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I Blomecchunirs. 1972. Vol. 5,pp. 541-551. PeqamonPress.

Printed inGreat Britain

A MATHEMATICAL ANALYSIS FOR INDENTATION


TESTS OF ARTICULAR CARTILAGE*

W. C. HAYES, L. M. KEER, G. HERRMANN+ and L. F. MOCKROS


The Technological Institute, Northwestern University, Evanston, Ill. 60201, U.S.A.

Abstract- A mathematical model is developed for indentation tests of articular cartilage. The
cartilage, normally bonded to the subchondral bone, is modeled as an infinite elastic layer
bonded to a rigid half space, and the indenter is assumed to be a rigid axisymmettic punch.
The problem is formulated as a mixed boundary value problem of the theory of elasticity and
solutions are obtained for the indentation of the layer by the plane end of a rigid circular
cylinder and by a rigid sphere. Subject to detailed verification with independent tests, the
present solutions are suggested as useful for the determination of the elastic shear modulus
of intact cartilage.

INTRODUCTION step loads noted in these investigations is


OSTEOARTHRITIS is a noninflammatory dis- an instantaneous indentation followed by a
order of synovial joints characterized by time-dependent creep to an asymptotic
deterioration of the articular cartilage and indentation. No significant differences were
by formation of new subchondml and marginal found as a function of age in either the
bone. Since the process is particularly severe deformability or recovery of adult articular
in joints exposed to high compressive forces, cartilage. Large differences were found,
mechanical factors are assumed to play some however, between the deformabilities of
role in the pathogenesis of the disease normal and osteo&hritic tissue.
(Sokoloff, 1969). Experimental studies of The derivation of meamngful material
the mechanical properties of articular cartil- properties from indentation tests of the
age, however, have not clearly elucidated the articular structures has been complicated by
early development of osteoarthritis nor have the lack of theoretical solutions for the com-
analytical studies fully considered the role plex stress distributions arising from the layer-
played by cartilage in load transmission in ed geometry. Several previous attempts to
normal and pathological synovial joints. obtain elastic constants from indention tests
Indentation tests have been used in assumed a uniaxial stress field beneath the
previous investigations of the mechanical indenter. This assumption ignores important
characteristics of articuiar cartilage. Such edge effects occurring with indenters that
tests have examined the influence of immer- have contact areas whose diameters are
sion (Elmore er al., 1963), the chemical comparable to the cartilage thickness. Other
characteristics of the immersion medium determinations were based on solutions for
(Sokoloff, 1963), age (Sokoloff, 1966; Krako- the puncture of an elastomer or on hardness
vits, 1969a), site of indentation (Kempson tests, both of which ignore the presence of
et al., 197 1; Krakovits, 1969b) and the a layered geometry.
degenerative state of the tissue (Hirsch, 1944; Several investigators have applied well
Sokoloff, 1966) on cartilage deformability. defined stress fields such as axial compression
The characteristic mechanical response to (McCutchen, 1962; Camosso and Marotti,

*Receitied 28 December 1970.


tPresent address: Department of Applied Mechanics. Stanford University, Stanford. California 94305, U.S.A.
541
542 W. C. HAYES et al.

