369 A model for fatigue crack propagation and remodelling in compact bone D Taylor and P J Prendergast Department of Mechanical Engineering, Trinity College, Dublin, Ireland Abstract: The process of fatigue in bone is of interest for a number of reasons. Fatigue damage in vivo can eventually lead to stress fracture, and may also act as a stimulus for bone remodelling and adaptation. The aim of this paper is to develop a theoretical model which describes the growth of fatigue cracks, especially of microcracks. The growth behaviour of microcracks is complicated by their interactions with the surrounding microstructure. This problem has been identified by researchers working on fatigue in engineering materials. Their work can be adapted to develop an equation in which the growth rate of cracks is related to applied stress conditions and also to a microstructural parameter, d, which is defined as the spacing of barriers to crack growth. The model can be used to generate stress/life data for comparison with in vitro fatigue experiments. It can also be used to investigate two hypotheses: that microcracking stimulates repair and that the level of fatigue damage can act as a signal to initiate adaptation processes of deposition or resorption. Keywords: fatigue, compact bone, cracks, remodelling, fracture mechanics NOTATION crack length rate constants used in the prediction of crack growth d microstructural unit, equal to the spacing of barriers to crack growth da/dN fatigue crack growth rate, per cycle F constant dependent on crack geometry m exponent used in the prediction of crack growth rate n, n∞ exponents used in the prediction of crack growth rate N number of cycles N number of cycles to failure f R stress ratio, equal to the minimum stress in the fatigue cycle divided by the maximum stress a C, C∞ DK DK Ds 1 th range of cyclic stress intensity, K threshold value of DK below which no crack growth occurs range of cyclic stress INTRODUCTION Compact bone is susceptible to failure when subjected to cyclic loading. Fatigue failures, also termed stress The MS was received on 17 July 1996 and was accepted for publication on 8 April 1997. H04996 © IMechE 1997 fractures, occur in vivo (1); fatigue cracking has been positively linked to remodelling responses to repair damage in osteonal bone (2) and has been proposed as a mechanism for bone adaptation processes such as deposition and resorption, which occur after changes in stress levels in vivo. An understanding of fatigue, and an ability to predict its effects, is clearly important. The aim of the present paper is to develop a theoretical model of fatigue in bone which can be applied to the prediction of stress fractures, remodelling and adaptation. A critical feature of this model is that it is based on the mechanism of fatigue damage, which is the growth of cracks. Many workers have measured fatigue in bone in vitro [e.g. references (3–5)] by subjecting samples to cyclic loading at prescribed amplitudes of stress or strain and noting the number of cycles to failure. These results show large amounts of scatter and variation from one test to another, some of which is due to differences in test protocol and some to real variations in bone’s properties. Figure 1 shows the mean line taken through data of Carter and Caler (3) which was recorded at a stress ratio R (defined as the ratio between minimum stress and maximum stress in the cycle) of −1. Such studies are important, but they provide limited information because they do not consider the mechanism of fatigue, which is the initiation and propagation of cracks. Other studies (6–8) have examined bone microscopically in order to describe the mechanism of cracking. It is found that cracks initiate very easily—in fact cracks approximately 50–100 mm long are already present in bone samples due to normal in vivo loading (9, 10). Microcracks tend to Proc Instn Mech Engrs Vol 211 Part H 370 D TAYLOR AND P J PRENDERGAST Fig. 1 Predicted S/N curve for bone at R=0 and R=−1, and experimental data (mean line) at R=−1 from Carter and Caler (3) initiate in regions of weakness and stress concentration in the microstructure, though currently there is little consensus on the details of their location. Martin and Burr (11) proposed that cracks in Haversian bone originate in extraosteonal material and grow around osteons in cement lines, whereas Vashishth et al. (12) reported that cracks can initiate within osteons. Cracking along cement lines and between lamellae is, however, more commonly observed (13). Eventually these cracks grow to such a length as to cause failure; Wright and Hayes (14) have measured the growth rates of macrocracks. But because initiation is relatively easy and microstructural features provide barriers to growth, the majority of life is spent in the microcrack stage. Martin and Burr (11) have drawn parallels with composite materials (e.g. carbon fibre reinforced polymers) and many workers have noted similar behaviour in metals (15, 16). There are always found to be certain microstructural features which act as barriers to crack growth. The nature of these features depends on the material; e.g. grain boundaries in metals, fibres or lamellar boundaries in composites. In Haversian bone the osteon boundary clearly impedes cracks, whether they originate inside the osteon or not (11, 12), so the cement line is an important barrier. Some workers [for example, Martin (10) and Prendergast and Taylor (17)] have developed theoretical models to describe bone remodelling and adaptation based on the cumulative damage approach, in which fatigue damage is defined as some single-valued function which increases during fatigue life. Damage parameters may be mechanistically based (e.g. crack number density, crack length density) or not (e.g. remaining life, reduction in stiffness). The present work follows current thinking in the analysis of fatigue in engineering materials, using the methods of fracture mechanics to describe the behaviour of individual cracks, with special emphasis on their interaction with the local microstructure. The objectives of the work Proc Instn Mech Engrs Vol 211 Part H are: to develop a theoretical model which quantitatively describes the rate of growth of a fatigue crack; to use this model to predict existing stress/life data in vitro; and to show how the model can be used to link microcracking with remodelling and adaptation phenomena. 2 METHODS The aim is to develop an equation for the fatigue crack growth rate, da/dN (in units of mm/cycle). Paris and Erdogan (18) showed that da/dN could be related to the range of stress intensity, DK, where DK=FDs(pa)1/2 (1) Here Ds is the range (maximum to minimum) of applied stress, a is the crack length and F is a geometric constant whose value depends on crack geometry and loading mode. In what follows, the theory is developed assuming a straight, surface crack, for which F=1.12. However, the same approach applies for all crack orientations with only the value of F changing. The Paris law, which has now been shown to apply for a wide range of materials (19, 20), is da/dN=C(DK )n (2) Here C and n are constants; Wright and Hayes (14) measured values for bone of C=1.3×10−5 mm/cycle and n=4.5. This approach, in common with most methods in fracture mechanics, is based on stress, rather than strain. In fact the equations can easily be reformatted in terms of cyclic strain, and this would be an equally valid way to proceed. But, assuming constant strain rate and temperature, there is a one-to-one relationship between stress and strain in bone, and in most bones fatigue is caused by a stress-based input, usually related to body weight. Equation (2) can be modified to include H04996 © IMechE 1997 A MODEL FOR FATIGUE CRACK PROPAGATION the presence of a threshold, DK th da/dN=C(DK−DK )n (3) th The threshold has not been measured for bone; an approximate value of 0.2 MPa(m)1/2 can be deduced by a standard theoretical method (see Appendix). In the present work this has only a very small effect on the final result and so its precise value is not critical. Unfortunately, equation (3) applies only to long cracks. Microcracks, which can be defined as cracks which are of the same order of size as the microstructure, show faster crack growth, growth at DK<DK , and th growth rates which decrease as crack length increases. These effects have been widely studied in other materials (15, 16). They occur because cracks initiate in weak regions of the microstructure, so that their early growth is relatively easy. Growth becomes more difficult as the crack encounters microstructural barriers. In this study, d is defined as the average distance between such barriers, and a value of 100 mm is chosen. The exact value of d will depend on the type of bone and also on the location of cracks, however, the choice of d does not strongly influence the predictions of the model. Secondary osteons are typically 200 mm in diameter (11), but if cracks initiate between osteons then osteon separation will be important, and this is probably smaller. The size of growth units in laminar bone is about 120 mm (7) and in plexiform bone is 125 mm (11). It has been shown for many other materials that growth rates decrease to a minimum as the barrier is approached (21, 22); the crack will then either break through the barrier and, under constant Ds, continue on to failure, or else it will be arrested premanently at the barrier. In this study a growth law is proposed for short cracks of the following form: da/dN =C∞(DK )n∞[(d−a)/d ]m (4) s Here da/dN is the growth rate of short cracks, defined s by a<d. The equation is assumed to follow the same form as equation (3) except for the addition of a term which depends on the distance between the crack tip and the barrier (d−a), normalized by the spacing of barriers, d. If crack length is approximately equal to d, this is a transition zone between short and long crack behaviour. This can be represented by