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The compressive strength of articular cartilage.

Articular cartilage provides the smooth bearing surfaces in freely moving (synovial) joints. Its mechanical properties are important because structural failure of cartilage is closely associated with joint disorders, including osteoarthritis. Some mechanical properties of cartilage are well characterized, but little is known about its compressive strength. A technique for measuring cartilage compressive strength is evaluated, and an overview of experiments which relate strength to stiffness and tissue hydration is given. Specimens of bovine articular cartilage-on-bone, approximately 15 mm square, were loaded on a hydraulic materials testing machine using flat impermeable indentors. Linear-ramp loading/unloading cycles of 1 s duration, and of increasing severity, were applied until failure was evident on force-displacement graphs. Some specimens were tested following a 30 min period of creep loading. Inkstaining and histology were used to locate the site of initial damage to each specimen. Specimen failure occurred first in the cartilage surface layer at a nominal applied stress of 14-59 MPa (mean 35.7 MPa). Mechanical properties were little affected by specimen or indentor size, provided both remained within defined limits, and compressive strength could be measured to an accuracy of approximately +/- 5 per cent. Compressive stiffness was a significant predictor of strength, but only if it was measured at high levels of stress. Strength increased following creep-induced water loss, and initial mechanical damage could propagate under moderate cyclic loading. This technique for measuring cartilage compressive strength has potential for investigating the causes of cartilage failure in vivo.

Animals

A comparison of the compressive strength of calcium hydroxide based lining materials.

This in vitro study investigated the compressive strength of five commercially available calcium hydroxide based lining materials and a resin bonded zinc oxide/eugenol material under varying conditions of temperature and relative humidity and at various ++time intervals after mixing. The results of the study showed that the calcium hydroxide liners could be consistently ranked in order with Dycal most frequently having the highest and either Life or Renew having the lowest compressive strength at all time intervals examined. Under simulated clinical conditions all the materials tested with the exception of Life and Renew had sufficient compressive strength 3 minutes after mixing to withstand the force of amalgam condensation.

Calcium Hydroxide

Thermocycling--the effects upon the compressive strength and abrasion resistance of three composite resins.

The purpose of this investigation was to examine the effects of thermocycling upon the compressive strength and abrasive wear resistance of three commercial composites Fulfil, P-50 and Herculite-XR. Specimens of each material were divided into five treatment groups comprising a control, and four different cycling and storage regimes. Tests for compressive strength and wear resistance were carried out. Prior to testing all specimens were stored in distilled water for 1 week. Three groups were stored at a temperature of 37 degrees C and the remaining two at 60 degrees C. Thereafter all groups that were thermocycled were subjected to 750 cycles of a thermocycling regime consisting of the cycle ACAB where A and B represent the fixed temperatures of 37 degrees C and 5 degrees C, and C, depending upon the treatment group, either 50 degrees C or 60 degrees C. One-way analyses of variance upon the compressive strength and wear factor data following the treatments highlighted significant differences in the mean compressive strength for all materials (Fulfil (P < 0.05), P-50 and Herculite-XR (P < 0.01)) and in the wear factor values for only Fulfil and P-50 (P < 0.001). Surprisingly, thermocycling P-50 with an upper temperature limit of 50 degrees C had catastrophic consequences upon the measured properties. It is concluded that some of the observed behaviour may have potentially detrimental consequences upon the long-term clinical durability of the materials tested.

Analysis of Variance

[Experimental research on the quantitative computed tomographic prediction of the compressive strength of the thoracolumbar vertebrae].

Testing 98 motion segments we investigated the possibility of a prediction of the compressive strength of thoracolumbar vertebrae by QCT. The ultimate compressive strength can be predicted from the density of the trabecular bone and from the size of the endplates--both determined by QCT--with an error of 1 kN. The increase of compressive strength in craniocaudal direction is calculated at approximately 0.3 kN per anatomical level. This variation is due to the increase of the endplate areas.

Adult

[Effects of the mode of ceramization on the compressive strength of Dicor crowns. A laboratory study].

