatigue crack propagation resistance as compared to the radiolucent cement, being similar to the BaSO4-containing cement. The radiolucent cement showed a low crack propagation resistance.     

Investigation of the fracture characteristics of the interfacial bond between bone and cement: experimental and finite element approaches

This study integrated the finite element method, fracture mechanics, and three-point bending test to investigate the fracture characteristics of the interfacial bond between bone and cement. The fracture tests indicated that the interfacial fracture toughness of the bone/cement specimens was 0.34 MN/m^3/2, with a standard deviation of 0.11 MN/m^3/2, which was in good agreement with the experimental data available in the literature. A finite element model of the experimental testing specimen was used to predict the critical stress intensity factor (SIF) at the fracture load by the proposed fracture analysis method. The critical SIF of the opening mode of the interface crack was 0.392 MN/m^3/2, which was slightly higher than the fracture toughness obtained in the experiment. Additionally, considering the coupled effects of the crack opening mode and shearing mode, the critical effective SIF was 0.411 MN/m^3/2, with a phase angle of 17.2°. Comparisons of the results obtained from the bending test and numerical analysis made it obvious that the fracture characteristics of the bonded interface between the bone and cement could be accurately predicted by the proposed model. With this analysis model, a realistic investigation on the debonding behavior of cemented artificial prosthetic components is highly expected.     

Some failure modes of four clinical bone cements

The fracture or failure behaviours of four commercial acrylic-based bone cements have been examined in tensile, bending and compression modes, and their mechanical properties are reviewed. It was found that Palacos R-40 bone cement had high radiopaque agent concentration, with high surface hardness. It exhibited a much lower bending strength and bending modulus compared with the other three bone cements (CMW1, CMW2000 and Simplex P). The textures of tensile fracture surfaces produced were similar for the four bone cements studied. The fracture surface was fragmented by crevices, which developed through the matrix and around large undissolved polymethylmethacrylate (PMMA) beads. Three bands with different features existed on the bending fracture surfaces, with an abrupt transition between them. It appears that the agglomerates of zirconium dioxide particles are implicated in Palacos R-40 bone cement fracture surface. The examination of compressive failed specimens revealed that a 'yielded crack band' existed across the transverse section. Plastic deformation resulted in the PMMA beads being squashed in the longitudinal direction and dilated in the transverse direction.     

Fracture mechanics analysis of the dentine-luting cement interface

The objectives of this study were to determine the fracture toughness of adhesive interfaces between dentine and clinically relevant, thin layers of dental luting cements. Cements tested included a conventional glass-ionomer, F (Fuji 1), a resin-modified glass-ionomer, FP (Fuji Plus) and a compomer cement, D (DyractCem). Ten miniature short-bar chevron notch specimens were manufactured for each cement, each comprising a 40 microm thick chevron of lute, between two 1.5 mm thick blocks of bovine dentine, encased in resin composite. The interfacial K(IC) results (MN/m3/2) were median (range): F; 0.152 (0.14-0.16), FP; 0.306 (0.27-0.37), D; 0.351 (0.31-0.37). Non-parametric statistical analysis showed that the fracture toughness of F was significantly lower (p <0.05) than those of FP or D, and all were significantly lower than values for monolithic cement specimens. Scanning electron microscopy of the specimens suggested crack propagation along the interface. However, energy dispersive X-ray analysis indicated that failure was cohesive within the cement. It is concluded that the fracture toughness of luting cement was lowered by cement-dentine interactions.     

A comparative evaluation of dental luting cements by fracture toughness tests and fractography

In recent years there has been a shift from traditional methods of investigating dental materials to a fracture mechanics approach. Fracture toughness (KIC) is an intrinsic material property which can be considered to be a measure of a material's resistance to crack propagation. Glass-ionomer cements are biocompatible and bioactive dental restorative materials, but they suffer from poor fracture toughness and are extremely susceptible to dehydration. The main objective of this study was to evaluate the fracture toughness of three types of commercially available dental cements (polyacid-modified composite resin, resin-modified and conventional glass ionomer) using a short-rod chevron-notch test and to investigate and interpret the results by means of fractography using scanning electron microscopy. Ten specimens of each cement were fabricated according to manufacturers' instructions, coated in varnish, and stored at ambient laboratory humidity, 100 per cent relative humidity, or in water at 37 degrees C for 7 days prior to preparation for testing. Results indicated that significant differences existed between each group of materials and that the fracture toughness ranged from 0.27 to 0.72 MN/m3/2. It was concluded that the resin-modified glass-ionomer cement demonstrated the highest resistance to crack propagation. Fractographs clearly showed areas of stable and unstable crack growth along the fractured surfaces for the three materials examined.     

