Question 441
Topic: Biomechanics & BiomaterialsIn designing an intramedullary nail, if the solid cross-sectional radius of the nail is increased by 10%, how is its torsional rigidity affected?
Correct Answer & Explanation
. It increases by 46%
Practice Set 23 of 88
This practice set contains high-yield board review questions covering key concepts in Biomechanics & Biomaterials. Each clinical scenario is designed to test your diagnostic and management skills relevant to this subspecialty.
In designing an intramedullary nail, if the solid cross-sectional radius of the nail is increased by 10%, how is its torsional rigidity affected?
. It increases by 46%
. Titanium alloy
. Decreased fatigue resistance and fracture toughness
A ligament graft used for anterior cruciate ligament (ACL) reconstruction elongates over time when subjected to a constant physiological load. This time-dependent biomechanical property is best described as:
. Creep
A surgeon decides to use a solid intramedullary nail instead of a hollow nail of the same outer diameter. According to the polar moment of inertia, how does increasing the inner diameter (hollowing the nail) affect its torsional rigidity?
. It decreases proportionally to the inner radius to the fourth power
A patient requires revision of a femoral shaft fracture nonunion. The original stainless steel plate is left in place, and a titanium screw is used for supplementary fixation. Which of the following processes is most likely to occur at the interface of these two metals?
. Galvanic corrosion
Polymethylmethacrylate (PMMA) is utilized for implant fixation in a cemented total knee arthroplasty. Which of the following statements regarding the properties of PMMA is accurate?
. It functions as a grout, relying on mechanical interlock for fixation.
Which of the following best describes the mechanical behavior of cortical bone, whereby its strength and stiffness increase as the rate of loading increases?
. Viscoelasticity
Cortical bone demonstrates different mechanical properties depending on the direction of the applied load. It is stronger in longitudinal compression than in transverse loading. Which biomechanical term best defines this property?
. Anisotropy
A surgeon plans to perform a revision fixation using a stainless steel plate adjacent to an existing titanium screw. Which of the following complications is most likely to occur due to the combination of these two different metals in a physiologic environment?
. Galvanic corrosion
Which of the following non-collagenous bone matrix proteins is vitamin K-dependent and plays a major role in regulating bone mineralization by binding to calcium and hydroxyapatite?
. Osteocalcin
In a stress-strain curve for a metallic implant, the point at which the material ceases to deform elastically and begins to deform permanently is known as which of the following?
. Yield point
Rank the following materials in order of decreasing Young's modulus (stiffness):
. Stainless Steel > Titanium > Cortical bone > PMMA
On a standard stress-strain curve for cortical bone, the specific point at which the material ceases to deform elastically and begins to undergo permanent plastic deformation is defined as the:
. Yield point
A polyethylene component of a total knee prosthesis subjected to a constant physiological load over time undergoes a progressive increase in strain (deformation). This viscoelastic biomechanical phenomenon is known as:
. Creep
Which of the following combinations of orthopedic implant materials is most strongly contraindicated for direct contact due to the high risk of clinically significant galvanic corrosion?
. Stainless steel and Titanium
An orthopedic implant subjected to cyclic loading below its ultimate tensile strength eventually fractures due to microcrack propagation. What term describes the maximum stress level below which a material can endure an infinite number of cycles without failure?
. Endurance limit
Which of the following correctly ranks common orthopedic materials from the highest to the lowest Young's modulus (stiffness)?
. Cobalt-chromium > Stainless steel > Titanium > Cortical bone
Tendons and ligaments exhibit viscoelastic properties. Which of the following terms describes the phenomenon where the load required to maintain a constant deformation decreases over time?
. Stress relaxation
On a stress-strain curve for cortical bone, the area under the entire curve up to the point of failure represents which of the following mechanical properties?
. Toughness