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BIOMECHANICS AND
BIOMATERIAL
Birhanu Ayinetaw
OSR R1
3/9/2021 1
Outline
Introducion
Osteokinematics
arthrokinematics
Biomechanical levers systems
biomaterials
3/9/2021 2
Introduction
Mechanics is a branch of physics studying
motion and the forces causing it
Three branches
Rigid body mechanics
Deformable body mechanics
Fluid mechanics
3/9/2021 3
Rigid body mechanics
Assumes an object is rigid and deformation in
its shape is so small that it can be ignored
Never happen in real object but resonable for
most biomechanical studies of major segment
of the body
3/9/2021 4
Rigid body…
3/9/2021 5
Major branches
3/9/2021 6
Statics - study of systems that are in a constant state of
motion, whether at rest with no motion or moving at a
constant velocity without acceleration
– Statics involves all forces acting on the body being in balance
resulting in the body being in equilibrium
Dynamics - study of systems in motion with acceleration
– A system in acceleration is unbalanced due to unequal forces
acting on the body
3/9/2021 7
Biomechanics
Biomechanics: is The Science that examines the internal
and external force acting on the body and the effects
produced by these forces
It applies newtons law of mechanics on
models of biological objects to describe their
behaviour and function
3/9/2021 8
Newton’s Laws of Motion
3/9/2021 9
conti
 Kinetics
• examines the forces acting on the body during movement
 Kinematics
• A branch of biomechanics that study the relationship b/n
postions ,velocities and aceleration of rigid bodys without
concern for how motions are caused .it simply descirbes
geometry of motion
Kinesiology is the the study of human movement and
motion
3/9/2021 10
Areas of biomechanics
Orthopedic biomechanics:focuses on the
effects of motion and deformation forces and
moments acting on tissues such as bone
,cartillage ,growth plate ,ligaments
,meniscus,synovial fluid and tendons
Clinical biomechanics:evaluates specifics
pathologic condtions through study of joint
instability,gait pathology and fracture healing
3/9/2021 11
Conti…..
• Sport biomechanics
• Occupational biomechanics
• Forensic biomechanics…….etc
3/9/2021 12
ANATOMY PHYSIOLOGY MECHANICS
BIOMECHANICS
Other disciplines
SPORTS
MEDICINE
Integration of Disciplines
3/9/2021 13
continued
Why Study Biomechanics and Biomaterials?
 The basis of all implants and devices we use
The basis for most trauma we see
 The basis for most of our interventions
Orthopedics surgery is as much a
biomechanical science as it is a surgical
craft!!!!!!!!!!!!!
3/9/2021 14
Principle Quantities
Basic Quantities
• Length
• Time
• Mass
Derived Quantities
• Velocity (length/time)
• Acceleration (length/time2)
• Force (mass length/time2)
3/9/2021 15
Scalars and Vectors
Scalar quantities have magnitude but no
direction.
• Time, speed (not velocity), mass, volume
 Vector quantities have magnitude and
direction.
• E.g Velocity, Force, Acceleration,WT
3/9/2021 16
A vector is portrayed by anarrow; its direction
is indicated by the direction of the arrow, and
its magnitude is represented by the length of
the arrow. F
the weight of a limb or body segment must
always be portrayed by a vector in the
direction of gravity (down), with its length
defined relative to the weight of the limb
applied at its center of gravity
3/9/2021 17
Vector representation
3/9/2021 18
Importance of direction
3/9/2021 19
Vectors
 A vector can be resolved into its individual
components
F = Fx + Fy + Fz,
Vectors can be added to form a new vector by
adding their components or graphically by the
parallelogram method
3/9/2021 20
3/9/2021 21
3/9/2021 22
Force
• Definition:a push or pull on an object resulting
from the object's interaction with another
object
• equation
– force = mass x acceleration, F=ma
– 1 Newton = force required to give 1 kg mass an
acceleration of 1 m/s2
3/9/2021 23
Moment (torque)the tendency of a force to
rotate a body around an axis
• When a force is applied to an object that is
not on line with the center of the object,
theforce will create a torque that tends to
rotate the object
– equation
• moment (torque) = force(perpendicular) X distance
3/9/2021 24
3/9/2021 25
KINEMATICS
 Translation-When all parts of a “body” move in the
same direction as every other part
• Rectilinear motion = straight line motions (sliding
surfaces)
• Curvilinear motion = curved line of motion (the motion
of a ball when tossed)
 Rotation-the arc of motion around a fixed axis of
rotation or a “pivot point”
• Joints have “pivot points” which are used as reference
points from which to measure the range of motion
(ROM) of that joint
3/9/2021 26
‘Pivot point’
3/9/2021 27
Kinematics of walking
 The hips are moving
forward and marked to
indicate the curvilinear
path that they take in
the translatory motion
of walking.
