2018
DOI: 10.1302/2046-3758.78.bjr-2018-0025.r1
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Standardizing compression testing for measuring the stiffness of human bone

Abstract: ObjectivesThe ability to determine human bone stiffness is of clinical relevance in many fields, including bone quality assessment and orthopaedic prosthesis design. Stiffness can be measured using compression testing, an experimental technique commonly used to test bone specimens in vitro. This systematic review aims to determine how best to perform compression testing of human bone.MethodsA keyword search of all English language articles up until December 2017 of compression testing of bone was undertaken in… Show more

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Cited by 79 publications
(59 citation statements)
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References 207 publications
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“…The value of E obtained by compression test is lower than expected (of 15-20 GPa). This can be explained by the fact that we do not measure the Young's modulus of the bone specimen but an apparent modulus because the deformation in the linear portion of the stress-strain curve is not purely elastic 35 .…”
Section: Discussionmentioning
confidence: 99%
“…The value of E obtained by compression test is lower than expected (of 15-20 GPa). This can be explained by the fact that we do not measure the Young's modulus of the bone specimen but an apparent modulus because the deformation in the linear portion of the stress-strain curve is not purely elastic 35 .…”
Section: Discussionmentioning
confidence: 99%
“…During compression tests, it is difficult to accurately mimic the degree of constraint conferred by neighbouring bone tissue. In our study, the bone specimens were loaded in an unconfined manner which is a recommended method for measuring mechanical properties of bone and to facilitate comparison with existing literature .…”
Section: Discussionmentioning
confidence: 99%
“…Specimens were kept in gauze saturated in phosphate buffered saline (PBS), to ensure they were hydrated at all times, and stored at −30 °C until mechanical testing. [39] Quantifying Bone Density from CT Scan: Inclusion of a phantom in the CT scans allowed for a robust calibration of qCT Hounsfield units (HU) to apparent density. This process followed previous methods whereby regression of the HU values for the phantom materials in the scan and the known densities of the phantom results in a linear relationship between HU and calibrated density ρ CT when water content and displaced volume of phosphate in the phantom was accounted for.…”
Section: Methodsmentioning
confidence: 99%
“…The cubes had dimensions chosen to comply with existing protocols for testing porous structures. [ 8,39 ] Cubes were removed from both the medial and lateral sides of the proximal tibia, across three layers of material spanning material 30 mm below the tibial plateau.…”
Section: Methodsmentioning
confidence: 99%
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