Revision of cemented fixation and cement-bone interface strength.

Interfacial shear strength between poly(methyl methacrylate) (PMMA) bone cement and cancellous bone was measured in bone samples from human proximal femora. Samples were prepared with fresh cement-bone, fresh cement inside a mantle of existing cement and with fresh cement-revised bone surfaces. Push-out tests to measure shear strength caused failure only at bone-cement interfaces; revised bone interfaces were 30 per cent weaker (P < 0.02) than primary interfaces. The clinical relevance is that revision of cemented joint arthroplasties may necessitate removal of components with sound cement-bone fixation. The practice of removing all traces of PMMA cement may not yield the optimal fixation; adhesion of fresh cement to freshly prepared surfaces of the existing cement might also be considered where circumstances are favourable.     

Properties of composite specimens of old and new bone cement

The most common cause of failure of a total hip replacement is aseptic loosening of an implant. In a number of cases, the cement-bone interface of at least one component is not compromised. In cases of aseptic cup loosening, removal of a well-fixed femoral stem may be undertaken to facilitate exposure of the acetabulum for cup revision, and the surgeon may choose to leave the functional cement-bone interfaces in the femur undisturbed. After cup revision, new cement is pressurized within the old cement mantle and a stem is cemented into this 'old-new cement' composite. Retaining the old cement mantle is an attractive option as it reduces the duration of surgery, minimizes bleeding, and preserves the bone stock. Excellent results have been shown with this technique of 'in-cement femoral revision' using a double-tapered polished stem. While considerable literature is available on the short- and long-term properties of PMMA bone cement, very little is known about the mechanical properties of old-new composite cement specimens where the old cement is more than a few days old. This paper tests the properties of such old-new composite specimens where the 'old' cement is aged between 3.3 and 17.7 years, better reflecting clinical situations.     

An experimental technique for the investigation of three-dimensional stress in bone cement underlying a tibial plateau

The technique of experimental model testing was applied to the analysis of stress at selected sites in bone cement underlying a tibial plateau. The investigation utilized a large model knee fabricated from materials which had mechanical properties similar to the actual tibial plateau and acrylic cement but which did not duplicate adequately the complexity of bone. A porous interface was created in the model between the materials representing the bone and cement. Three-dimensional strain rosettes were embedded into the cement and the model was loaded in a varus or valgus mode. Overloading resulted in breakdown of the modelled anterior and part of the posterior cement-bone interfaces, producing non-linear and in some cases erratic strains in the anterior section but repeatable linear results in the posterior section. The investigation highlighted the necessity for three-dimensional strain gauge investigations as opposed to two-dimensional studies. It is suggested that the approach could provide comparative information about different products and form the basis for a valuable design tool.     

Evaluation on the fracture toughness and strength of fiber reinforced brittle matrix composites

It is well known in the fracture mechanics community that the performance of brittle materials, such as different types of ceramics which have low fracture toughness, improves significantly when fibers are added into the material. This is because the presence of fibers deters the crack propagation. Fibers bridge the gap between two adjacent surfaces of the crack and reduce the crack tip opening displacement, thus make it harder to propagate. Several investigators have experimentally studied how the length, diameter and volume fraction of fibers affect the fracture toughness of fiber reinforced brittle matrix composite materials. However, to this date not much work has been done to develope a micro-mechanics based simplified mathematical model of fiber reinforced composites that can quantitatively explain the increase of the fracture toughness and strength of a composite with volume fraction, length and diameter of fibers, used for strengthening the composite, this is what is attempted in this paper.     

Applicability of sheep and pig models for cancellous bone in human vertebral bodies

The mineral content of cancellous bone from sheep and pig vertebral bodies was determined by ashing at 800 degrees C. The results were compared with published results for human vertebral cancellous bone. The results for sheep (0.37 +/- 0.06 gcm(-3), mean +/- standard deviation) were not significantly different (p = 0.127) to those from pigs (0.33 +/- 0.03 gcm(-3)). The results from both species were significantly higher (p < 0.001) than those from human bones (0.15 +/- 0.02 gcm(-3)). This means that cancellous bone from sheep and pig vertebral bodies is not a good model for corresponding human bone. However, sheep and pig bone are useful, for example, for providing stringent tests of cutting instruments to be used in human spinal surgery.     