3/9/2021 28
Kinematics of motion
• Movement of the body =
translation of the
translation of the body’s
center of mass
• Center of Mass/Center of
Gravity
 Center of gravity- COG-
balance point of an object
at which torque on all
sides are equal
3/9/2021 29
Active VS passive motion
Active
• Generated by muscle
contraction
Passive
 Occur due to stresses
placed on the tissue
other than muscle
contraction
 Gravity
 Resistance
 An applied stretch from
someone or something
else
3/9/2021 30
3/9/2021 31
Osteokinematics
Motion of bones through a range of motion
relative to the 3 cardinal planes of the body and
around the axis in that joint
Planes:
Saggital or Median
• Flexion & extension
Frontal or Coronal
• ABD & ADD
Horizontal or Transverse
• Rotational motions
3/9/2021 32
3/9/2021 33
Conti….
Anatomic postion
• Standard Reference Point
• Axis of rotation
• Planes of motion
• Actions of muscles are referenced from
anatomic position
3/9/2021 34
Body described in relative to anatomic
postion
3/9/2021 35
Contin…
Axis of Rotation = “pivot point” It’s ALWAYS
perpendicular to the plane of motion!
Degrees of Freedom The number of planes of
motion allowed to a joint
• The shoulder and hip have 3
• the elbow and knee have just 1
• The wrist has 2
3/9/2021 36
Arthrokinematics
• Manner in which adjoining joint surfaces
move in relation to each other or how they fit
together
• helps to improve the movement of the joint
• Parts may move in
the same direction
the opposite direction
3/9/2021 37
Fundamental joint surfaces
movements
 Roll
• Multiple points maintain
contact throughout the
motion
 Slide
• A single point on one
surface contacts multiple
points throughout the
motion
 Spin
• A single point on one
surface rotates on a single
point on the other surface
3/9/2021 38
Types of machines found in the body
Musculoskeletal system may be thought of as a
series of simple machines
Machines function in four ways
– balance multiple forces
– enhance force in an attempt to reduce total force
needed to overcome a resistance
– enhance range of motion & speed of movement
so that resistance may be moved further or faster
than applied force
– alter resulting direction of the applied force
3/9/2021 39
Cont…
Musculoskeletel system arrangement provides
for 3 types of machines in producing
movement
– Levers (most common)
– Wheel-axles
– Pulleys
3/9/2021 40
Mechanical advantage:ratio between the
force arm (distance between the force and the axis)and
the resistance arm( distance between the resistance
and the axis )
when the FA is greater than the RA The MA is
greater than 1
• The force arm has more force than the RA It
takes less force on your part if you apply
resistance distally rather than proximaly
Mechanical disadvantage
– Levers designed for speed/ROM
3/9/2021 41
F R
Mechanical advantage or disadvantage?
How does mechanical advantage affect
movement of the lever?
3/9/2021 42
Advantage: Small effort moves
big resistance
Disadvantage: Big movement
required to move resistance a
small distance
3/9/2021 43
F R
3/9/2021 44
Knee Joint and MA
3/9/2021 45
Biomechanical levers
• Levers rotate about an axis as a result of force
(effort, E) being applied to cause its
movement against a resistance or weight
• In the body
– bones represent the bars
– joints are the axes
– muscles contract to apply force
3/9/2021 46
The body has Three Classes of Levers
First
• Similar to a “see saw”
Second
• The axis is located at one end to provide “good
leverage”
Third
• The axis is also at one end but gravity has more
“leverage” than muscle meaning that more
muscle force is needed to lift a small load
3/9/2021 47
 First Class Lever
• F - A – R
• Force, Axis, Resistance
 Designed for balance
• The head sitting on the
cervical vertebrae
3/9/2021 48
 Second Class Lever
• A – R – F
• Designed for power
 Ankle plantar flexors are the
perfect example of a second
class lever.
 There is excellent leverage so
that the body is easily elevated
with relatively little force
generated by the plantar
flexors of the calf.
 Rare In the body
3/9/2021 49
Third Class lever
• A – F – R
• Designed for motion
• The most common lever in
the body because they favor
large ranges of motion
• There is mechanical
disadvantage
• Favor speed and distance
3/9/2021 50
PULLEYS
A Pulley
• A grooved wheel that turns on an axel with a
rope or cable riding in the groove
advantage
• To change the direction of a force
• To increase or decrease the magnitude of a
force
3/9/2021 51
3/9/2021 52
Biomaterials
Defnition:synthetic or treated natural
materials that are used to replace or augment
tissue and organ function.
Creterias of success full biomaterial
Biocompatability
Resist corrosion and degradation
Wear resistance
Adquate mechanical property
reproducibilty
3/9/2021 53
Material Properties: Fundamental behaviors of a
substance independent of its geometry.
Structural Properties: related to both the
material properties and the shape of an
object.
3/9/2021 54
• Material Properties
– Elastic-Plastic
– Yield point
– Brittle-Ductile
– Toughness
–Independent of
Shape!
