ME5200 - Orthopaedic Biomechanics:
Lecture 4

Basic biomechanical concepts

Basic biomechanics

Forces, moments, and equilibrium

Forces

  • A force is a push or a pull
  • A force causes acceleration of a mass \[\begin{split} F =& \; m a \; ( =m \ddot{x} = m \dot{v})\\ \end{split}\]
    • acceleration – \(a\)
      • \(a\) is also called \(\ddot{x}\) or \(\dot{v}\)
      • position – \(x\)
      • velocity – \(v\)
      • \(\dot{()}\) the rate of change of \(()\)
  • Example
    • Weight – the pull of the earth’s gravity on a body

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Note Mass (\(m\)) can be considered the bodies resistance to a change in its motion (ie inertia))

Moments

  • Similar to a force, a moment is a
    pair of forces that cause twisting \[M = I \alpha\]
    • the angular acceleration – \(\alpha\)
      • \(\alpha\) is also called \(\ddot{\theta}\)
      • \(\dot{\theta}\) – the angular velocity
      • \(\theta\) – the angle (ie the current orientation)
    • \(I\) is the rotational inertia

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Notes

  • Moments are also called bending moments or torques
    depending on the application.

  • Moments and forces are both described as “generalized forces”

Equilibrium

  • We have already used another important concept, equilibrium

  • Forces and changes in momentum remain in balance \[\begin{split} \displaystyle\sum F =& \; m a \\ \displaystyle\sum M =& \; I \alpha \\ \end{split}\]

  • Much of biomechanics boils down to applying these equations

  • Static equilibrium – the balance of forces that occurs
    when there is no acceleration \[\begin{split} \sum F =& \; 0 \\ \sum M =& \; 0 \\ \end{split}\]

“Mathematical tools” in biomechanics

Vectors and scalars

Vectors

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  • Vectors are quantities that have an associated magnitude and direction.\(^{**}\)

  • Vector have components

    • \(\vec{F}_x = {F}_x i\)
    • \(\vec{F}_y = {F}_y j\)
    • \(\vec{F} = \vec{F}_x + \vec{F}_y = {F}_x i +{F}_y j\)
  • Examples of vectors

    • Forces (Weight)
    • Moments (Torques)
    • Velocities

Vector sums

  • Vector addition is component by component
  • Proper (2D) summation results in a parallelogram

Scalars

  • Scalars have magnitude without direction.
  • Examples
    • Levels of gray in a image
    • Patient mass
    • Patient bone density
    • Concentration of a drug per unit volume
    • Time
    • Altitude

Relationship between vectors and scalars

  • Scalars and vectors can be linked mathematically

Gradients Charles J Sharp, March 2001

Example: diffusion of nutrients into intervertebral disk driven by gradient of glucose

Gradient of a scalar

\[\nabla f = \left(\frac{\partial f}{\partial x_1 }, \dots, \frac{\partial f}{\partial x_n } \right).\]

Gradient of a vector becomes a 2nd rank tensor \[\mathbf{f}=({{f}_{1}},{{f}_{2}},{{f}_{3}})\] \[\nabla \mathbf{f}=\frac{\partial {{f}_{j}}}{\partial {{x}_{i}}}{{\mathbf{e}}_{i}}{{\mathbf{e}}_{j}}\]

Example: strain is gradient of displacement vector

  • \[\vec{u} = u {{e_x}}+ v {{e_y}}+ w {{e_z}}\]
  • \[= {\varepsilon_{ij}}= \nabla \vec{u} = \left[ \begin{array}{ccc} {\varepsilon_{xx}}& {\varepsilon_{xy}}& {\varepsilon_{xz}}\\ {\varepsilon_{yx}}& {\varepsilon_{yy}}& {\varepsilon_{yz}}\\ {\varepsilon_{zx}}& {\varepsilon_{yz}}& {\varepsilon_{zz}}\\ \end{array} \right]\]

Divergence

  • Similarly, the divergence operator (\(\nabla \cdot ()\)) reduces the
    rank of a tensor

    • i.e., makes a scalar out of a vector
  • Example: the divergence calculates the strength
    of a source or sink of a velocity field in fluid flow

Rigid body and flexible body assumptions

  • All bodies are flexible, meaning, all bodies deform when loaded
  • For convenience, we often assume that a body is rigid
    • (ie we assume that it does not deform when loaded.)
  • With this assumption, the mechanics/mathematics is simplified

Review of Stress and strain

Normal stress

Axial member Axial member

  • Normal stress is the resultant normal force over a given area

\[\sigma = \frac{P}{A}\]

Shear stress

Shear member Shear member

  • Shear stress is the resultant shear force over a given area

\[\tau = \frac{V}{A}\]

