Imaging of the Microstructural Failure Mechanism in the Human Hip.

dc.contributor.authorMartelli, S.
dc.contributor.authorPerilli, E.
dc.date.issued2023
dc.description.abstractImaging the bone microstructure under progressively increasing loads allows for observing the microstructural failure behavior of bone. Here, we describe a protocol for obtaining a sequence of three-dimensional microstructural images of the entire proximal femur under progressively increasing deformation, causing clinically relevant fractures of the femoral neck. The protocol is demonstrated using four femora from female donors aged 66-80 years at the lower end of bone mineral density in the population (T-score range = -2.09 to -4.75). A radio-transparent compressive stage was designed for loading the specimens replicating a one-leg stance, while recording the applied load during micro-computed tomography (micro-CT) imaging. The field of view was 146 mm wide and 132 mm high, and the isotropic pixel size was 0.03 mm. The force increment was based on finite-element predictions of the fracture load. The compressive stage was used to apply the displacement to the specimen and enact the prescribed force increments. Sub-capital fractures due to opening and shear of the femoral neck occurred after four to five load increments. The micro-CT images and the reaction force measurements were processed to study the bone strain and energy absorption capacity. Instability of the cortex appeared at the early loading steps. The subchondral bone in the femoral head displayed large deformations reaching 16% before fracture, and a progressive increase in the support capacity up to fracture. The deformation energy linearly increased with the displacement up to fracture, while the stiffness decreased to near-zero values immediately before fracture. Three-fourths of the fracture energy was taken by the specimen during the final 25% force increment. In conclusion, the protocol developed revealed a remarkable energy absorption capacity, or damage tolerance, and a synergic interaction between the cortical and trabecular bone at an advanced donor age.
dc.description.statementofresponsibilitySaulo Martelli, Egon Perilli
dc.identifier.citationJournal of Visualized Experiments, 2023; 199(199):e64947-1-e64947-14
dc.identifier.doi10.3791/64947
dc.identifier.issn1940-087X
dc.identifier.issn1940-087X
dc.identifier.urihttps://hdl.handle.net/2440/142201
dc.language.isoen
dc.publisherMyJove Corporation
dc.relation.granthttp://purl.org/au-research/grants/arc/FT180100338
dc.relation.granthttp://purl.org/au-research/grants/arc/IC190100020
dc.rights© 2023 JoVE Journal of Visualized Experiments
dc.source.urihttps://doi.org/10.3791/64947
dc.subjectbone microstructure; microstructural failure
dc.subject.meshFemur
dc.subject.meshFemur Neck
dc.subject.meshHumans
dc.subject.meshBone Density
dc.subject.meshFinite Element Analysis
dc.subject.meshFemale
dc.subject.meshFractures, Bone
dc.subject.meshX-Ray Microtomography
dc.titleImaging of the Microstructural Failure Mechanism in the Human Hip.
dc.typeJournal article
pubs.publication-statusPublished

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