Strain distribution in the proximal Human femur during in vitro simulated sideways fall

作者: Lorenzo Zani , Paolo Erani , Lorenzo Grassi , Fulvia Taddei , Luca Cristofolini

DOI: 10.1016/J.JBIOMECH.2015.02.022

关键词:

摘要: Abstract This study assessed: (i) how the magnitude and direction of principal strains vary for different sideways fall loading directions; (ii) a differ from physiological (iii) fracture mechanism during fall. Eleven human femurs were instrumented with 16 triaxial strain gauges each. The non-destructively subjected to: (a) six configurations covering range (b) 12 simulating falls. eventually fractured in configuration while high-speed cameras recorded event. When same force was applied, significantly larger than directions (principal compressive 70% fall). Also compressive-to-tensile ratio different: largest only 30% tensile strain; but fall, twice as large strains. Principal nearly perpendicular to loading. In most critical regions (medial part head−neck) varied by less 9° between conditions, whereas it up 17° conditions. associated specific where failure initiated on superior-lateral side (compression) followed later medially (tension), often exhibiting two-peak force−displacement curve.

参考文章(51)
A C Courtney, E F Wachtel, E R Myers, W C Hayes, Age-related reductions in the strength of the femur tested in a fall-loading configuration Journal of Bone and Joint Surgery, American Volume. ,vol. 77, pp. 387- 395 ,(1995) , 10.2106/00004623-199503000-00008
Luca Cristofolini, Anatomical Reference Frames for Long Bones: Biomechanical Applications Springer, New York, NY. pp. 2971- 2999 ,(2012) , 10.1007/978-1-4419-1788-1_184
Charles A. Rockwood, David P. Green, Robert W. Bucholz, Rockwood and Green's Fractures in Adults ,(1991)
Joyce H Keyak, Relationships between femoral fracture loads for two load configurations Journal of Biomechanics. ,vol. 33, pp. 499- 502 ,(2000) , 10.1016/S0021-9290(99)00202-X
Cristina Falcinelli, Enrico Schileo, Luca Balistreri, Fabio Baruffaldi, Barbara Bordini, Marco Viceconti, Ugo Albisinni, Francesco Ceccarelli, Luigi Milandri, Aldo Toni, Fulvia Taddei, Multiple loading conditions analysis can improve the association between finite element bone strength estimates and proximal femur fractures: A preliminary study in elderly women Bone. ,vol. 67, pp. 71- 80 ,(2014) , 10.1016/J.BONE.2014.06.038
LORENZO ZANI, LUCA CRISTOFOLINI, MATEUSZ MARIA JUSZCZYK, LORENZO GRASSI, MARCO VICECONTI, A NEW PARADIGM FOR THE IN VITRO SIMULATION OF SIDEWAYS FALL LOADING OF THE PROXIMAL HUMAN FEMUR Journal of Mechanics in Medicine and Biology. ,vol. 14, pp. 1450005- ,(2014) , 10.1142/S0219519414500055
K. H. Yang, K.-L. Shen, C. K. Demetropoulos, A. I. King, P. Kolodziej, R. S. Levine, R. H. Fitzgerald, The relationship between loading conditions and fracture patterns of the proximal femur. Journal of Biomechanical Engineering-transactions of The Asme. ,vol. 118, pp. 575- 578 ,(1996) , 10.1115/1.2796045
Joyce H. Keyak, Harry B. Skinner, Judith A. Fleming, Effect of force direction on femoral fracture load for two types of loading conditions Journal of Orthopaedic Research. ,vol. 19, pp. 539- 544 ,(2001) , 10.1016/S0736-0266(00)00046-2
Andrew C. Laing, Stephen N. Robinovitch, Characterizing the effective stiffness of the pelvis during sideways falls on the hip. Journal of Biomechanics. ,vol. 43, pp. 1898- 1904 ,(2010) , 10.1016/J.JBIOMECH.2010.03.025
G. Bergmann, F. Graichen, A. Rohlmann, Hip joint contact forces during stumbling. Langenbeck's Archives of Surgery. ,vol. 389, pp. 53- 59 ,(2004) , 10.1007/S00423-003-0434-Y