1962), uniaxial strain (Edwards, 1967) and ANALYTICAL CONSIDERATIONS


uniaxial tension (Kempson et al., 1968) in The elastic contact problem is formulated
studies of the mechanical behavior of speci- by considering he equilibrium of an infinite
mens of articular car&ge. A recent investiga- elastic layer resting on an immovable rigid
tion, based on two independent creep tests half-space. The layer deforms under the action
of cylindrical cartilage samples, presented of a rigid axisymmetric punch pressed normal
cartilage constitutive relations suitable for to the surface by an axial force P (Figs. 1 and
the viscoelastic stress analysis of synovial 2). Shear tractions between punch and layer
joints (Hayes and MO&OS, 1971). All are assumed negligible and the layer is
experimental methods based on the use of assumed to adhere to the half-space at the
standardized cartilage samples are not, sulfacez=h.
however, suitable for use on intact cartilage. Under these assumptions the problem is
Interest in the development of suitable in uivo represented mathematically by a mixed
tests for cartilage properties and in the boundary value problem satisfying the field
mechanisms of load transmission in normal equations of the linear theory of elasticity
and pathological synovial joints prompted for homogeneous, isotropic materials. The
this analytical investigation of cartilage displacement equations are written as
indentation.
Previous theoretical analyses of the load (1-2V)v%l+v(vu) =o (1)
response of the a3ticuIar structures have been
hampered by the lack of appropriate con- in which body forces and inertial effects are
stitutive relations for cartilage and complicated neglected, u is the displacement vector,
by the presence of the layered geometry. v is Poissons ratio, and V is the gradient
Zarek and Edwards (1963) used the Hertz operator.
solution for the contact of elastic spheres in The boundary conditions at the surface
an attempt to correlate the observed fibrilIar I= 0 are mixed with respect to normal
ultrastructure with the predicted distribution traction and displacement, the shear stress
of tensile stresses. Burstein (1968) calculated being zero over the entire surface. At z = h,
stress distributions and displacements in the adhesion condition requires the displace-
three-layered spherical and cylindrical ments to be prescribed as zero. In cylindrical
geometries under the action of axially coordinates, (r, 8, z), the boundary conditions
symmetric surface tractions but did not are
consider the case of two contacting surfaces.
The present investigation considers the u, = 00 -q(r) O=SrGa,z=O
indentation mechanics of an infinite elastic
layer bonded to a rigid half-space as a model a <r<=,z=O (2)
for the layered geometry of cartilage and
subchondral bone. The analysis is formulated urz = 0 OCr<m,z=O
as a mixed boundary value problem of the
and
theory of elasticity. It is based on the tech-
nique of Lebedev and Ufliand (1958) for u, = l4, =O Ocr<m,z=h, (3)
the indentation by an axially symmetric
indenter of an unbonded layer resting on a in which (u?, 0, u,) are the components of the
rigid half-space. The present investigation displacement vector, and uzrrand errs are the
exploits the Lebedev and Ufliand solution for normal and tangential stress components,
the case of a bonded layer indented by the respectively. The prescribed elastic displace-
plane end of a rigid circular cylinder or by ment of the center of the punch (r = 0) in
a rigid sphere. the z direction is given by wo, and Wr)
A MATHEMATICAL ANALYSIS 543

I p a+= I oa
[C(A)shA(h-zz)

+D(h)chA(h-z)]JoW dx, (6)

e5
20

iwo in which A, B, C, and D are functions of A


h

- -- -___
to be determined from the boundary con-
! ditions (2) and (3) and Jo(x) is the Bessel
function of order zero.
By using boundary conditions (3) with
equations (4) and (6), A and B may be deter-
Fig. 1. Geometry for the plane-ended cylindrical indenter. mined in terms of C and D as

expresses the axisymmetric shape of the


indenter (Timoshenko and Goodier, 1970)*,
A(h) =-hC(A)- (3A4V)
D(h)

and the radius of the contact region is a.


and
The solution of the axisymmetric contact
problem is conveniently achieved in terms of B(A) = -hD(A). (7)
the Boussinesq-Papkovitch potential func-
tions for the representation of the components The third condition of (2) with equations (5)
of the displacement vector, i.e. and (6) leads to

D(A) =
( 1 - 2~) shAh - Ahchhh
2(1 -v)chhh+hhshhh (). 1 ()

The remaining conditions are the first two of


equations (2) which lead to the following dual
integral equations
in which @, and a, are harmonic functions in
the layer, 0 s z s h, and G is the elastic
shear modulus. I 0a C(A)J,(Ar) dA = 0
Normal and tangential stress components (r > a) (9)
are given in terms of the displacement
potentials as a C(A)M(A)J,,(Ar) dA-- &""--"WI
I0
(r< a), (10)
! P
and

R +

20
The harmonic functions in equations (4) and h
___-_
__Y
__
(5) are written in the form f--

a+,= _fa
[A(h)shh(h-z) 8

+B(X)chh(h-z)]Jo(Ar) dh Fig. 2. Geometry for the spherical indenter.