• Structural Properties
– Bending Stiffness
– Torsional Stiffness
– Axial Stiffness
– Depends on
Shape of
Material!
3/9/2021 55
Material properties
Basic defintions
 Stress
- Is defined as the force acting on a surface
divided by the area over which it acts.
- Used to analyze the internal resistance of a
body to load.
- Normal stress vs shear stress
- Shear stress are parallel
- Normal stress are perpendicular to the surface
3/9/2021 56
Strain
 Is the change in height or length of the
object under load divided by its original
height or length
relative measure of the deformation of an
object
 A relative quantity with no units. Often
expressed as a percent
3/9/2021 57
3/9/2021 58
Material strength
Stress vs Strain Curve; Derived from axially
loading an object and plotting the stress
verses strain curve
• Each material produces different stress strain
diagram
3/9/2021 59
Elastic zone
– the zone where a material will return to its original shape for a
given amount of stress
• Yield point
– the transition point between elastic and plastic deformation
• Yield strength
– the amount of stress necessary to produce a specific amount of
permanent deformation
Plastic zone
– the zone where a material will not return to its orginal shape for
a given amount of stress
3/9/2021 60
Stress vs strain curve
3/9/2021 61
• Breaking point
– the object fails and breaks
• Ultimate (Tensile) strength
– defined as the load to failure
• Hooke's law
– when a material is loaded in the elastic zone, the stress is
proportional to the strain
• Young's modulus of elasticity
– measure of the stiffness (ability to resist deformation) of a
material in the elastic zone
– calculated by measuring the slope of the stress/strain curve in
the elastic zone
– a higher modulus of elasticity indicates a stiffer material
3/9/2021 62
young’s modulus of elasticty
 Of metals and biologics
1. Relative values of Young's
modulus of elasticity (numbers
correspond to numbers on
illustration to right)Ceramic
(Al2O3)
2. Alloy (Co-Cr-Mo)
3. Stainless steel
4. Titanium
5. Cortical bone
6. Matrix polymers
7. PMMA
8. Polyethylene
9. Cancellous bone
10.Tendon / ligament
11.Cartilage
3/9/2021 63
Material description
Brittle material a material that exhibits linear
stress stain relationship up until the point of
failure
undergoes elastic deformation only, and little
to no plastic deformation
examples
– ceramics
3/9/2021 64
Ductile Material
– undergoes large amount of plastic deformation
before failure
– Example
• Metal
Toughness:
 the amount of energy/volume a material can
absorb before failure
Area under the stres strain curve
3/9/2021 65
3/9/2021 66
3/9/2021 67
toughness
Ductile metal or cortical bone Collageneous tissues
3/9/2021 68
Cont…
This concept is useful because many injuries
may impart a specific energy to the body. For
example, a fall from a height may turn the
potential energy of the body weight at the
original height into the energy of deformation
of the lumbar spine or hip,causing fracture
3/9/2021 69
Conti….
Fatigue failure
– failure at a point below the ultimate tensile
strength secondary to repetitive loading
• depends on magnitude of stress and number of cycles
Endurance limit
– defined as the maximal stress under which an
object is immune to fatigue failure regardless of
the number of cycles
3/9/2021 70
3/9/2021 71
Viscoelastic material
– a material that exhibits a stress-strain relationship that
is dependent on the load and the rate by which the
load is applied (syringe with narrow needle)
• a function of the internal friction of a material
• examples
– ligaments
– Bone
Creep phenomenon of progressive deformation
of in response to a constant force over an
extended period of time
Stress relaxation the force required to maintain
the deformation will diminish with time until
equilibrium is reached
3/9/2021 72
3/9/2021 73
Time dependent
behaviour of strain
Elasticc modulus ,yield
stress and ultimate
stress incresing where
as strain rate and
ductility deacreasing
as loading rate
increased
• Cortical bone -viscoelasticty
3/9/2021 74
hysteresis
• The loading and unloading
curves do not overlap,
forming a closed loop called
a hysteresis loop
• Represents the energy
dissipated within the
material, primarily by
internal friction within the
material.
3/9/2021 75
Conti…..
Anisotropic materials
– possess different mechanical properties depending on
the direction of the applied load
– examples
• ligaments
• Bone
• Composites (plaster cast,fiber glass)
Isotropic materials
– possess the same mechanical properties in all
directions
• example
– golf ball
3/9/2021 76
Anisotropy
 bone is an anisotropic
material hence failure
depends on load direction
and loading type
Cortical bone
3/9/2021 77
Anisotropic behavior can often be predicted
by considering the material’s structure.