Ultrasonic characterization of the mechanical properties and polymerization reaction of acrylic-based bone cements

In this investigation the pulse-echo technique was validated as a method that could be used to monitor the complete polymerization of acrylic bone cement in a surgical theatre. Currently, orthopaedic surgeons have no objective method to quantify the state of cure of bone cement as it progresses through its polymerization cycle. Clear benefits of the pulse-echo technique are that it is easy to use, non-invasive, and non-destructive. Furthermore, the test results were found to be highly reproducible with minor deviations. Three proprietary cements were used to confirm the validity of the technique; CMW Endurance, Palacos R and Simplex P. The results showed that the acoustic properties of bone cement clearly demonstrated a relationship with the different stages of polymerization, and in particular with the transitions between the waiting, dough, and setting phases. Additionally, the cure time of the poly(methyl methacrylate) cements consistently correlated with the attainment of 75 per cent of the average maximum velocity of sound value. The measured cure times concurred with the ISO and ASTM standards. Moreover, measurements of the final sound velocity and broadband ultrasonic attenuation correlated strongly with the density and mechanical properties of the cured bone cement samples.     

Effect of fiber orientation on interfacial fracture toughness for adhesively bonded composite plates

In this study, interfacial fracture toughness was investigated experimentally and numerically in laminated composite plates with different fiber reinforcement angles bonded with adhesive. The composite plates are four-layered and the layer sequence is [0º/θ]_s. DCB test was applied to composite plates reinforced with epoxy resin matrix and unidirectional carbon fiber. The experimental sample model for the DCB test was made using the ANSYS finite element package program. In the numerical study, four layered composites were prepared in three dimensions. Under critical displacement value; mode I fracture toughness at the crack tip was calculated using VCC (virtual crack closure) technique. Numerical values consistent with experimental results have presented in graphical forms. At 60o and 75° the greatest fracture toughness was obtained. In addition, numerical results have shown that fiber orientation prevents the uniform distribution of stress on the interface crack tip and causes stress accumulation, especially at the edge of the plate.

     

Development of a computer model to predict pressure generation around hip replacement stems

Cemented fixation of hip replacements is the elective choice of many orthopaedic surgeons. The cement is an acrylic polymer which grouts the prostheses into the medullary cavity of the femur. Cement pressure is accepted as a significant parameter in determining the strength of cement/bone interfaces and hence preventing loosening of the prostheses. The aim of this work was to allow optimal design of the intramedullary stem of a hip prosthesis through knowledge of the flow characteristics of curing bone cement which can be used to predict pressures achieved during insertion of the femoral stem. The viscosity of the cement is a vital property determining the cement flow and hence cement interdigitation into bone. The apparent viscosities, nu(a), of three commercial bone cements were determined with respect to time by extrusion of the curing cement through a parallel die of known geometry under selected pressures. Theoretical models were developed and implemented in a computer program to describe cement flow in three models each of increasing complexity: (a) a simple parallel cylinder, (b) a tapered conical mandrel and (c) an actual femoral prosthesis, the latter models being complicated by extensional effects as annular areas increase. Predicted pressures were close to those measured experimentally, maximum pressures being in the range 10-160 kPa which may be compared with a threshold of 76 kPa proposed for effective interdigitation with cancellous bone. The theoretical model allows the prosthesis/bone geometry of an individual patient to be evaluated in terms of probable pressure distributions in the medullary cavity during cemented fixation and can guide stem design with reference to preparation of the medullary canal. It is proposed that these models may assist retrospective studies of failed components and contribute to implant selection, or to making informed selection from options in custom hip prosthesis designs to achieve optimum cement pressurization.     

Validation of the small-punch test as a technique for characterizing the mechanical properties of acrylic bone cement

This paper examines the validity of using the small-punch test technique as a means of quantifying the mechanical properties of acrylic bone cement under different test conditions. The elastic moduli calculated using the small-punch test method were compared with data measured using the international standard for acrylic bone resin, ISO 5833. Conclusions from the study indicate that the small-punch test is a reproducible miniature specimen test method that can be used to characterize the mechanical properties of retrieved acrylic bone cement as used in total joint replacement surgery. Moreover, the test conditions were found to influence the elastic modulus of acrylic bone cement. The test temperature had a greater effect on the elastic behaviour of the bone cement than the test medium.     

Finite element modelling of brittle fracture of thick coatings under normal and tangential loading

This paper addresses coating fracture in hard brittle coatings subjected to combined normal and tangential loads through a finite element based methodology. The coating is modelled as an elastic layer perfectly bonded to an elastic substrate with a pre-microcrack, assumed to initiate at the contact trailing edge due to high tensile stress. The predicted results are consistent with previously published coating fracture results. The model predicts a significant effect of coating thickness on crack propagation for coatings with large elastic mismatch and the final propagated crack profile is predicted to depend on friction coefficient, coating fracture toughness and sliding displacement.     