adding the two terms, giving an expression for the total crack growth rate da/dN=C(DK−DK )n+C∞(DK )n∞[(d−a)/d ]m (5) th Each term is taken to be equal to zero if its value becomes negative; the first term will dominate if crack length is significantly greater than d, and the second term if it is significantly less. C∞, n∞ and m are unknown constants. It is assumed that n∞=n, i.e. that the effect of stress intensity is the same for both long and short cracks. This means that a 10 per cent increase in stress will have the same effect on short crack growth as on long crack growth. This is by no means certain but it H04996 © IMechE 1997 371 simplifies the equations and there is some evidence for it in the literature (15). Values for C∞ and m were chosen as 0.013 mm/cycle and 5 respectively, in order to provide a best fit to stress/life data below. 3 RESULTS The fatigue crack growth rate is independent of the stress in the long crack region but not in the short crack region, see Fig. 2 which shows values of da/dN as a function of DK for various stress levels. Note the logarithmic scale— growth rates change very rapidly especially in the region of the short/long crack transition. Figure 3 shows da/dN as a function of crack length, taking three different stress levels; in this plot the effect of the barrier at a=d is more clearly appreciated. At a sufficiently low stress (10.1 MPa—not shown here) both terms in equation (5) become 0 at a=d; the crack is predicted to arrest at the barrier. The prediction therefore is as follows: below approximately 10 MPa microcracks do grow, but only to be arrested at the microstructural barrier. In fact, this is a prediction of the fatigue limit, and it is significant that this fatigue limit is determined not by crack initiation, but by the inability of existing cracks to propagate. Figure 1 shows predictions of stress/life data for comparison with the results of Carter and Caler (3). The number of cycles to failure can be predicted by integrating the growth rate in equation (5), starting from some initial crack length. This was taken to be 50 mm based on measurements of cracks in bone removed after normal physiological use (6, 9). A further complication here is the fact that equation (5) was developed for a stress ratio R (the ratio of minimum stress to maximum stress) of 0, which is approximately the case in vivo, whereas the data of Carter and Caler were measured at R=−1 (fully reversed loading). Taylor (15) has shown that these two can be related in a wide range of materials by changing DK by a factor of 1.6. It is possible to use equation (5) to estimate the behaviour of cracks in vivo. Martin and Burr (11) proposed that bone in humans and other vertebrates typically experiences a strain range of 1 500 microstrains at a frequency of 1.5 million applications per year. Assuming an elastic modulus of 20 GPa, which is typical for compact bone, equation (5) predicts that an initial crack of length 50 mm will increase by 30 mm over a period of 2.2×104 cycles, which corresponds to 5.4 days. This is of the same order of magnitude as the estimated rate of osteon replacement of 30 mm/day (11). This adds support to a model of bone in which fatigue crack growth is continually being matched by repair processes. If such repair processes did not operate, the same crack would grow to cause failure within 91 days. This emphasizes the fact that bone is operating well above its fatigue limit, relying on crack detection and repair to prevent Proc Instn Mech Engrs Vol 211 Part H 372 D TAYLOR AND P J PRENDERGAST Fig. 2 Predicted crack growth rate (da/dN ) for compact bone, as a function of cyclic stress intensity range, DK, at three different values of the cycle stress range Fig. 3 Predicted crack growth rate (da/dN ) for compact bone, as a function of crack length, at three different values of the cycle stress range failure. This conclusion contrasts with the assertion of Martin and Burr (11) that bone operates below its fatigue limit in vivo. Increases in stress are known to lead to adaptation processes such as deposition (23, 24). Under increased loading, fatigue cracks will grow very much faster, especially once they break through the microstructural barrier and move up the rising part of the curve of Fig. 3. In order to prevent stress fracture, action must be taken to reduce the loading very quickly. The authors propose that the passage of the crack through the barrier acts as the signal for the adaptation process. Figure 4 shows the time needed for a crack of 50 mm to reach the barrier at 100 mm. At above-normal stresses such as 50 MPa this signal will go out within a few days, allowing remedial action to be taken before total failure occurs. It should be noted that this prediction is made without allowing Proc Instn Mech Engrs Vol 211 Part H for the normal repair process, which would tend to retard crack growth, though the effect of repair would diminish rapidly as stress increases. At the other end of the