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Wheeless' Textbook of Orthopaedics
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Visoelastic Materials



- Discussion:
    - exhibit stress / strain behavior that is time-rate dependent, and varies w/ the material, that
            is a function of the material's internal friction;
    - visoelastic materials are stiffer and stronger at high strain rates than at low strain rates;
            - for example in bone-ligament interface, slow rate of loading will result in
                    avulsion frx of bone but a fast rate of loading will cause ligament failure;
                    - hence, bone has a higher modulus of elasticity at higher strain rates;
    - ligaments are viscoelastic - that is, their stress-strain behavior is time-rate dependent,
            w/ elongation of ligament being more likely to occur with slower loading conditions;
            - rate of loading affects ultimate load to failure.
    - isotropic materials:
            - possess the same properties in all directions;
    - anisotropic materials:
            - have mechanical properties that vary w/ orientation of the loading;


- General Ligament Tensile Properties:
    - ligaments display visoelastic characteristics (time-rate dependent), with slow loading allowing
            more ligament elongation);
      - load elongation curve of bone ligament complex contains an initial low stiffness region (toe
            region) followed by a high stiffness region;
            - similar loading properties are found in the tendon;
    - ligaments and tendons have a non linear, strain stiffening structural response;
            - this may result from the crimp pattern collagen fibrils which elongate when small tensile loads are applied;
            - once the crimp pattern is unwound, larger forces are required to produce strain;
    - creep:
            - ligaments also possess characteristic creep properties (progressive elongation or change in
                    strain w/ constant load over time);
    - stress relaxation:
            - stress-relaxation properties (amount of stress measured in preloaded ligament decreases w/ time);
            - for   ACL, stress relaxation has been noted to stabilize at 80 % of the initial stress over time;
            - this property is demonstrated in scoliosis correction in which peak distraction forces can be
                    reduced by 50% because of vertebral soft tissue creep;
   

- Effects of Immobilization:
    - after immobilization, the resumption of joint motion leads to a slow reversal in the effects of
            immobilization on the structural properties of the FMTC and FATC;
    - these ultimate load and energy absorbed at failure of these two
            complexes reach 80% to 90% of control at one year;
    - histologic evidence of new bone formation at ligament insertion reveals that time required to
            return to normal is much longer than the immobilization period;
            - in contrast, material properties of the MCL substance returns to normal after nine weeks of remobilization;




  Viscoelastic properties of muscle-tendon units:   The biomechanical effects of stretching.
      Taylor DC, Dalton JD, Seaber AV, et al:   Am J Sports Med 1990;18:300-309.






Original Text by Clifford R. Wheeless, III, MD.