Stresses on arbitrary planes

tractionvectors

  • Since different “cuts” must yield the same resultant force, the stress depends on your plane of observation
  • Each type of stress is simultaneously present1
    • A body can fail in shear even when loaded by normal stress
    • Ductile materials typically yield due to shear stress
    • Brittle materials typically crack due to normal stress

Stress

Note

  • Stresses result from equilibrium (ie the sum of forces)
  • It is possible to have stress without strain
    • Example: thermal expansion/contraction
      • Exothermic reactions such as bone cement
      • Cement then adjusts to body temperature
      • Constrained by bone and implant \(\rightarrow\) stress

Strain

Normal strain

Normal strain

  • Normal strain is the change in length over the original length

\[{\varepsilon}= \frac{\Delta l}{l}\]

Shear strain

Shear strain

  • Shear strain (\(\gamma\)) is proportional to the shear angle (\(\alpha\)) \[\gamma = \alpha\]

Strain

Note

  • Strain is defined by deformation
  • It is possible to have strain without stress
    • Tissues expand with moisture content
    • PMMA shrinkage during polymerization

A chain of relationships in biomechanics

Constraints
\(\Updownarrow\)
Deformation
\(\Updownarrow\)
Strain
\(\Updownarrow\)
Stress
\(\Updownarrow\)
Equilibrium
\(\Updownarrow\)
Applied Loads
  • Each arrow represents a relationship that must be understood and properly accounted

Deformation and stiffness

Skeletal structures and types of load

@Le2004

  • Bending
  • Axial Loading
    • Tension
    • Compression
  • Torsion

Stiffness

  • Stiffness is a structural relationship between deflection and load

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  • The slope of the load-deflection curve (\(k\)) is the structural stiffness
  • Two factors influence the stiffness
    • Material response
    • Geometry

Structural properties

Material Properties

  • Elastic modulus (\(E\) and \(G\))
  • Yield stress (\(\sigma_Y\))
  • Toughness (brittle/ductile) (\(K\))

Independent of shape!

Geometric Properties

  • Material distribution
    • Cross sectional area (\(A\))
    • Area moment of inertia (\(I\))
    • Polar moment of inertia (\(J\))

Independent of material!

Structural Properties

  • Axial Stiffness (\(E A\))
  • Bending Stiffness (\(E I\))
  • Torsional Stiffness (\(G J\))

Depends on shape and material!

Material properties

Stress \(\Longleftrightarrow\) Strain

\(E\) – the elastic modulus

  • The elastic modulus is the most critical material property

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  • Strain \(\varepsilon = \frac{\Delta l}{l}\)
  • Stress \(\sigma = \frac{P}{A}\)
  • Slope – \(E\)

Stress \(\Longleftrightarrow\) Strain

  • Moduli for common materials (GPa)
Material Modulus
Stainless Steel 200
Titanium 110
Cortical Bone 7-21
Bone Cement 2.5-3.5
Cancellous Bone 0.7-4.9
UHMW-PE 1.4-4.2

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Energy and its relation to material response

Elastic-plastic behavior

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  • Initial loading is “elastic” (no permanent deformation)
    • unloads back to origin
  • Elastic energy is stored in the material
    • it can be recovered (like a spring)
      • \(U=\frac{1}{2} \sigma \varepsilon = \frac{1}{2} E \varepsilon^2\)

Elastic-plastic behavior

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  • Loading past yield (\(\sigma_Y\)) causes permanent set
    • Typical unload follows the slope of the elastic region
    • Energy is dissipated as plastic work (\(W_P\))
  • Loading to the ultimate tensile strength (\(\sigma_{UTS}\)) causes failure and additional energy dissipation (\(W_F\))

Bone density and the elastic modulus

@Browner1998

  • Bone density a strong effect on modulus and other properties
  • Subtle changes greatly changes strength and elastic modulus
  • Density changes from:
    • normal aging
    • disease
    • malnutrition
    • use
    • disuse

Energy and energy dissipation

  • In orthopaedics, two kinds of energy are of great concern:
    • kinetic and potential
  • Kinetic energy is the energy of a particle in motion \[K = \frac{1}{2} m V^2\]
    • Examples: gun shot impact, motor vehicle crash
  • Potential energy is the energy associated with a fall from a height \[U = m g h\]
    • During the fall, all potential energy is converted to kinetic energy just before impact
    • There are other relevant forms of potential energy

Energy and energy dissipation

  • Energy is “conserved”, all energy in the system goes to something
  • If enough energy is available, some goes to permanent deformation of the “structure” (bones, soft tissue, implants, etc)

Toughness: brittle vs ductile

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  • The fracture toughness is a measure of energy required to propagate a crack through a material
  • Brittle materials have low toughness, not much energy is required
  • Ductile materials have high toughness, much energy is required