*The assumptions of the theory used are given in detail in Timoshenko, S. P. and Goodier, J. N. Theory ofElm-
ricir~. 3rd ed.. McGraw Hill Book Company. 1970, pp. 409-413.
544 W. C. HAYES et al.

in which in which

1
1 (3 - 4v) shhhchhh - Ah
M(A) =5; (Ah)*+4(1-v)*+(3-4v)sh*Ah
and
and the function, C, is related to C by
F(x) =$(O)+x~f(XsinB) dB]
1
1 AhshAh + 2 ( 1 - v) chAh
=() =x E (Ah)2+4(1-v)2+(3-4v)sh2Ah

The objective of the analysis is to reduce The determination of cp(t) from (16) results
the dual integral equations (9) and (10) to in a complete solution to the problem since
a form more amenable to numerical analysis. all coefficients A, B, C, and D are given in
First, the function C is written in the form terms of this auxiliary function by means of
(13).
C(A) = AfO=v(t) cos Ardt, (13) The distribution of normal stress beneath
the indenter may be given directly in terms
which, when put into (9), automatically ofv(t) as
satisfies that equation. Equation (10) is
treated by Grst isolating the half-space solution
in it as

Integrating this expression over the area of


the contact region gives a relation for the
total applied force P,

P = 27r _/; p(t) dr. (20)

in which Equation (20) allows the determination of

By putting (13) into (14) and following the the magnitude of the displacement of the
standard reduction procedures given ~ by center of the indenter, oo, under the action of
Lebedev and Ufliand and later workers the a given load P. In the case of an indenter with
equations may be written as a Fredholm a non-plane base, the continuity condition on
integral equation of the second kind with normal stress in the plane z = 0 provides the
symmetric kernel: additional relation

Iom
q(a) = 0. (21)
cp(t)[H(t+x)+H(t-x)] dt
In this case, equations (20 and 21) are used
= F(x) (0 s x s a) (16) for the determination of the displacement w.
A MATHEMATICAL ANALYSIS 545

of the indenter and of the radius a of the Table 1. Values of K for the plane-ended cylindrical
contact region. indenter

a/h v=O.30 Y =0*35 Y = 040 v-O-45 Y = 0.50


Plane-ended cylindrical indenter
For the geometry shown in Fig. 1, q(r) = 0. 0.2 1.207 1,218 1.232 I.252 1.281
o-4 1.472 I.502 l-542 1.599 1,683
Introducing the dimensionless variables, O-6 l-784 l-839 1.917 2.031 2-211
0.8 2.124 2.211 2.337 2.532 2.855
1.0 2.480 2603 2.789 3.085 3609
1.5 3-m 3.629 3-996 4-638 5.970
2.0 4-335 4.685 5.271 6.380 9.069
2.5 5.276 5.754 6.586 8.265 13.00
and CY
= Ah, equation ( 16) becomes 3-o 6-218 6.829 7-923 IO-26 17.86
3.5 7.160 7906 9.274 12.32 23.74
4-O 8.100 8.983 10.63 14.45 30.75
W(5) = 5-O 9.976 11.13 13.35 18.80 48.47
6-O 11&I 13-27 16.07 23.23 71.75
1 -- l w~T)[K(T+ 0 + K(7- 01 dr, (23) 7.0
8-O
13.70
15.55
15.41
17.53
18.79
21.49
27.69
32.15
101.27
137.7
lr I 0
in which, from ( 15) and ( 17), used to calculate relationships between
the load P and the indenter displacement W,
K(u) = for an indenter of radius a on a layer of
(3-4u)shatP-[a(l+a)+$-l--v)21 thickness h, shear modulus G and Poissons
[(a)* +4(1 -v)] +(3 -4v)Stia ratio v.
X cos [a(a/h)ul da. (24) Spherical indent&
For the spherical indenter geometry of
Numerical methods are used for the solution Fig. 2, the function %(T) = 1212R, in which
of the integral equation (23) with the sym- R is the radius of the indenter. Introducing
metric kernel given by (24). At a given value the dimensionless variables of (22), the
of the parameters a/h and u, the function integral equation ( 16) becomes
K(U) is calculated in the interval 0 c u =S2.
The integral in (23) is then replaced by its
approximation obtained from the trapezoidal
integration formula. The determination of the
function w (7) is thus reduced to the solution +K(r--_5)] d+& (26)
of a system of linear algebraic equations
(Kopal, 1955). The relation between the
applied force, P, and the displacement, oo, in which K(u) is defined as in (24). The
is found from (20) and assumes the dimension- unknown function w (5) may be written
less form
o(S) = 0, (5) +&w?(I). (27)
(25)
*
in which ~~(5) is the solution to (23) and
Numerical values for o,(7) thus allow com- w2(5) satisfies
pUmiOn Of K at gk%I VdUeS Ofthe parameters
a/h and v. Values of K for a range of a/h are W?(5) =
given in Table 1 for 1= 0.30, 0.35, 0.40.
-ri+; i w~(~)[K(~+[)+ZC(T--~)] d7. (28)
O-45 and 0.50. These K values may be I,
546 W. C. HAYES et al.