scale, stress shielding or disuse may reduce stresses, and thus crack growth rates, almost to zero. Under these conditions microcracks of length 0.05–0.1 mm will be removed by repair processes very quickly (within a few days at the above figure of 30 mm/day). It is not clear how this lack of microcracks is being detected, but assuming that it is detected, the signal for remodelling would be sent out within a few days. 4 DISCUSSION This paper presents for the first time a theoretical model of fatigue crack propagation in bone which includes both H04996 © IMechE 1997 A MODEL FOR FATIGUE CRACK PROPAGATION Fig. 4 Prediction of time for crack to reach the microstructural barrier, as a function of stress level microcrack and macrocrack behaviour in a unified form. Using equation (5), the crack growth rate can be estimated for any crack, as a function of the applied stress, crack length and a microstructural parameter which describes the spacing of barriers to crack propagation. The equation is purely empirical in nature, its form has been chosen to reflect the general characteristics of fatigue growth as measured in many different materials, for which the parameter (d−a) has been shown to control behaviour of microcracks. Its advantage over other approaches, such as damage mechanics, is that it is firmly rooted in the mechanism of the process and thus gives researchers the potential to explain experimental observations in terms of microstructural processes. At the present time it is not possible to verify the equation by direct observation, except that part of it which refers to macrocracks. The relationship between theory and experiment is a synergistic one; the existence of this model can act as a stimulus to the design of experiments which will test its predictions, such as direct measurements of microcrack growth; these have been 373 carried out for many other materials, see for example Taylor et al. (25). It has been shown in this paper that, by choice of the relevant constants in the expression for microcrack growth, experimental stress/life data can be predicted. Variations in these data occur in part due to variations in the type and quality of bone and also due to loading factors such as R. These can be described by changes in the values of the various constants. For example, a bone which has a relatively fine microstructure will have a low value of d, which will improve its resistance to microcracking, but it may, at the same time, have higher values of the rate constants C and C∞. In this example the material may have good fatigue resistance but, in order to avoid stress fractures, it may be necessary to detect and repair cracks when they are very small, in comparison to a material with a coarse microstructure. Microcrack interaction will also play a role; if a number of cracks initiate close together they may coalesce, producing a larger crack, or they may hinder each other’s growth. The model is able to explain the fact that bone, in normal use, contains damage. A number of workers (2, 6, 9) have observed diffuse microcracking with crack lengths of the order of 50 mm. Figure 5 shows predictions, based on a stress of 18 MPa, of the number of cycles to failure as a function of initial crack length. There is no improvement in life to be expected by reducing crack length below 50 mm, which is half the size of the microstructural unit, d. It would be uneconomic for bone to repair these cracks; however, cracks greater than 2d cause a rapid reduction in life, thus any repair process will concentrate on detecting and eliminating cracks in this range, which is the same size as that of secondary osteons. It was shown earlier that the rate of replacement of osteons is of the same order as the rate of growth of these microcracks at physiological stress levels. It has been postulated that damage accumulation could act as a signal to initiate remodelling or adaptation processes such as bone deposition (11, 17). In the present Fig. 5 Predicted fatigue life (cycles to failure) at a stress of 18 MPa as a function of initial crack length H04996 © IMechE 1997 Proc Instn Mech Engrs Vol 211 Part H 374 D TAYLOR AND P J PRENDERGAST model this can be linked directly to the relationship between crack length and microstructure. For both increased and decreased stress conditions, the monitoring of microcrack length can be effective in indicating the need for action within a relatively short time. The mechanism by which this monitoring is achieved is beyond the scope of this paper; but it is obvious that cracks which disrupt the microstructure in this way will have a significant effect on many measurable parameters. For example, Prendergast and Huiskes (26) have predicted that microcracks of the order of the osteon have a significant effect on bone cells: microcracks unload the strain from the cells that may carry out adaptation, i.e. the osteocytes in the lacunae and the bone lining cells on the Haversian canal wall. Zioupos et al. (27) have measured significant levels of microdamage in compact bone long before failure indicating that microdamage could serve as a stimulus for remodelling without undue danger of immediate bone fracture. In conclusion, it should be noted that this theoretical model has a long way to go, in particular it needs to be verified by direct measurement. However, it provides a basis for the consideration of fatigue cracking in bone and for the discussion of how fatigue cracks influence remodelling and adaptation processes. In particular, it introduces for the first time a microstructural parameter, d, which makes it possible to discuss how bone’s microstructure affects its fatigue and other properties. 