• Bone tissue at an ultrastructural structure
scale has both collagen fibrils and mineral
crystals both aligned in a generally
longitudinal direction in the cortices of the
long bones of the skeleton
why the tissue has its greatest strength in the
longitudinal direction
3/9/2021 78
METALS
• Metal alloys have found wide spread use in
orthopedics
• Alloys are metals composed of mixtures or
solutions of metallic and non metalic elements
• Combination imparts high
strength,ductility,corrosion resitance and
biocompatibility
The 3 commons alloys:stainless steel ,cobalt
chromium alloys and titanium alloys
3/9/2021 79
Conti…
Stainless Steel (316L)
– Components
• primarily iron-carbon alloy with lesser elements of
– Chromium form chromium oxide layer
– molybdenum
– Manganese
– Silicon
– nickel
– advantages
• very stiff
• fracture resistant
– disadvantages
• susceptible to corrosion
• stress shielding of bone due to superior stiffness
– Used
• Fracture fixation and spinal stabilization until healing occurs
3/9/2021 80
Conti…
Cobalt alloy
– components
• cobalt
• chromium
• molybdenum
– advantages
• very strong
• better resistance to corrosion than stainless steel
3/9/2021 81
Titanium and titanium alloys
Titanium –aluminium-vanadium
widely used
– very biocompatable
– forms adherent oxide coating through self
passivation(osteointergrated)
» corrosion resistant
– low modulus of elasticity makes it more similar to biologic
materials as cortical bone
– Better than both stinless steel an d cobalt interms of corrosion
resistant and biocmpatiblity
3/9/2021 82
uses
– fracture plates
– screws
– intramedullary nails
– some femoral stems
disadvantages
– poor resistance to wear (notch sensitivity) (do not use as a
femoral head prosthesis)
– generates more metal debris than cobalt chromium
3/9/2021 83
polymers
 Ultra-high-molecular-weight polyethylene (UHMWPE)
 advantages
– tough
– ductile
– resilient
– resistant to wear
 disadvantages
– susceptible to abrasion
• wear usually caused by third body inclusions
– thermoplastic (may be altered by extreme temperatures)
– weaker than bone in tension
 gamma irradiation
– increases polymer chain cross-linking which improves wear characteristics
– decreases fatigue and fracture resistance
3/9/2021 84
UHMW polyethylene
C C C C
H H H H
H H H H
crystalline
amorphous
3/9/2021 85
Polymethylmethacrylate (PMMA,
bone cement)
Mechanical grout that polymerizes insitu
2 component material
– powder
» polymer
» benzoyl peroxide (initiator)
» barium sulfate (radio-opacifier)
– Liquid
» Monomer(MMA)
» toluidine (accelerant)
» hydroquinone (stabilizer)
3/9/2021 86
The liquid does not polymerize until it comes
into contact with the initiator, dibenzoyl
peroxide, which is mixed in with the powder
3/9/2021 87
Brittle material
Tensile strength = ~ 35 MPa
Compressive strength = ~ 90 MPa
Fatigue strength = ~ 6 MPa at 105 cycles
3/9/2021 88
functions
used for fixation and load distribution in conjunction
with orthopeadic implants
functions by interlocking with bone
may be used to fill tumor defects and minimize local
recurrence
3/9/2021 89
advantages
• reaches ultimate strength at 24 hours
• strongest in compression
• Young's modulus between cortical and cancellous bone
disadvantages
• poor tensile and shear strength
• failure often caused by microfracture and
fragmentation
3/9/2021 90
Ceramics
Solid, inorganic compounds consisting of
metallic and nonmetallic elements held
together by ionic or covalent bonding
Aluminum + Oxygen  Alumina (Al2O3)
Zirconium + Oxygen  Zirconia (ZrO2)
3/9/2021 91
• advantages
–best wear characteristics
–high compressive strength
– High elastic modulus (2-3x metals)
– Polished to a very smooth finish
– Excellent wettability (hydrophylic)
– Excellent scratch resistance
– Even with the presence of third bodies
– Inert/biocompatible
3/9/2021 92
• disadvantages
– typically brittle, low fracture toughness
– high Young's modulus
– low tensile strength
USE:
in total joint replacement components
Bone graft substitutes
3/9/2021 93
BONE
Bone composition
– composed of collagen and hydroxyapatite
collagen
• low Young's modulus
• good tensile strength
• poor compressive strength
hydroxyapatite
• stiff and brittle
• good compressive strength
3/9/2021 94
Mechanical properties
• strongest in compression
• a dynamic structure
– remodels geometry to increase inner and outer cortex to alter
the moment of inertia and minimize bending stresses
• weakest in shear
3/9/2021 95
• Cortical bone is stiffer than cancellous bone,
withstanding greater stress but less strain before failure.
• Cancellous bone may sustain up to 50% of strains before
yielding.
• Cortical bone yields and fractures when the strain exceeds
1.5% to 2.0%.
• Cortical bone:weak in tension and shear
• Cancellous bone is good against Compressive and shear
forces.