The critical compressive strength of cast glass-ceramic samples with a standardised shape was evaluated as a function of the ceramization temperature. The maximum critical compressive stress was obtained under conditions prescribed by the manufacturer. After under- and overceramization by only 6 degrees C, as well as after repeated ceramization, the critical compressive strength was decreased significantly (p less than or equal to 0.05) by about 13-24%.

Ceramics

Compressive strengths of a new foil and porcelain-fused-to-metal crowns.

This study evaluated the compressive strengths of Renaissance foil and porcelain-fused-to-metal crowns on polycarbonate test dies. Both crown types were veneered with feldspathic porcelain. The compressive strength of the PFM crowns, 1895 +/- 317 N, was statistically higher than that of the Renaissance foil crowns, 1060 +/- 89 N. Comparison of the Renaissance foil crown's compressive strength to published biting forces indicated that the Renaissance crown should function without difficulty.

Crowns

The effects of mixing capsule geometry on the early compressive strength of dental amalgam.

Three dental amalgams were mixed in a number of different mixing capsules. Compressive strength specimens were prepared using a clinically relevant technique and tested at 1 h and 7 days. The results showed that the early compressive strength of an alloy was influenced by the mixing capsule, and suggested that internal capsule geometry may be an important contributory factor in capsule performance. With one exception, there was a marked difference between the compressive strengths produced under the present method and those reported by manufacturers under test conditions laid down in standards specifications.

Capsules

Prediction of thoracic and lumbar vertebral body compressive strength: correlations with bone mineral density and vertebral region.

The bone density of thoracolumbar vertebral columns (T1 to L5) from 18 individuals was measured using quantitative computed tomography and dual energy x-ray absorptiometry. Three hundred six isolated vertebral bodies were tested in a materials test device to determine their compressive strength. Between T1 and L5 the mean segmental increase in bone mineral content was 0.3 g, while the corresponding mean decrease in trabecular density was 4.7 HU. Midvertebral body cross-sectional area increased by an average of 46 mm2 per segment and the mean segmental increase in compressive strength was 0.17 kN. Compressive strength was significantly correlated with bone mineral density measured with dual energy x-ray absorptiometry (r = 0.86). Vertebral trabecular density samples measured with quantitative computed tomography were poorly correlated with compressive strength (r = 0.28); however, this was improved when the trabecular density was multiplied by the midvertebral body cross-sectional area (r = 0.83). This study provides information concerning the relationships between density and mechanical properties of all thoracic and lumbar vertebral bodies across a wide age range. While the load-bearing capacity of the vertebral bodies is largely dependent on their geometry and bone density, this relationship has been only extensively tested for the lumbar spine. This study extends these observations over the lumbar and thoracic regions to provide a comprehensive analysis of the strength characteristics of each vertebral body. This is particularly important given the paucity of data on the thoracic spine where age-related vertebral fractures predominate. These data provide a basis for the development of models to predict the potential for thoracolumbar fractures in the elderly vertebral column.

Absorptiometry, Photon

Improvement of the mechanical properties of new calcium phosphate bone cements in the CaHPO4-alpha-Ca3(PO4)2 system: compressive strength and microstructural development.

The hardening properties of calcium phosphate cements in the CaHPO4-alpha-Ca3(PO4)2 (DCP-alpha-TCP) system have been investigated with interest focused on the compressive strength and microstructure development. Previous studies have shown that the addition of CaCO3(CC) leads to a modification of the calcium-deficient apatite structure of the reaction product, which results in a material more similar to the apatite in bone mineral. The addition of 10% w/w of CC to the initial DCP-alpha-TCP powder mixture resulted, with time, in a retardation of the development of compressive strength. However, the optimum compressive strength reached values up to 40% higher than CC-free samples. This retarding effect also has been monitored as a function of the calcium to phosphorus (Ca/P) ratio of the DCP and alpha-TCP mixture, showing the importance of the final cement properties of the relative quantities of the reactants in the mixture.

Bone Cements

Bone strength measurements at the proximal tibia. Penetration tests and epiphyseal compressive strength.