Using (27) the integral equation (26) is satis- S O.Io


tied identically. The solution for the spherical
indenter geometry thus reduces to the deter-
mination of the function or(e) satisfying (28)
with symmetric kernel as given by equation
(24). Numerical techniques outlined for the
case of the cylindrical indenter are used to
solve equation (28). The continuity condition,
o(l)=O,onnormalstressattheboundaryof
the contact region allows solution for the
dimensionless parameter
Area Aspect Ratio, u/h
= bJ _-w(l) Fig. 3. Nondimensional indentation of the plane-ended
x 06R wz(l) (3) cylindrical indenter for a large mnge of area-aspect ratio.

which relates the displacement % to the radius limiting values as u/h becomes large. For
of the contact region. With x determined, indenters large compared to the layer thick-
the relation between the displacement, 00, ness, the edge effects are negligible and the
and the load, P, is given from (20) problem is merely the compression of a thin
layer by a wide plate. Fig. 4 shows details of
K = w 0
f0 O(T) dT. (30)
the behavior for 0 < u/h < 1, the useful
practical range for indentation tests.
Unlike the flat indenter, the contact area
Values of x and K for a range of a/h are given for the spherical indenter depends on the
in Table 2 for Y= 0.30, 0.35, 0.40, 0.45, load. Thus, the indentation of a spherical
and O-50. These values of x and K may be indenter is not linearly proportional to load.
used to calculate relationships between the Figure 5 shows the relative approach, oo/h,
load P and the indenter displacement o. and of spherical indenters as a function of a load
contact region radius Q for an indenter of rad- factor PIGRP. The effect of Poissons ratio is
ius R on a layer of thickness h, shear modulus shown for an indenter with R/h = 10. The
G, and Poissons ratio Y. effect of relative indenter curvature, R/h,
is shown for v = 0.45. The results indicate,
RICSULTS among other things, that the indentation for
The present theory is a linear theory. As a any particular load is less when applied with
result, the predicted indentation by a plane- a large radius indenter than when applied
ended indenter, with its fixed contact area, with a small radius indenter.
is directly proportional to the load. Because For the spherical indenter, calculations
of the iinite extent of the load applicator, were made of stresses at the interface between
however, the indentation for a given applied the elastic layer and the rigid half space,
normal traction depends on the area aspect z = h, and radial displacements at the surface,
ratio, u/h. The ratio (wo/h)/(P/GuZ) is plotted z = 0. The nondimensional normal stress,
against a/h for five values of Poissons ratio a,,/G, at the interface, z = h, is plotted as a
in Figs. 3 and 4. The amount of indentation function of the nondimensional radial co-
for any given applied normal stress depends, ordinate, r/u, in Fig. 6 for v = O-45. As
quite markedly, on a/h for u/h values less than expected, the normal stress reaches a maxi-
unity. Fig. 3 shows the indentation depend- mum at the axis of symmetry and diminishes
ence on u/h and shows the approach to asymptotically to zero outside the contact
A MATHEMATICAL ANALYSIS 547

0.06

Area Aspect Ratio,o/h


Fig. 4. Nondimensional indentation of a plane-ended
cylindrical indenter for area-aspect ratios between zero
and unity.