3/9/2021 96
FRACTURE
Tension
– usually leads to transverse fracture secondary to muscle
pull
compression
– due to axial loading
– leading to a crush type fracture
– bone is strongest in resisting compression
bending
– leads to butterfly fragment
torsion
– leads to spiral fracture
3/9/2021 97
3/9/2021 98
Ligaments & Tendons
• Characteristics
– viscoelastic with nonlinear elasticity
– displays hysteresis
• Advantages
– strong in tension (can withstand 5-10% as
opposed to 1-4% in bone)
• Disadvantages
– demonstrate creep and stress relaxation
3/9/2021 99
references
• Orthopedic basic science
• Fundamental biomechanics
• OTA notes
3/9/2021 100
•Thank
u!!!!!!!!!!!!
3/9/2021 101

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Biomechanics and Biomaterials in orthopedic

  • 3. Introduction Mechanics is a branch of physics studying motion and the forces causing it Three branches Rigid body mechanics Deformable body mechanics Fluid mechanics 3/9/2021 3
  • 4. Rigid body mechanics Assumes an object is rigid and deformation in its shape is so small that it can be ignored Never happen in real object but resonable for most biomechanical studies of major segment of the body 3/9/2021 4
  • 7. Statics - study of systems that are in a constant state of motion, whether at rest with no motion or moving at a constant velocity without acceleration – Statics involves all forces acting on the body being in balance resulting in the body being in equilibrium Dynamics - study of systems in motion with acceleration – A system in acceleration is unbalanced due to unequal forces acting on the body 3/9/2021 7
  • 8. Biomechanics Biomechanics: is The Science that examines the internal and external force acting on the body and the effects produced by these forces It applies newtons law of mechanics on models of biological objects to describe their behaviour and function 3/9/2021 8
  • 9. Newton’s Laws of Motion 3/9/2021 9
  • 10. conti  Kinetics • examines the forces acting on the body during movement  Kinematics • A branch of biomechanics that study the relationship b/n postions ,velocities and aceleration of rigid bodys without concern for how motions are caused .it simply descirbes geometry of motion Kinesiology is the the study of human movement and motion 3/9/2021 10
  • 11. Areas of biomechanics Orthopedic biomechanics:focuses on the effects of motion and deformation forces and moments acting on tissues such as bone ,cartillage ,growth plate ,ligaments ,meniscus,synovial fluid and tendons Clinical biomechanics:evaluates specifics pathologic condtions through study of joint instability,gait pathology and fracture healing 3/9/2021 11
  • 12. Conti….. • Sport biomechanics • Occupational biomechanics • Forensic biomechanics…….etc 3/9/2021 12
  • 13. ANATOMY PHYSIOLOGY MECHANICS BIOMECHANICS Other disciplines SPORTS MEDICINE Integration of Disciplines 3/9/2021 13
  • 14. continued Why Study Biomechanics and Biomaterials?  The basis of all implants and devices we use The basis for most trauma we see  The basis for most of our interventions Orthopedics surgery is as much a biomechanical science as it is a surgical craft!!!!!!!!!!!!! 3/9/2021 14
  • 15. Principle Quantities Basic Quantities • Length • Time • Mass Derived Quantities • Velocity (length/time) • Acceleration (length/time2) • Force (mass length/time2) 3/9/2021 15
  • 16. Scalars and Vectors Scalar quantities have magnitude but no direction. • Time, speed (not velocity), mass, volume  Vector quantities have magnitude and direction. • E.g Velocity, Force, Acceleration,WT 3/9/2021 16
  • 17. A vector is portrayed by anarrow; its direction is indicated by the direction of the arrow, and its magnitude is represented by the length of the arrow. F the weight of a limb or body segment must always be portrayed by a vector in the direction of gravity (down), with its length defined relative to the weight of the limb applied at its center of gravity 3/9/2021 17
  • 20. Vectors  A vector can be resolved into its individual components F = Fx + Fy + Fz, Vectors can be added to form a new vector by adding their components or graphically by the parallelogram method 3/9/2021 20
  • 23. Force • Definition:a push or pull on an object resulting from the object's interaction with another object • equation – force = mass x acceleration, F=ma – 1 Newton = force required to give 1 kg mass an acceleration of 1 m/s2 3/9/2021 23
  • 24. Moment (torque)the tendency of a force to rotate a body around an axis • When a force is applied to an object that is not on line with the center of the object, theforce will create a torque that tends to rotate the object – equation • moment (torque) = force(perpendicular) X distance 3/9/2021 24
  • 26. KINEMATICS  Translation-When all parts of a “body” move in the same direction as every other part • Rectilinear motion = straight line motions (sliding surfaces) • Curvilinear motion = curved line of motion (the motion of a ball when tossed)  Rotation-the arc of motion around a fixed axis of rotation or a “pivot point” • Joints have “pivot points” which are used as reference points from which to measure the range of motion (ROM) of that joint 3/9/2021 26