Strength vs toughness

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  • Strength (\(\sigma_{UTS}\)) is a measure of how much stress a material can carry
  • Toughness is a measure of energy dissipated during failure (crack propagation)

Strength vs fatigue strength

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  • Cyclic loading (repetitive load and unload) can cause “fatigue failures” at loads much lower than the ultimate tensile strength
  • The S-N curve – plot of load vs number of cycles to failure
  • Some materials exhibit a fatigue strength (\(\sigma_f\))
    • The curve levels off and the material has infinite fatigue life below that stress

Properties of bone

Mechanics of bone: anisotropy

  • Isotropy
    • Most metals – stainless, titanium, cobalt chrome
  • Anisotropy
    • Strength and modulus both depend on direction
    • Bone is weakest in shear, then tension, then compression.
Ultimate stress at failure cortical bone
Compression \(< 212\) N/m\(^2\)
Tension \(< 146\) N/m\(^2\)
Shear \(< 82\) N/m\(^2\)

Types of bone fracture

@Browner1998

Types of bone fracture

Axial load

image @Browner1998

  • In tension, failure occurs due to normal stress
  • In compression, failure occurs on the plane where shear is maximized

Types of bone fracture

Bending load

@Tencer1994 @Browner1998

  • Compression strength is greater than tensile strength
  • Fails in tension, possibly with a butterfly fragment

Types of bone fracture

Bending and compression load

@Tencer1994

  • Combined compression and bending leads to oblique fracture with butterfly fragment

Types of bone fracture

Torsion

  • Like stress, components of strain depend on direction of observation
  • When torsion applied, tension occurs on a diagonal
  • Fractures propagate perpendicular to this tension diagonal
  • Spiral fracture 45\(^o\) to the long axis

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Geometric properties

Properties of a cross section

Structural Properties

  • Axial Stiffness (\(E A\))
  • Bending Stiffness (\(E I\))
  • Torsional Stiffness (\(G J\))

Depends on shape and material!

  • We have seen that there is a geometric component to stiffness
  • We will examine three properties which are critical
    • Cross sectional area (\(A\))
    • Area moment of inertia (\(I\))
    • Polar (torsional) moment of inertia (\(J\))

Properties of a cross section

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  • The area is critical in axial load because the stress is inversely proportional to the area

\[\sigma = \frac{P}{A} = \frac{P}{b \cdot h}\]

  • Axial stiffness (\(EA\)) is proportional to the area

Properties of a cross section

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  • The area moment of inertia (\(I\)) goes as the third power of the thickness (about the axis of bending) \[I = \frac{b h^3}{12}\]
  • The bending stiffness (\(EI\)) is directly proportional to \(I\)
  • Additionally, \(h\) also critical in bending because of its relation the maximum stress

\[\sigma_{\mathrm{max}} = \frac{M h}{2 I} = \frac{6 M}{b h^2}\]

Properties of a cross section

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Similarly, the area moment of inertia for a hollow bone is: \[I = \frac{\pi (R^4-r^4)}{4}\]

Consider an application: IM Nails

Kolossos, via Wikipedia, Creative Commons Attribution-Share Alike 3.0

Implications for a fracture callus

@Tencer1994

  • As the callus increases the radius, the stiffness increases by \(R^4\)
  • The stress (for the same load) reduces by \(\frac{1}{R^3}\)
  • (These equations for circular cross sections)

Stiffness as a function of healing time

  • Callus increases with time
  • Stiffness increases with time
  • Near normal stiffness at 27 days
  • Does not correspond to radiographs

@Browner1998

IM Nail Diameter

@Tencer1994

Slotting

  • Results in more flexibility in bending and torsion
  • Decreases torsional strength by significant amount

@Tencer1994 @Rockwood

Equal values of mean width, equal thickness

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\[GJ_{\mathrm{open}} = G \frac{b t^3}{3} = G \frac{\pi d t^3}{3}\] \[GJ_{\mathrm{ef}}^{\mathrm{cir}}=G \frac{\pi d^{3} t}{4}\]

Equal values of mean width, equal thickness

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Assume: \[t=3 \mathrm{mm}\] \[d=25 \mathrm{mm}\]

The ratio is: \[\frac{J_{\mathrm{ef}}^{\mathrm{cir}}}{J_{\mathrm{open}}}=52\]

Mechanics of bone: viscoelasticity

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  • Bone is viscoelastic: its stress-strain characteristics are dependent upon the rate of loading

  • Example: trabecular bone becomes stiffer in compression the faster it is loaded.

Credits

  • @Einhorn2007
  • @Le2004

  1. except in unusual circumstances↩︎