Three penetration tests were obtained from corresponding locations at each condyle of 19 proximal tibiae. The patterns of condylar cancellous bone strength varied little between knees. The medial condyle was the strongest with an average medial to lateral strength ratio of 1.9, and in most knees the medial condyle was strongest centrally while the lateral condyle was strongest posteriorly. The penetration strength at 5 successive 2 mm levels beneath the resected subchondral surface also showed a constant pattern of variation. Bone strength decreased significantly at first except at the posterolateral site, then tended to level off. The reduction of strength was most pronounced in the centre of the condyles. The penetration tests were good predictors of the static compressive strength of the proximal tibia. Correlation coefficients of approximately 0.90 were obtained indicating statistically highly significant correlations (p less than or equal to 0.00001). The tests were carried out with equipment developed for in vivo measurements of cancellous bone strength during total knee replacement. The findings confirm the close relationship of these investigations to conventional compression tests.

Aged

Compressive strength, ash weight, and volume of vertebral trabecular bone in experimental fluorosis in pigs.

The aim of the investigation was to measure the effect of fluoride on vertebral trabecular bone compressive strength and to correlate this with fluoride-induced changes in bone density. This correlation would express changes in the quality of bone during fluoride treatment. Pigs were used in the experiment because their trabecular bone structure and remodeling sequences are very similar to the human. Eight animals receiving a supplement of 2 mg F-/kg b.w. per day from age 8-14 months were compared with 8 control animals. Morphologic measurements in the animals receiving fluoride supplement showed a significant increase of 17% in bone density and a smaller, insignificant increase of 3% in ash weight analyses. Meanwhile, the mechanical parameters for the fluorotic animals were unchanged (maximum compressive strength, maximum stiffness, and energy-absorption capacity) or decreased (normalized compressive strength = maximum compressive load corrected for ash density). It is concluded that the increased bone mass during the initial stages of fluoride treatment does not necessarily indicate an improved bone quality. The discrepancy between bone mass and strength could be either a permanent or a temporary phenomenon and requires further investigation.

Animals

Effect of fitting adjustments on compressive strength of a new foil crown system.

The effect of die spacing and precementation internal adjustments on the compressive strength of a new ceramic foil crown system was examined in vitro. Twenty-four ceramic foil crowns were made for identical stylized master dies made of polycarbonate filled with 30 wt% carbon. One half of the stone working dies were coated with die spacer and the remaining were left untreated. A special foil used for these crowns was adapted to the working dies under 2500 psi loading. A sculpturing device was used to standardize the size and shape of the ceramic foil crowns. Only crowns made on dies coated with die spacer received precementation fitting adjustment. All crowns in the two groups were cemented with zinc phosphate cement and were subjected to compressive force until fracture occurred. Compressive strength data were analyzed and compared. Results showed that the use of die spacer and internal adjustments increased the compressive strength of the new ceramic foil crown.

Crowns

Examination of the test for compressive strength applied to zinc oxide eugenol cements.

The distribution of compressive strength results for a zinc oxide eugenol cement is negatively skewed. However, removal of a small number of outlying low results converts the distribution to a normal one. Crosshead speed and friction at the anvil have no significant effect on results, but compressive strength is a function of the diameter-length ratio of the cylinder and increases with this ratio.

Dental Stress Analysis

The effect of adhesive luting agent-dentinal surface interactions on compressive strength of two types of all-ceramic crowns.

This research compared the compressive strength of two types of all-ceramic crown (Hi-Ceram and Duceram) as affected by selected luting cements (Zn phosphate, glass ionomer and composite resin cement). Thirty crowns of similar size and shape were constructed (15 crowns of each tested material) to fit a standard posterior tooth preparation. Five crowns from each material were cemented by one of the tested cements. The cemented crowns were loaded until catastrophic failure. A two-way analysis of variance was performed and showed that the type of utilized cement had a significant effect on the compressive strength being that Panevia Ex. resin cement the most effective one followed by glass ionomer and then finally zn phosphate cement. Statistical analysis also showed that Hi-Ceram crowns were more resistant to occlusal load than Duceram.