  • 28. Kinematics of walking  The hips are moving forward and marked to indicate the curvilinear path that they take in the translatory motion of walking. 3/9/2021 28
  • 29. Kinematics of motion • Movement of the body = translation of the translation of the body’s center of mass • Center of Mass/Center of Gravity  Center of gravity- COG- balance point of an object at which torque on all sides are equal 3/9/2021 29
  • 30. Active VS passive motion Active • Generated by muscle contraction Passive  Occur due to stresses placed on the tissue other than muscle contraction  Gravity  Resistance  An applied stretch from someone or something else 3/9/2021 30
  • 32. Osteokinematics Motion of bones through a range of motion relative to the 3 cardinal planes of the body and around the axis in that joint Planes: Saggital or Median • Flexion & extension Frontal or Coronal • ABD & ADD Horizontal or Transverse • Rotational motions 3/9/2021 32
  • 34. Conti…. Anatomic postion • Standard Reference Point • Axis of rotation • Planes of motion • Actions of muscles are referenced from anatomic position 3/9/2021 34
  • 35. Body described in relative to anatomic postion 3/9/2021 35
  • 36. Contin… Axis of Rotation = “pivot point” It’s ALWAYS perpendicular to the plane of motion! Degrees of Freedom The number of planes of motion allowed to a joint • The shoulder and hip have 3 • the elbow and knee have just 1 • The wrist has 2 3/9/2021 36
  • 37. Arthrokinematics • Manner in which adjoining joint surfaces move in relation to each other or how they fit together • helps to improve the movement of the joint • Parts may move in the same direction the opposite direction 3/9/2021 37
  • 38. Fundamental joint surfaces movements  Roll • Multiple points maintain contact throughout the motion  Slide • A single point on one surface contacts multiple points throughout the motion  Spin • A single point on one surface rotates on a single point on the other surface 3/9/2021 38
  • 39. Types of machines found in the body Musculoskeletal system may be thought of as a series of simple machines Machines function in four ways – balance multiple forces – enhance force in an attempt to reduce total force needed to overcome a resistance – enhance range of motion & speed of movement so that resistance may be moved further or faster than applied force – alter resulting direction of the applied force 3/9/2021 39
  • 40. Cont… Musculoskeletel system arrangement provides for 3 types of machines in producing movement – Levers (most common) – Wheel-axles – Pulleys 3/9/2021 40
  • 41. Mechanical advantage:ratio between the force arm (distance between the force and the axis)and the resistance arm( distance between the resistance and the axis ) when the FA is greater than the RA The MA is greater than 1 • The force arm has more force than the RA It takes less force on your part if you apply resistance distally rather than proximaly Mechanical disadvantage – Levers designed for speed/ROM 3/9/2021 41
  • 42. F R Mechanical advantage or disadvantage? How does mechanical advantage affect movement of the lever? 3/9/2021 42
  • 43. Advantage: Small effort moves big resistance Disadvantage: Big movement required to move resistance a small distance 3/9/2021 43
  • 45. Knee Joint and MA 3/9/2021 45
  • 46. Biomechanical levers • Levers rotate about an axis as a result of force (effort, E) being applied to cause its movement against a resistance or weight • In the body – bones represent the bars – joints are the axes – muscles contract to apply force 3/9/2021 46
  • 47. The body has Three Classes of Levers First • Similar to a “see saw” Second • The axis is located at one end to provide “good leverage” Third • The axis is also at one end but gravity has more “leverage” than muscle meaning that more muscle force is needed to lift a small load 3/9/2021 47
  • 48.  First Class Lever • F - A – R • Force, Axis, Resistance  Designed for balance • The head sitting on the cervical vertebrae 3/9/2021 48
  • 49.  Second Class Lever • A – R – F • Designed for power  Ankle plantar flexors are the perfect example of a second class lever.  There is excellent leverage so that the body is easily elevated with relatively little force generated by the plantar flexors of the calf.  Rare In the body 3/9/2021 49
  • 50. Third Class lever • A – F – R • Designed for motion • The most common lever in the body because they favor large ranges of motion • There is mechanical disadvantage • Favor speed and distance 3/9/2021 50
  • 51. PULLEYS A Pulley • A grooved wheel that turns on an axel with a rope or cable riding in the groove advantage • To change the direction of a force • To increase or decrease the magnitude of a force 3/9/2021 51
  • 53. Biomaterials Defnition:synthetic or treated natural materials that are used to replace or augment tissue and organ function. Creterias of success full biomaterial Biocompatability Resist corrosion and degradation Wear resistance Adquate mechanical property reproducibilty 3/9/2021 53
  • 54. Material Properties: Fundamental behaviors of a substance independent of its geometry. Structural Properties: related to both the material properties and the shape of an object. 3/9/2021 54