A comparison of structural and mechanical properties in cancellous bone from the femoral head and acetabulum

Mechanical interlock obtained by penetration of bone cement into cancellous bone is critical to the success of cemented total hip replacement (THR). Although acetabular component loosening is an important mode of THR failure, the properties of acetabular cancellous bone relevant to cement penetration are not well characterized. Bone biopsies (9 mm diameter, 10 mm long) were taken from the articular surfaces of the acetabulum and femoral head during total hip replacement. After mechanical and chemical defatting the two groups of bone specimens were characterized using flow measurement, mechanical testing and finally serial sectioning and three-dimensional computer reconstruction. The mean permeabilities of the acetabular group (1.064 x 10(-10) m2) and femoral group (1.155 x 10(-10) m2) were calculated from the flow measurements, which used saline solution and a static pressure of 9.8 kPa. The mean Young's modulus, measured non-destructively, was 47.4 MPa for the femoral group and 116.4 MPa for the acetabular group. Three-dimensional computer reconstruction of the specimens showed no significant differences in connectivity and porosity between the groups. Results obtained using femoral head cancellous bone to investigate bone cement penetration and fixation are directly relevant to fixation in the acetabulum.     

原位SiC颗粒对SiCP/MoSi2室温断裂韧度的影响

以钼、硅、碳粉末为原料,采用湿法混合和原位反应热压一次复合工艺制备了MoSi2以及含不同体积分数原位SiC颗粒的SiCP/MoSi2复合材料,并研究了原位SiC颗粒对该材料室温断裂韧度的影响.结果表明:复合后的SiCP/MoSi2室温断裂韧度大幅度提高,原位SiC颗粒可以细化MoSi2基体晶粒,减少和消除脆性的SiO2玻璃相,并阻碍SiCP/MoSi2复合材料断裂时的裂纹扩展而造成裂纹的偏转和桥接.     

热喷涂纳米结构Al2O3／TiO2涂层断裂韧性的统计性质

采用压痕裂纹法测定了等离子喷涂纳米结构Al2O3／TiO2涂层的断裂韧性及其统计离散度。研究表明,采用不同载荷获得的压痕韧性呈现出较大的离散性,其分布符合韦伯分布类型。通过分析指出,随着载荷的增大压痕韧性的数值趋于集中,而导致压痕韧性产生较大波动性的根本原因在于涂层之中显微结构的不均匀性。     

A procedure and criterion for bone cement fracture toughness tests

Nowadays, two procedures, based on the recommendation of two American standards (ASTM E399 and ASTM D5045), are used to determine the fracture toughness, KIc, of bone cement. However, there is a lack of knowledge about the equivalence of the two testing methods applied to bone cement. Additionally, in spite of the recommendation of several authors to introduce a rejection criterion for specimens based on the size of defects found in the fracture surface, no data are available about the effect of porosity within the material on the KIc of bone cement. The aims of this study were to verify whether the KIc values calculated for bone cement using the two procedures are comparable and whether macroporosity within the tested samples affects the KIc value of bone cement, and, if so, to establish a rejection criterion for specimen selection. Samples of pure polymethyl methacrylate (PMMA) were tested by both procedures. Additionally, samples showing defects (macroporosity) of different sizes and located in different positions within the specimen were tested. The KIc value determined following the ASTM E399 procedure was 13 per cent lower than that calculated following the ASTM D5045 procedure. In the first series a lower data scatter was observed. Also, the presence of macroporosity on the fracture surface of the specimen affected the KIc value of bone cement. Therefore, the mechanical behaviour of samples was affected by defects within the material. Since it is possible to mould specimens without macroporosity, it seems recommendable to reject specimens with macroporosity on the fracture surface before calculating the KIc value of bone cement.     

Fatigue Crack Growth Rate of Ti-6Al-4V Considering the Effects of Fracture Toughness and Crack Closure

Fatigue fracture is one of the main failure modes of Ti-6A1-4V alloy,fracture toughness and crack closure have strong effects on the fatigue crack growth(FCG)rate of Ti-6A1-4V alloy.The FCG rate of Ti-6A1-4V is investigated by using experimental and analytical methods.The effects of stress ratio,crack closure and fracture toughness on the FCG rate are studied and discussed.A modified prediction model of the FCG rate is proposed,and the relationship between the fracture toughness and the stress intensity factor(SIF)range is redefined by introducing a correcting coefficient.Notched plate fatigue tests(including the fracture toughness test and the FCG rate test)are conducted to investigate the influence of affecting factors on the FCG rate.Comparisons between the predicted results of the proposed model,the Paris model,the Walker model,the Sadananda model,and the experimental data show that the proposed model gives the best agreement with the test data particularly in the near-threshold region and the Paris region,and the corresponding calculated fatigue life is also accurate in the same regions.By considering the effects of fracture toughness and crack closure,the novel FCG rate prediction model not only improves the estimating accuracy,but also extends the adaptability of the FCG rate prediction model in engineering.