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226  BIOMECHANICS OF THE HUMAN BODY

                       increases and volume fraction decreases, the architecture becomes increasingly rodlike, and these
                       rods become progressively thin and can be perforated. Quantification of trabecular architecture with
                       the intent of understanding its role in the mechanical behavior of trabecular bone has been the
                       subject of intense research. In addition to calculating trabecular thickness, spacing, and surface-
                       to-volume ratio, stereological and three-dimensional methods may be used to determine the mean
                                                                                        17
                       orientation (main grain axis) of the trabeculae, connectivity, and the degree of anisotropy. While
                       earlier studies used two-dimensional sections of trabecular bone to perform these architectural
                       analyses, 18,19  more recent investigations use three-dimensional reconstructions generated by micro-
                       computed tomography and other high-resolution imaging techniques. 16,20–22


           9.4 MECHANICAL PROPERTIES OF CORTICAL BONE


                       TABLE 9.1  Anisotropic Elastic Properties of  Reflecting the anisotropy of its microstructure, the
                       Human Femoral Cortical Bone        elastic and strength properties of human cortical
                                                          bone are anisotropic. Cortical bone is both stronger
                       Longitudinal modulus (MPa)  17,900 (3900) ∗  and stiffer when loaded longitudinally along the
                       Transverse modulus (MPa)  10,100 (2400)  diaphyseal axis compared with the radial or circum-
                       Shear modulus (MPa)     3,300 (400)  ferential “transverse” directions (Table 9.1). Com-
                       Longitudinal Poisson’s ratio  0.40 (0.16)  paratively smaller differences in modulus and
                       Transverse Poisson’s ratio  0.62 (0.26)
                                                          strength have been reported between the radial
                         ∗                                and circumferential directions, indicating that
                         Standard deviations are given in parentheses.
                         Source: Data from Ref. 150.      human cortical bone may be treated as transversely
                                                          isotropic. This is probably a reflection of its evolu-
                                                          tionary adaptation to produce a material that most
                         TABLE 9.2  Anisotropic and
                         Asymmetrical Ultimate Stresses of   efficiently resists the largely uniaxial stresses that
                         Human Femoral Cortical Bone      develop along the diaphyseal axis during habitual
                                                          activities such as gait. Cortical bone is also stronger
                         Longitudinal (MPa)               in compression than in tension (Table 9.2). The
                          Tension          135 (15.6) ∗   percentage strength-to-modulus ratio for cortical
                          Compression      205 (17.3)     bone is about 1.12 and 0.78 for longitudinal com-
                                                          pression and tension, respectively. Compared with
                         Transverse (MPa)
                          Tension           53 (10.7)     high-performance engineering metal alloys such
                          Compression      131 (20.7)     as aluminum 6061-T6 and titanium 6Al-4V with
                         Shear (MPa)        65 (4.0)      corresponding ratios of about 0.45 and 0.73, respec-
                                                          tively, it is seen that cortical bone has a relatively
                           ∗
                            Standard deviations are given in parentheses.  large strength-to-modulus ratio. In this sense, it can
                           Source: Data from Ref. 150.
                                                          be considered a relatively high-performance mate-
                                                          rial, particularly for compression. It should be noted
                                                          that these properties only pertain to its behavior
                       when loaded along the principal material direction. If the specimen is loaded oblique to this, a trans-
                       formation is required to obtain the material constants. This consequence of the anisotropy can introduce
                       technical challenges in biomechanical testing since it is often difficult to machine bone specimens in
                       their principal material orientations.
                         From a qualitative perspective, human cortical bone is a linearly elastic material that fails at rel-
                       atively small strains after exhibiting a marked yield point (Fig. 9.4). This yield point is determined
                       according to standard engineering definitions such as the 0.2 percent offset technique and does not
                       necessarily reflect plasticity. However, when cortical bone is loaded too close to its yield point and
                       then unloaded, permanent residual strains develop (Fig. 9.5). Unlike the ultimate stresses, which are
                       higher in compression, ultimate strains are higher in tension for longitudinal loading. These longitu-
                       dinal tensile ultimate strains can be up to 5 percent in young adults but decrease to about 1 percent
                                10
                       in the elderly. Cortical bone is relatively weak in shear but is weakest when loaded transversely in
                       tension (see Table 9.2). An example of such loading is the circumferential or “hoop” stress that
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