  • 55. • Material Properties – Elastic-Plastic – Yield point – Brittle-Ductile – Toughness –Independent of Shape! • Structural Properties – Bending Stiffness – Torsional Stiffness – Axial Stiffness – Depends on Shape of Material! 3/9/2021 55
  • 56. Material properties Basic defintions  Stress - Is defined as the force acting on a surface divided by the area over which it acts. - Used to analyze the internal resistance of a body to load. - Normal stress vs shear stress - Shear stress are parallel - Normal stress are perpendicular to the surface 3/9/2021 56
  • 57. Strain  Is the change in height or length of the object under load divided by its original height or length relative measure of the deformation of an object  A relative quantity with no units. Often expressed as a percent 3/9/2021 57
  • 59. Material strength Stress vs Strain Curve; Derived from axially loading an object and plotting the stress verses strain curve • Each material produces different stress strain diagram 3/9/2021 59
  • 60. Elastic zone – the zone where a material will return to its original shape for a given amount of stress • Yield point – the transition point between elastic and plastic deformation • Yield strength – the amount of stress necessary to produce a specific amount of permanent deformation Plastic zone – the zone where a material will not return to its orginal shape for a given amount of stress 3/9/2021 60
  • 61. Stress vs strain curve 3/9/2021 61
  • 62. • Breaking point – the object fails and breaks • Ultimate (Tensile) strength – defined as the load to failure • Hooke's law – when a material is loaded in the elastic zone, the stress is proportional to the strain • Young's modulus of elasticity – measure of the stiffness (ability to resist deformation) of a material in the elastic zone – calculated by measuring the slope of the stress/strain curve in the elastic zone – a higher modulus of elasticity indicates a stiffer material 3/9/2021 62
  • 63. young’s modulus of elasticty  Of metals and biologics 1. Relative values of Young's modulus of elasticity (numbers correspond to numbers on illustration to right)Ceramic (Al2O3) 2. Alloy (Co-Cr-Mo) 3. Stainless steel 4. Titanium 5. Cortical bone 6. Matrix polymers 7. PMMA 8. Polyethylene 9. Cancellous bone 10.Tendon / ligament 11.Cartilage 3/9/2021 63
  • 64. Material description Brittle material a material that exhibits linear stress stain relationship up until the point of failure undergoes elastic deformation only, and little to no plastic deformation examples – ceramics 3/9/2021 64
  • 65. Ductile Material – undergoes large amount of plastic deformation before failure – Example • Metal Toughness:  the amount of energy/volume a material can absorb before failure Area under the stres strain curve 3/9/2021 65
  • 68. toughness Ductile metal or cortical bone Collageneous tissues 3/9/2021 68
  • 69. Cont… This concept is useful because many injuries may impart a specific energy to the body. For example, a fall from a height may turn the potential energy of the body weight at the original height into the energy of deformation of the lumbar spine or hip,causing fracture 3/9/2021 69
  • 70. Conti…. Fatigue failure – failure at a point below the ultimate tensile strength secondary to repetitive loading • depends on magnitude of stress and number of cycles Endurance limit – defined as the maximal stress under which an object is immune to fatigue failure regardless of the number of cycles 3/9/2021 70
  • 72. Viscoelastic material – a material that exhibits a stress-strain relationship that is dependent on the load and the rate by which the load is applied (syringe with narrow needle) • a function of the internal friction of a material • examples – ligaments – Bone Creep phenomenon of progressive deformation of in response to a constant force over an extended period of time Stress relaxation the force required to maintain the deformation will diminish with time until equilibrium is reached 3/9/2021 72
  • 74. Time dependent behaviour of strain Elasticc modulus ,yield stress and ultimate stress incresing where as strain rate and ductility deacreasing as loading rate increased • Cortical bone -viscoelasticty 3/9/2021 74
  • 75. hysteresis • The loading and unloading curves do not overlap, forming a closed loop called a hysteresis loop • Represents the energy dissipated within the material, primarily by internal friction within the material. 3/9/2021 75
  • 76. Conti….. Anisotropic materials – possess different mechanical properties depending on the direction of the applied load – examples • ligaments • Bone • Composites (plaster cast,fiber glass) Isotropic materials – possess the same mechanical properties in all directions • example – golf ball 3/9/2021 76
  • 77. Anisotropy  bone is an anisotropic material hence failure depends on load direction and loading type Cortical bone 3/9/2021 77
  • 78. Anisotropic behavior can often be predicted by considering the material’s structure. • Bone tissue at an ultrastructural structure scale has both collagen fibrils and mineral crystals both aligned in a generally longitudinal direction in the cortices of the long bones of the skeleton why the tissue has its greatest strength in the longitudinal direction 3/9/2021 78
