PubMed · 12363291
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Mike D Hughes, Roger M Bartlett. 2002. Performance analysis.. https://doi.org/10.1080/026404102320675594
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Additives that provide stress relief may be incorporated into dental composites to reduce contraction stress (CS). This study attempted to test the hypothesis that conventional fillers could be replaced by high-density polyethylene (HDPE) spheres in hybrid and nanofill composites to reduce CS, but with minimal effect on mechanical properties. Nanofill and hybrid composites were made from a Bis-GMA/TEGDMA resin having either all silica nanofiller or 75 wt.% strontium glass + 5 wt.% silica and replacing some of the nanofiller or the glass with 0%, 5% (hybrid only), 10% or 20 wt.% HDPE. The surface of the HDPE was either left untreated or had a reactive gas surface treatment (RGST). Contraction stress (CS) was monitored for 10 min in a tensilometer (n = 5) after light curing for 60 s at 390 mW/cm(2). Other specimens (n = 5) were light cured 40 s from two sides in a light-curing unit and aged 1 d in water before testing fracture toughness (K(Ic)), flexure strength (FS), and modulus (E). Results were analyzed by ANOVA with Tukey's multiple comparison test at p < 0.05. There was no difference between composites with RGST and untreated HDPE except for FS-10% HDPE hybrid (RGST higher). An increased level of HDPE reduced contraction stress for both types of composites. Flexure strength, modulus (hybrid only), and fracture toughness were also reduced as the concentration of HDPE increased. SEM showed evidence for HDPE debonding and plastic deformation during fracture of the hybrid composites. In conclusion, the addition of HDPE spheres reduces contraction stress in composites, either through stress relief or a reduction in elastic modulus.
OBJECTIVES: To measure the strength at tearing of pelvic ligaments used in the cure of prolapse and urinary incontinence. MATERIAL AND METHODS: We performed our measurements on pelvis ligaments from cadaveric specimens. We dissected 29 human female pelvis cadavers of which storage conditions differed. Ten were frozen, 10 fresh and 9 were stored in formalin. In each cadaver we dissected pre-vertebral ligaments at promontory and right and left symmetrical ligaments. These were the iliopectineal, sacrospinous and arcus tendineus of pelvic fascia. A subjective clinical evaluation of the ligament properties was performed by visual observation as well as finger palpation. Ligaments were classified into three groups. Group A contained high quality ligaments, in terms of thickness and apparent strength following finger palpation. Ligaments of doubtful quality were classified in group B and low apparent quality ligaments in group C. Then the ligaments were stitched by a suture taking the entire ligament and a force was applied on the vagina axis until tearing. The device used for strength measurement during traction was a SAMSON type force gauge, model EASY, serial number SMS-R-ES 300N manufactured by Andilog that was developed for the purpose of our study. Measurements were given in Newton (N). RESULTS: There was a great variability in the values obtained at tearing with minimal values at around 20N and maximal values at 200N. Individually measured, ligament strength varied between individuals, and for the same patient between the type of ligaments and the side. The pre-vertebral ligament was on average the strongest. There was no significant difference according to the storage condition except for the pre-vertebral ligament in formalin cadavers. For bilateral ligaments, there was no difference between the left and right side. The iliopectineal ligament was statistically significantly stronger than the sacrospinous and arcus tendineus of pelvic fascia. There was a correlation between subjective evaluation and objective strength measurements. DISCUSSION: No papers have been published on the strength of pelvic ligaments at tearing. These are however routinely used in the cure of prolapse and urinary incontinence. Our results show that there is a great variability in strength between individuals, and for a same patient between the types of ligaments and side. These observations could explain some of the surgical intervention failures and demonstrate the importance of per-operative strength evaluation. Per-operative subjective evaluation of strength is related to objective measurements and could be used to determine the type of ligaments to be used for surgical suspension. Freezing does not damage pre-vertebral ligament strength and further studies are required to evaluate elasticity of pelvic ligaments.
STUDY DESIGN: Using a validated finite element model, the biomechanical effects of pars defect in a lumbar segment with and without different degrees of slip (up to 50% slip) were studied. OBJECTIVES: To study the effects of slip severity and loading parameters on the stability of the lytic and adjacent motion segments. Better knowledge of the biomechanics of spondylolisthesis may help formulate treatment strategies such as bracing or spinal implants. SUMMARY OF THE BACKGROUND DATA: Clinically, spondylolisthesis exists in varying grades of anterior slip, and the biomechanical stability of the motion segments at the lytic defect and adjacent level probably varies as well. In vitro studies of L4-L5 and L5-S1 isthmic spondylolisthesis slips have concluded that an L4-L5 pars defect is more unstable than an L5-S1 pars defect. Comparing the stability of lytic motion segments with different grades of spondylolisthesis is difficult to do experimentally and therefore has not been done. Further assessing the stresses in the bone and intervertebral discs at or adjacent to a lytic defect is also difficult to study experimentally, so no data are available. METHODS: A finite element model of L4-S1 was validated with and without a pars defect at L5. The model was then revised to represent different degrees of slip at L5, and six different moment loadings were applied. RESULTS: The current study showed larger decrease in stiffness with increasing percent slip. The decrease in disc stiffness and increase in disc stresses with increasing percent slip were larger at the level of spondylolisthesis as compared to the changes in the adjacent segment. Lateral bending moment and torsion load showed the largest decrease in stiffness due to slip. At 50% slip, the maximum increase in motion (as compared to motion in an intact segment) was seen under lateral bending moment load (about 55% at L4/L5 and 250% at L5/S1). Lateral bending also produced the largest increase in stresses due to 50% slip in the anulus and endplates (300% increase in anular stress and 190% increase in endplate stress) at L5/S1. CONCLUSIONS: The stiffness of a spondylolisthetic motion segment decreases as the slip increases. Lateral bending and torsion are moment directions causing the greatest resulting motions.