RT Journal Article SR Electronic T1 Fatigue behavior of trabecular bone orientation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.02.12.945352 DO 10.1101/2020.02.12.945352 A1 Fatihhi Szali Januddi A1 M.N Harun A1 Jaafar Abdullah A1 Mohammad Mostakhdemin A1 Ardiyansyah Syahrom YR 2020 UL http://biorxiv.org/content/early/2020/02/12/2020.02.12.945352.abstract AB The present study reports the anisotropy effects of uniaxial and multiaxial loading on cancellous bone in order to mimic true physiological conditions as well as pathological reactions and thereby provides improved data that represents clinical and real life conditions. Cancellous bone samples were CT-scanned for morphological analysis and model construction. The models were then computationally loaded on three different directions; horizontal, vertical, and at 45°. Lower BV/TV, Tb.Th, and Conn.D resulted in lower number of cycles to failure, regardless to the loading conditions. However, the number of cycles to failure was found to be negatively correlated to the value of structural model index. Dramatic increased in effective plastic strain and decrease in cycles to failure were demonstrated by the cancellous bone models under multiaxial loading. The reduction of fatigue life was five times lower in multiaxial condition in comparison to the fatigue life under uniaxial loading. Off-axis orientation effect on the fatigue life of the trabecular bone was demonstrated the worst in horizontal trabecular bone model. Effective plastic strain was recorded the highest in horizontal model, while the model at 45° demonstrated 1.6 times higher effective plastic strain than the vertical ones. This is due to several numbers of thin trabeculae which are susceptible to fatigue at higher stress concentration. In conclusion, the anisotropic effect of uniaxial and multiaxial loading onto the mechanical behaviour of bovine cancellous bone was demonstrated throughout this study. It is apparent that multiaxial with off-axis forces are important to be considered as the loading direction manifests the fatigue lifetime of cancellous bone.