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Questions and Answers

Which of the following is NOT an essential characteristic of metallic implants for orthopedic use?

  • High wear resistance
  • Low mechanical strength (correct)
  • Osseo-integration ability
  • No toxicity

Fretting fatigue occurs without any external influence on the surface of an implant.

False (B)

What is osseo-integration?

The ability of an implant to bond with host bone.

The accumulation of tiny microscale particles around a joint replacement leads to __________ loosening.

<p>aseptic</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Fatigue = Common problem from cyclic loading Aseptic loosening = Creation of fibrous tissue around implant Fretting fatigue = Cracks initiated by cyclic stress and friction Corrosion fatigue = Combination of fatigue and corrosion effects</p> Signup and view all the answers

Which of the following mechanical properties is primarily determined by the chemical bonding between atoms or molecules?

<p>Young's Modulus (B)</p> Signup and view all the answers

Elasticity refers to a material's ability to permanently deform under stress.

<p>False (B)</p> Signup and view all the answers

What is the term for the resistance of a material to crack propagation?

<p>Fracture Toughness</p> Signup and view all the answers

Hardness is often measured using the ______ or Brinnell hardness tests.

<p>Rockwell</p> Signup and view all the answers

Match the following mechanical properties with their definitions:

<p>Yield Strength = Transition from elastic to plastic deformation Elasticity = Return to original shape after deformation Hardness = Resistance to wear and friction Resilience = Energy stored elastically</p> Signup and view all the answers

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Study Notes

Role of Implant Biomaterials

  • Implants are used to recover physical function, specifically mechanical function, of tissues or organs.
  • Implants are designed to provide physical support, but they do not have other biological functions.

General Mechanical Properties

  • Implant biomaterials are subjected to complex mechanical environments in the body.
  • Common mechanical properties include Young's modulus, yield strength, ultimate tensile strength, fracture toughness, and elongation at break.
  • Young's modulus is determined by the chemical bonding of atoms and molecules and is important for predicting how a material will respond to stress.
  • Other mechanical properties such as yield strength, ultimate tensile strength, fracture toughness, and elongation at break are all influenced by the microstructure of the material.

Elasticity, Resilience, and Hardness

  • Elasticity refers to a material's ability to return to its original shape after deformation.
  • Resilience refers to the amount of energy a material can store during elastic deformation.
  • Hardness is a measure of the material’s resistance to wear and friction, which is often measured using the Rockwell or Brinnell hardness tests.

Failure

  • It's critical to understand the reasons behind material failure to ensure safe and effective biomaterial use.
  • The fracture mechanism depends on the working conditions and can be influenced by fatigue, stress corrosion cracking, or a combination of both.
  • Fatigue occurs when a material undergoes repeated stress cycles, which can lead to progressive structural damage.
  • Stress Corrosion Cracking is a sudden brittle fracture of normally ductile materials when exposed to tensile stress in a corrosive environment.

Essential Properties for Orthopedic Implants

  • Orthopedic implants must possess specific characteristics to function safely and successfully at load-bearing sites:
    • No Toxicity: This is synonymous with excellent corrosion resistance.
    • Suitable Mechanical Strength: The implant must be strong enough to withstand the forces experienced in the body.
    • High Wear Resistance: This prevents wear particles from causing inflammation and loosening of the implant.
    • Osseo-integration Ability: The implant must be able to bond with surrounding bone to prevent implant loosening.

Mechanical Working Environments of Implants

  • Fatigue: A common problem for orthopedic implants. Cyclic loading during activities like walking or running can lead to fatigue.
  • Fretting Fatigue and Corrosion Fretting Fatigue: Occur due to the combination of cyclic stress and friction in the implant's working environment.
    • Fretting Fatigue: Occurs when a foreign body is pressed against a material undergoing cyclic stress, producing oxide debris causing microscopic cracks at the contact site.
    • Corrosion Fatigue: A combination of fatigue and corrosion.

Wear of Joints

  • Wear is an inevitable problem in joint replacements, leading to aseptic loosening.
  • Wear particles attract macrophages, which engulf the particles and release enzymes and metabolites that damage the implant.

Osseo-Integration

  • Osseo-integration is the ability for an implant to bond to surrounding bone, essential for the longevity of permanent orthopedic implants.
  • Failure to osseo-integrate can lead to fibrous tissue formation around the implant, promoting loosening.
  • Factors such as surface chemistry, roughness, and topography influence osseo-integration.

Conclusion

  • The internal environment in the body is harsh for metallic materials, highlighting the need for biomaterial design that addresses mechanical and chemical challenges.

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