Question 541
Topic: Biomechanics & BiomaterialsThe progressive deformation of a polyethylene tibial insert over time under a constant static load is an example of which biomechanical principle?
Correct Answer & Explanation
. Creep
Practice Set 28 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.
The progressive deformation of a polyethylene tibial insert over time under a constant static load is an example of which biomechanical principle?
. Creep
When adding antibiotics to polymethylmethacrylate (PMMA) bone cement, which of the following characteristics is essential for the antibiotic to be effective?
. Heat stability
A viscoelastic orthopedic implant is subjected to a constant, sustained load over several years, resulting in a slow, progressive deformation of the material. This biomechanical phenomenon is best described as:
. Creep
Combining a 316L stainless steel screw with a titanium alloy plate in a fracture construct increases the risk of implant failure due to which specific type of corrosion?
. Galvanic corrosion
. Decreased fatigue strength and fracture toughness
When incorporating an antibiotic into polymethylmethacrylate (PMMA) bone cement for an infected arthroplasty spacer, which specific property of the antimicrobial agent is most vital to ensure it remains active after the cement cures?
. Thermostability
When applying a locked plate to a highly comminuted diaphyseal fracture, what is its primary biomechanical advantage over a standard, non-locked dynamic compression plate?
. It functions as a fixed-angle construct that does not rely on plate-to-bone friction
Stress shielding around a femoral stem is primarily caused by a mismatch in stiffness between the implant and the surrounding bone. Which of the following sequences represents the correct order of Young's modulus of elasticity from greatest to least?
. Cobalt-chromium > Stainless steel > Titanium alloy > Cortical bone
A patellar tendon graft is used for ACL reconstruction and is tensioned on the back table. Over time, while held at a constant tension, the graft gradually elongates. Which biomechanical property does this describe?
. Creep
. Abrasive and adhesive wear
Mixing stainless steel and titanium implants within the same surgical construct can lead to galvanic corrosion. In this scenario, what happens to the stainless steel component?
. It acts as the anode and undergoes accelerated corrosion
A researcher is studying the mechanical properties of different orthopedic materials compared to human cortical bone. Which of the following implant materials possesses a Young's modulus (modulus of elasticity) that is closest to that of cortical bone?
. Titanium alloy (Ti-6Al-4V)
During an anterior cruciate ligament reconstruction, the surgeon pulls the soft-tissue graft under a constant load for several minutes before final fixation. The graft gradually lengthens during this period. Which viscoelastic property does this demonstrate?
. Creep
A patient presents with a symptomatic nonunion of a femoral shaft fracture initially treated with a stainless steel plate. The surgeon plans to revise the fixation using a titanium plate and the existing stainless steel screws. Why is this construct contraindicated?
. Risk of galvanic corrosion
When preparing antibiotic-loaded polymethylmethacrylate (PMMA) bone cement for a two-stage revision of an infected total hip arthroplasty, which of the following antibiotics is best suited for incorporation due to its thermal stability and elution profile?
. Tobramycin
In a standard stress-strain curve for a metallic orthopedic implant, what does the slope of the curve in the linear elastic region represent?
. Young's modulus
During an ACL reconstruction, a hamstring tendon graft is tensioned and secured at a constant length. Over the first few minutes, the tension within the graft decreases. This viscoelastic phenomenon is known as:
. Stress relaxation
On a standard stress-strain curve for a structural material such as metal or bone, the point at which the material transitions from completely reversible elastic deformation to permanent plastic deformation is known as the:

. Yield point
. Decreased ductility and fracture toughness
Galvanic corrosion occurs when two dissimilar metals are in contact within a conductive fluid environment. Which factor primarily dictates the severity and direction of this corrosive process?
. The difference in electrochemical potential between the two metals