9 10 11 12 13 14 15 16 17 18 19 ACKNOWLEDGEMENTS 20 Financial support was provided by Forbairt, the Industrial Development Authority in Ireland. 21 22 REFERENCES 1 Burr, D. B., Milgrom, C., Boyd, R. D., Higgins, W. L., Robin, G. and Radin, E. L. Experimental stress fractures of the tibia. Biological and mechanical aetiology in rabbits. J. Bone Jt Surg., 1990, 72B, 370–375. 2 Mori, S. and Burr, D. B. Increased intracortical remodelling following fatigue microdamage. Bone, 1993, 14, 103–109. 3 Carter, D. R. and Caler, W. E. A cumulative damage model for bone fracture. J. Orthop. Res., 1985, 3, 84–90. 4 Caler, W. E. and Carter, D. R. Bone creep–fatigue damage accumulation. J. Biomechanics, 1989, 22, 625–635. 5 Gray, R. J. and Korbacher, G. K. Compressive fatigue behaviour of bovine compact bone. J. Biomechanics, 1974, 7, 287–292. 6 Burr, D. B. and Stafford, T. Validity of the bulk-staining technique to separate artifactual from in vivo bone microdamage. Clin. Orthop., 1990, 260, 305–308. 7 Zioupos, P. and Currey, J. D. The extent of microcracking and the morphology of microcracks in damaged bone. J. Materials Sci., 1994, 29, 978–986. 8 Carter, D. R. and Hayes, W. C. Compact bone fatigue Proc Instn Mech Engrs Vol 211 Part H 23 24 25 26 27 28 damage—a microscopic examination. Clin. Orthop., 1977, 127, 265–274. Lee, T. C. Functional adaptation in compact bone. PhD thesis, University of Dublin, 1995. Martin, R. B. A theory of fatigue damage accumulation and repair in cortical bone. J. Orthop. Res., 1992, 10, 818–825. Martin, R. B. and Burr, D. B. The Structure, Function and Adaptation of Cortical Bone, 1989 (Raven Press, New York). Vashishth, D., Norman, T. L., Nivargikar, S., Behiri, J. C. and Bonfield, W. 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Odgaard and H. Weinans), 1995, pp. 213–223, ( World Scientific, Singapore). Zioupos, P., Currey, J. D., Mirza, M. S. and Barton, D. C. Experimentally determined microcracking around a circular hole in a flat plate of bone: comparison with predicted stresses. Phil. Trans. R. Soc. London, B, 1995, 347, 383–396. Knott, J. F. Fundamentals of Fracture Mechanics, 1981 (Butterworths, UK ). H04996 © IMechE 1997 A MODEL FOR FATIGUE CRACK PROPAGATION APPENDIX In the absence of a measured value for DK , it is possible th to make an estimate using a method which has been shown to be valid for many other materials (15). This is based on the assumption that the threshold is characterized by a plastic zone ahead of the crack whose size is equal to the size of the smallest microstructural units in the material capable of inhibiting plasticity. The plastic zone size, r , is calculated using a formula from Knott y (28) which assumes the material to be a homogeneous continuum with a yield strength s y r =0.04 (DK/s )2 (6) y y If the plastic zone size is less than the size of the microstructural unit, s, the material can no longer be treated as a homogeneous continuum, and crack advance becomes much more difficult. Taylor (15) showed that the condition r =s corresponds to a value of DK at y which the rate of crack growth, da/dN is equal to the H04996 © IMechE 1997 375 spacing of atoms in the material; this relationship was demonstrated for a range of materials in which s varied from 1 mm to 100 mm. Crack growth rates less than this value must necessarily be achieved by a discontinuous process of crack advance. For compact bone the following parameter values were used: s =120 MPa; s=1 mm; interatomic spacy ing=0.24 nm. The value of s was chosen as a typical interlamellar distance and the atomic spacing is that of the Ca–O bond in hydroxyapatite. The resulting prediction is that a stress intensity range of 0.61 MPa (m)1/2 will correspond to a growth rate of 2.4×10−7 mm/cycle. This is achieved in equation (3) by using a value of DK th equal to 0.2 MPa (m)1/2. This result can only be regarded as an approximate estimate, the accuracy of which depends on the choice of parameter values. Ideally the threshold value should be measured experimentally. However, in the present case the value of DK has only a minor effect on the th predictions made using equation (5), so this estimate is satisfactory for the purposes of this study. Proc Instn Mech Engrs Vol 211 Part H
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