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      A Method for Evaluation the Fatigue Microcrack Propagation in Human Cortical Bone Using Differential X-ray Computed Tomography

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          Abstract

          Fatigue initiation and the propagation of microcracks in a cortical bone is an initial phase of damage development that may ultimately lead to the formation of macroscopic fractures and failure of the bone. In this work, a time-resolved high-resolution X-ray micro-computed tomography (CT) was performed to investigate the system of microcracks in a bone sample loaded by a simulated gait cycle. A low-cycle (1000 cycles) fatigue loading in compression with a 900 N peak amplitude and a 0.4 Hz frequency simulating the slow walk for the initialization of the internal damage of the bone was used. An in-house developed laboratory X-ray micro-CT imaging system coupled with a compact loading device were employed for the in situ uni-axial fatigue experiments reaching a 2 μ m effective voxel size. To reach a comparable quality of the reconstructed 3D images with the SEM microscopy, projection-level corrections and focal spot drift correction were performed prior to the digital volume correlation and evaluation using differential tomography for the identification of the individual microcracks in the microstructure. The microcracks in the intact bone, the crack formation after loading, and the changes in the topology of the microcracks were identified on a volumetric basis in the microstructure of the bone.

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          Some Comments on the Evaluation of Model Performance

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            Hip contact forces and gait patterns from routine activities.

            In vivo loads acting at the hip joint have so far only been measured in few patients and without detailed documentation of gait data. Such information is required to test and improve wear, strength and fixation stability of hip implants. Measurements of hip contact forces with instrumented implants and synchronous analyses of gait patterns and ground reaction forces were performed in four patients during the most frequent activities of daily living. From the individual data sets an average was calculated. The paper focuses on the loading of the femoral implant component but complete data are additionally stored on an associated compact disc. It contains complete gait and hip contact force data as well as calculated muscle activities during walking and stair climbing and the frequencies of daily activities observed in hip patients. The mechanical loading and function of the hip joint and proximal femur is thereby completely documented. The average patient loaded his hip joint with 238% BW (percent of body weight) when walking at about 4 km/h and with slightly less when standing on one leg. This is below the levels previously reported for two other patients (Bergmann et al., Clinical Biomechanics 26 (1993) 969-990). When climbing upstairs the joint contact force is 251% BW which is less than 260% BW when going downstairs. Inwards torsion of the implant is probably critical for the stem fixation. On average it is 23% larger when going upstairs than during normal level walking. The inter- and intra-individual variations during stair climbing are large and the highest torque values are 83% larger than during normal walking. Because the hip joint loading during all other common activities of most hip patients are comparably small (except during stumbling), implants should mainly be tested with loading conditions that mimic walking and stair climbing.
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              Practical cone-beam algorithm

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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Materials (Basel)
                Materials (Basel)
                materials
                Materials
                MDPI
                1996-1944
                11 March 2021
                March 2021
                : 14
                : 6
                : 1370
                Affiliations
                Institute of Theoretical and Applied Mechanics, Czech Academy of Sciences, Prosecka 809/76, 19000 Praha 9, Czech Republic; kytyr@ 123456itam.cas.cz (D.K.); fila@ 123456itam.cas.cz (T.F.); sleichrt@ 123456itam.cas.cz (J.S.); rada@ 123456itam.cas.cz (V.R.); zlamal@ 123456itam.cas.cz (P.Z.); benes@ 123456itam.cas.cz (P.B.); bendova@ 123456itam.cas.cz (V.B.); kumpova@ 123456itam.cas.cz (I.K.); vopalensky@ 123456itam.cas.cz (M.V.)
                Author notes
                [* ]Correspondence: koudelkap@ 123456itam.cas.cz
                Author information
                https://orcid.org/0000-0003-1798-6120
                https://orcid.org/0000-0001-7439-0580
                https://orcid.org/0000-0002-3908-7890
                https://orcid.org/0000-0002-8943-4117
                https://orcid.org/0000-0001-9663-4259
                https://orcid.org/0000-0002-7119-8160
                https://orcid.org/0000-0001-8556-4996
                https://orcid.org/0000-0002-9761-0328
                Article
                materials-14-01370
                10.3390/ma14061370
                8001655
                d6f2f80b-1f70-47aa-a018-72465941fc58
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 15 February 2021
                : 08 March 2021
                Categories
                Article

                human cortical bone,low-cycle fatigue,microcracks,digital volume correlation,computed tomography

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