Aluminum Oxide

Differences between the tensile and compressive strengths of bovine tibial trabecular bone depend on modulus.

The conflicting conclusions regarding the relationship between the tensile and compressive strengths of trabecular bone remain unexplained. To help resolve this issue, we compared measurements of the tensile (n = 22) and compressive (n = 22) yield strengths, and yield strains, of trabecular bone specimens taken from 38 bovine proximal tibiae. We also studied how these failure properties depended on modulus and apparent density. To enhance accuracy, trabecular orientation was controlled, and each specimen had a reduced section where strains were measured with a miniature extensometer. We found that the mean yield strength was 30% lower for tensile loading. However, the difference between individual values of the tensile and compressive strengths increased linearly with increasing modulus and density, being negligible for low moduli, but substantial for high moduli. By contrast, both the tensile and compressive yield strains were independent of modulus and density, with the yield strain being 30% lower for tensile loading. Thus, the difference between the tensile and compressive strengths of bovine tibial trabecular bone depends on the modulus, but the difference between yield strains does not. This phenomenon may explain in part that conflicting conclusions reached previously on the tensile and compressive strengths of trabecular bone since the mean modulus has varied among different studies. Realizing that our data pertain only directly to bovine tibial trabecular bone for longitudinal loading, our results nevertheless suggest that failure parameters based on strains may provide more powerful and general comparisons of the failure properties for trabecular bone than measures based on stress.

Animals

Experimental correlation between T2* and ultimate compressive strength in lumbar porcine vertebrae.

RATIONALE AND OBJECTIVES: The authors used magnetic resonance (MR) imaging to investigate the correlation between T2* measurements of trabecular bone and the ultimate compressive strength of lumbar porcine vertebrae. METHODS: Five pigs that weighted 25-32 kg were sacrificed and imaged with a 1.5-T MR system. T2* of the lumbar vertebrae was measured from gradient-echo images. The vertebrae were individually compressed at a fixed speed in the direction of the spine until crushed. The maximum load a vertebra could resist was recorded. RESULTS: T2* ranged from 7.1 to 14.5 msec. T2* determined from 5-mm coronal sections differed from that determined from axial and sagittal sections (P < .05). Between 2.9 and 5.4 kN of force (296-550 kg) was needed to crush a vertebra. A linear correlation between the ultimate compressive strength and T2* of all vertebrae was observed for all imaging planes and section thicknesses (P < .001, except for 10-mm sagittal images, for which P < .002). The T2* determined for the axial plane showed the best correlation with the ultimate compressive strength (r = -0.83). CONCLUSION: The correlation between T2* values and vertebral strength indicates that MR imaging may potentially be used to predict fracture risks in patients.

Animals

Risk of vertebral insufficiency fractures in relation to compressive strength predicted by quantitative computed tomography.

Vertebral insufficiency fractures may result from excessive loading of normal and routine loading of osteoporotic spines. Fracture occurs when the mechanical load exceeds the vertebral compressive strength, i.e., the maximum load a vertebra can tolerate. Vertebral compressive strength is determined by trabecular bone density and the size of endplate area. Both parameters can be measured non-invasively by quantitative computed tomography (QCT). In 75 patients compressive strength (i.e., trabecular bone density and endplate area) of the vertebra L3 was determined using QCT. In addition, conventional radiographs of the spines were analysed for the prevalence of insufficiency fractures in each case. By relating fracture prevalence to strength, three fracture risk groups were found: a high-risk group with strength values of L3 less than 3 kN (kilo Newton) and a fracture risk of 100%, an intermediate group with strength values from 3 to 5 kN and a steeply increasing risk with decreasing strength, and a low-risk group with strength values greater than 5 kN and a fracture risk near 0%. Biomechanical measurements and model calculations indicate that spinal loads of 3 to 4 kN at L3/4 will be common in everyday activities. These data and the results described above suggest that spines with strength values of L3 less than 3 kN are at an extremely high risk of insufficiency fractures in daily life. Advantages of fracture risk assessment by strength determination over risk estimation based on clinically used trabecular bone density measurements are discussed.

Adult