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Fatigue Testing of Human Flexor Tendons Using a Customized 3D-Printed Clamping System

Improved surgical procedures and implant developments for ligament or tendon repair
require an in-depth understanding of tissue load-deformation and fatigue properties. Cyclic testing
will provide crucial information on the behavior of these materials under reoccurring loads and
on fatigue strength. Sparse data are available describing soft tissue behavior under cyclic loading.
To examine fatigue strength, a new technology was trialed deploying 3D-printing to facilitate and
standardize cyclic tests aiming to determine tendon fatigue behavior. Cadaveric flexor digitorum
tendons were harvested and mounted for tensile testing with no tapering being made, using 3Dprinted clamps and holder arms, while ensuring a consistent testing length. Loads ranging between
200 to 510 N were applied at a frequency of 4 Hz, and cycles to failure ranged between 8 and >260,000.
S–N curves (Woehler curves) were generated based on the peak stresses and cycles to failure. Power
regression yielded a combined coefficient of determination of stress and cycles to failure of R
2 = 0.65,
while the individual coefficients for tissues of single donors ranged between R
2 = 0.54 and R
2 = 0.88.
The here-presented results demonstrate that S–N curves of human tendons can be obtained using a
standardized setting deploying 3D-printing technology

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:88480
Date06 December 2023
CreatorsScholze, Mario, Safavi, Sarah, Ramezani, Maziar, Ondruschka, Benjamin, Hammer, Niels
PublisherMDPI
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess
Relation2076-3417, 10.3390/app12157836

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