Background And Aims: To understand biomechanics of ligaments and tendons data on their material properties are necessary. The iliotibial tract is a suitable model for virtual pelvic or lower extremity ligaments due to its parallel fibers, which facilitates biomechanical testing. Here, we determined Young's modulus (YM) as secant stiffness between defined limits of the iliotibial tract and correlated the data to ultimate stress (US) of the specimens and to age, gender and body weight of the body donors.
Materials And Methods: Thirty eight specimens from 12 iliotibial tracts of 10 young donors (mean age 31.2±9.1 years) were investigated biomechanically. After preconditioning, YM were determined in the ranges of 0-4 and 4-11 N/mm² of applied stress and from 4N/mm² of applied stress to US.
Results: YM of the specimens were 84.7±30.2 (0-4 N/mm²), 335.4±101.9 (4-11 N/mm²), and 369.1±191.5 (4 N/mm² to US) N/mm², respectively. The mean US was 35.8±16.4 N/mm². YM and US correlated closely in the ranges of 4-11 N/mm² (r=0.95) and 4 N/mm² to US (r=0.91). YM did not correlate to age, body weight or gender within these young donors. Concerning tissue behavior a decrease of YM, i.e. weakening, is more common than an increase of YM, i.e. stiffening, before specimen failure. Overall, YM of specimens from young donors were significantly lower compared to those of old donors.
Discussion And Conclusions: This is the first study providing age-dependent nonlinear stiffness properties of the iliotibial tract. YM is significantly lower in young than in old donors and is thus a subject of alteration during life time.
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http://dx.doi.org/10.1016/j.jmbbm.2012.04.025 | DOI Listing |
Med Ultrason
December 2024
Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.
Am J Sports Med
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Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Münster, Germany.
Background: Increased tibial slope has been shown to lead to higher rates of anterior cruciate ligament graft failure. A slope-decreasing osteotomy can reduce in situ anterior cruciate ligament force and may mitigate this risk. However, how this procedure may affect the length change behavior of the medial ligamentous structures is unknown.
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November 2024
UCLouvain-IREC, Morphology Lab (MORF), Brussels, Belgium.
Head Neck
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Department of Otorhinolaryngology, Lariboisiere University Hospital, APHP Nord - Université De Paris, Paris, France.
Case Rep Orthop
April 2024
Department of Trauma and Orthopaedic Surgery, University Hospital Basel, Basel, Switzerland.
We report on a 77-year-old male patient, who presented with excessive bone loss at the area of the greater trochanter after several hip revision surgeries resulting in a persistent friction syndrome caused directly by the rough surface and sharp edges of the prosthetic shoulder of a well-fixed Wagner-type revision stem. Surgery was performed by creating a cemented neotrochanter with an attached polyester patch around the proximal lateral shaft and performing a Z-plasty of the iliotibial tract. Twelve months postoperatively, the patient reported a reduction in subjective pain of 50% and improvement of the Harris Hip Score from 45 to 75 points.
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