Biomedical subjects
Publications and source records attributed to W Bonfield.
The effects of different thicknesses and configurations of core sutures were studied in human cadaveric flexor tendon repairs. Both straight and cyclic load tests were employed. To exploit the full strength of 4/0 suture material, the Kessler repair using four locked single knots would seem to be appropriate.
The behaviour of cortical bone under load is strain rate-dependent, i.e. it is dependent on the rate at which the load is applied. This is particularly relevant in the galloping horse since the strain rates experienced by the bone are far in excess of those recorded for any other species. In this study the effect of strain rates between 0.0001 and 1 sec-1 on the mechanical properties of equine cortical bone were assessed. Initially, increasing strain rates resulted in increased mechanical properties. Beyond a critical value, however, further increases in strain rate resulted in lower strain to failure and energy absorbing capacity. This critical rate occurred around 0.1 sec-1 which is within the in vivo range for a galloping racehorse. Analysis of the stress-strain curves revealed a transition in the type of deformation at this point from pseudo-ductile to brittle. Bones undergoing brittle deformation are more likely to fail under load, leading to catastrophic fracture and destruction of the animal.
Polyhydroxybutyrate (PHB) is a polyester made by many microorganisms under conditions of nitrogen deficiency, and is produced commercially in bulk by biotechnology. It has been suggested that PHB-based materials (copolymers and composites) could be suitable for medical applications and may be biodegradable. This paper presents some findings regarding the degradation and biological properties of polyhydroxybutyrate and composites reinforced with particulate hydroxyapatite. It has been established that the strength and stiffness of these materials reduce on in-vitro environment exposure in phosphate-buffered saline at 37 degrees C for periods up to 4 months, and that the degradation rate is a function of composition and processing conditions. It has also been demonstrated that materials based on PHB produce a consistent favourable bone tissue adaptation response with no evidence of an undesirable chronic inflammatory response after implantation periods up to 12 months. Bone is rapidly formed close to the material and subsequently becomes highly organized, with up to 80% of the implant surface lying in direct apposition to new bone. The materials showed no conclusive evidence of extensive structural breakdown in vivo during the implantation period of the study.
Methods of assessing real and apparent trabecular bone density are discussed. A method of defatting trabecular bone using trichlorethylene in an ultrasound bath for 4 h followed by rehydration in distilled water under vacuum is described, and its effectiveness discussed.
Tensile fracture experiments were performed upon specimens of wet mature bovine Haversian bone, with short, controlled notches. Stress concentration factors were found to be significantly less than values predicted using a maximum stress criterion in the theory of elasticity. Results were also modeled with the aid of linear elastic fracture mechanics. Agreement of experiment with theory was better in this case, however deviations were seen for short notches. Two mechanisms were evaluated for the behavior: plasticity near the crack tip, and effects of the Haversian microstructure, modelled by Cosserat elasticity, a generalized continuum theory. Plastic zone effects were found to be insignificant. Cosserat elasticity, by contrast, predicted stress concentration factors which better approximated observed values. To explore strain redistribution processes, further experiments were conducted upon notched specimens in torsion at small strain. They disclosed a strain redistribution effect consistent with Cosserat elasticity. These microelastic effects were attributed to the Haversian architecture of bone. The implications of the results are that bone resists the effect of stress raisers such as fatigue microcracks and surgical sawcuts to a much greater extent than anticipated on the basis of its elastic or elastoplastic properties.
A portable system using a direct contact for the measurement of ultrasonic velocity and broadband attenuation in bone is described (contact ultrasonic bone analyser, CUBA). Soft-tissue compensation is performed using an ultrasonic pulse-echo technique. CUBA has been successfully validated using reference materials, the precision of velocity and broadband attenuation measurements being typically 0.2% and 0.5% respectively. The clinical reproducibility has been assessed on the equine third metacarpal bone. The reproducibility of velocity measurement is typically 0.5% for cortical bone and 1% for cancellous bone. For broadband attenuation the reproducibility is typically 7% for cortical bone and 6% for cancellous bone. The lower reproducibility of the attenuation data is attributed to the high sensitivity to variations in the material properties of bone with small changes in transducer positioning. Coupling difficulties through an intact equine coat have been overcome and the system may now be assessed in the clinical environment, in both human and animal populations.
The fracture mechanics parameter of the critical stress intensity factor (Kc) was determined by a modified compact tension test method, for the fracture of bovine tibia cortical bone at orientations of 0 degrees, 15 degrees, 30 degrees, 45 degrees, 75 degrees and 90 degrees to the bone axis. It was established that, for a given loading rate, a variation in orientation from 0-90 degrees produced average increases in Kc from 3.2 to 6.5 MN m-3/2.
Torsional instability of femoral components has not received much attention, and is difficult to detect in conventional radiographs. To test this we designed a system to apply a load in an anteroposterior direction to the head of a femoral component, implanted into a cadaveric femur. Rotation within the bone was measured, using a purpose built transducer, with and without preservation of the neck, with and without cement, and with longitudinal ridges but no cement. The results show that torsional instability may be a problem in uncemented replacement. Preservation of the femoral neck and the use of a ridged prosthesis increases resistance to rotation. Rotational movements occurring in vivo during such activities as climbing stairs and rising from the seated position may contribute to mechanical loosening.
We describe a method of testing hip prostheses. The prosthesis is implanted in a proximal section of femur, which is loaded to model the forces applied through the acetabulum via the greater trochanter.
The application of synthetic materials for bone replacement is now well established, but it is recognized that mechanical compatibility, as well as biocompatibility, of the tissue and implant is required if stress shielding and consequent bone resorption is to be avoided at areas of fixation. The development of materials analogous to the natural tissue for longer term implantation is discussed, with particular reference to hydroxyapatite reinforced polymers.
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As cortical bone is a semi-brittle solid, its fracture is dependent not only on the magnitude of the applied stress, but also on the nature of any intrinsic or introduced cracks. Consequently a variety of fracture mechanics techniques have been utilised to evaluate the fracture toughness of cortical bone, including the single edge notched, centre notched cylindrical and compact tension methods, and values have been established for the critical stress intensity factor (Kc) and the critical strain energy release rate (Gc). The Kc and Gc values obtained depend on the orientation of the cortical bone, as well as on bone density, the velocity of crack propagation and specimen geometry. The significance of these fracture mechanics parameters for cortical bone is critically reviewed.
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