  • 79. METALS • Metal alloys have found wide spread use in orthopedics • Alloys are metals composed of mixtures or solutions of metallic and non metalic elements • Combination imparts high strength,ductility,corrosion resitance and biocompatibility The 3 commons alloys:stainless steel ,cobalt chromium alloys and titanium alloys 3/9/2021 79
  • 80. Conti… Stainless Steel (316L) – Components • primarily iron-carbon alloy with lesser elements of – Chromium form chromium oxide layer – molybdenum – Manganese – Silicon – nickel – advantages • very stiff • fracture resistant – disadvantages • susceptible to corrosion • stress shielding of bone due to superior stiffness – Used • Fracture fixation and spinal stabilization until healing occurs 3/9/2021 80
  • 81. Conti… Cobalt alloy – components • cobalt • chromium • molybdenum – advantages • very strong • better resistance to corrosion than stainless steel 3/9/2021 81
  • 82. Titanium and titanium alloys Titanium –aluminium-vanadium widely used – very biocompatable – forms adherent oxide coating through self passivation(osteointergrated) » corrosion resistant – low modulus of elasticity makes it more similar to biologic materials as cortical bone – Better than both stinless steel an d cobalt interms of corrosion resistant and biocmpatiblity 3/9/2021 82
  • 83. uses – fracture plates – screws – intramedullary nails – some femoral stems disadvantages – poor resistance to wear (notch sensitivity) (do not use as a femoral head prosthesis) – generates more metal debris than cobalt chromium 3/9/2021 83
  • 84. polymers  Ultra-high-molecular-weight polyethylene (UHMWPE)  advantages – tough – ductile – resilient – resistant to wear  disadvantages – susceptible to abrasion • wear usually caused by third body inclusions – thermoplastic (may be altered by extreme temperatures) – weaker than bone in tension  gamma irradiation – increases polymer chain cross-linking which improves wear characteristics – decreases fatigue and fracture resistance 3/9/2021 84
  • 85. UHMW polyethylene C C C C H H H H H H H H crystalline amorphous 3/9/2021 85
  • 86. Polymethylmethacrylate (PMMA, bone cement) Mechanical grout that polymerizes insitu 2 component material – powder » polymer » benzoyl peroxide (initiator) » barium sulfate (radio-opacifier) – Liquid » Monomer(MMA) » toluidine (accelerant) » hydroquinone (stabilizer) 3/9/2021 86
  • 87. The liquid does not polymerize until it comes into contact with the initiator, dibenzoyl peroxide, which is mixed in with the powder 3/9/2021 87
  • 88. Brittle material Tensile strength = ~ 35 MPa Compressive strength = ~ 90 MPa Fatigue strength = ~ 6 MPa at 105 cycles 3/9/2021 88
  • 89. functions used for fixation and load distribution in conjunction with orthopeadic implants functions by interlocking with bone may be used to fill tumor defects and minimize local recurrence 3/9/2021 89
  • 90. advantages • reaches ultimate strength at 24 hours • strongest in compression • Young's modulus between cortical and cancellous bone disadvantages • poor tensile and shear strength • failure often caused by microfracture and fragmentation 3/9/2021 90
  • 91. Ceramics Solid, inorganic compounds consisting of metallic and nonmetallic elements held together by ionic or covalent bonding Aluminum + Oxygen  Alumina (Al2O3) Zirconium + Oxygen  Zirconia (ZrO2) 3/9/2021 91
  • 92. • advantages –best wear characteristics –high compressive strength – High elastic modulus (2-3x metals) – Polished to a very smooth finish – Excellent wettability (hydrophylic) – Excellent scratch resistance – Even with the presence of third bodies – Inert/biocompatible 3/9/2021 92
  • 93. • disadvantages – typically brittle, low fracture toughness – high Young's modulus – low tensile strength USE: in total joint replacement components Bone graft substitutes 3/9/2021 93
  • 94. BONE Bone composition – composed of collagen and hydroxyapatite collagen • low Young's modulus • good tensile strength • poor compressive strength hydroxyapatite • stiff and brittle • good compressive strength 3/9/2021 94
  • 95. Mechanical properties • strongest in compression • a dynamic structure – remodels geometry to increase inner and outer cortex to alter the moment of inertia and minimize bending stresses • weakest in shear 3/9/2021 95
  • 96. • Cortical bone is stiffer than cancellous bone, withstanding greater stress but less strain before failure. • Cancellous bone may sustain up to 50% of strains before yielding. • Cortical bone yields and fractures when the strain exceeds 1.5% to 2.0%. • Cortical bone:weak in tension and shear • Cancellous bone is good against Compressive and shear forces. 3/9/2021 96
  • 97. FRACTURE Tension – usually leads to transverse fracture secondary to muscle pull compression – due to axial loading – leading to a crush type fracture – bone is strongest in resisting compression bending – leads to butterfly fragment torsion – leads to spiral fracture 3/9/2021 97
  • 99. Ligaments & Tendons • Characteristics – viscoelastic with nonlinear elasticity – displays hysteresis • Advantages – strong in tension (can withstand 5-10% as opposed to 1-4% in bone) • Disadvantages – demonstrate creep and stress relaxation 3/9/2021 99
  • 100. references • Orthopedic basic science • Fundamental biomechanics • OTA notes 3/9/2021 100