I The nondimensional shear stress, a,/G,


at the interface, I = h, is plotted as a function
of r/a in Fig. 7. As required by symmetry.
the shear stress vanishes at r/a = 0. The shear
stress reaches a maximum near the radius of
the contact region and then diminishes to zero
outside the region. Shear stress at this inter-
face is a feature of the present solution that
is different than the Lebedev and Ufliand
(1958) solution. They assumed no shearing
stresses at the interface. As with normal
stress, shear stress increases with decreasing
Rlh and with increasing alh.
Load Factor, F/GR The nondimensional radial displacement,
Fig. 5. Relative approach as a function of load factor for u,lh, at the surface, z = 0, is plotted as a
the spherical indenter. function of r/a in Fig. 8. For given values of
Poissons ratio and area-aspect ratio, the
region. For given values of Poissons ratio solution predicts negative displacements
and area aspect ratio, the normal stress at the within most of the contact region and positive
interface increases with decreasing R/h ratio. displacements outside the contact region.
Increasing a/h, while maintaining R/h fixed, At large radial distances the displacements
markedly increases the maximum normal diminish asymptotically to zero. These
stress at the interface. displacements increase with decreasing R/h
548 W. C. HAYES et al.

Table 2. Values of K and x for the spherical indenter

Y = o-30 Y = o-35 v=o*40 Y= 0.45 v=o*SO


a/h K X K X K X K X K X

O-04. 04809 1.024 O-6816 1.025 O-6826 1.026 0.6838 1.028 o-6855 l-031
O-06 06891 1.036 O-6902 1.038 0.6917 l-040 0.6936 l-043 O-6963 1.047
048 0-6975 l-049 04990 1.051 0.7010 1*OS4 0.7037 1.058 o-7073 1.063
0.1 o-7061 1.061 o-7080 l-064 0*7106 l-068 0.7140 1.073 0.7187 1*080
o-2 O-7520 l-126 o-7564 1.133 O-7622 1,141 o-770 1 1.152 0.7810 1.167
0.3 0*8031 1.192 O-8105 l-202 O-8204 1.215 0.8339 1.233 0.8530 1.258
o-4 O-8594 1.256 O-8705 1.270 o-8854 1.288 0+060 1.312 o-9355 l-348
O-5 0.9209 1.317 o-9363 1.333 0.9572 1.356 o-9866 1.388 1.ow 1.435
O-6 O-9872 l-372 l-008 l-392 1a036 1.419 I.076 l-458 1.135 1.516
0.7 l-058 1.422 1.084 I.445 l-121 l-477 l-173 1.522 1.252 1.592
0.8 1.133 1467 l-165 1.492 1.211 1.528 1.278 1.580 1.381 1.662
0.9 l-210 l-507 1.250 l-534 1.307 1a573 1.390 1.632 I.522 1.725
1-O l-291 1.542 l-339 l-571 1407 1.614 1.509 1a678 1a674 I.784
1.25 l-503 l-613 l-571 1.646 l-673 1.696 l-831 1.775 2*102 I.911
1.50 l-723 1667 1.816 i-702 l-957 l-757 2.184 1.849 2.597 2.017
1.75 1.949 l-708 2-069 I.745 2.254 1*&x05 2.564 l-907 3.161 2.109
2.00 2.179 l-740 2.327 1,778 2.561 1.841 2.967 l-954 3.797 2.189
2.25 2,412 1.766 2.589 l-805 2.877 l-871 3.391 1.992 4.507 2.260
2.50 2647 1.788 2.855 1.826 3.199 l-894 3.834 2.023 5.2% 2.325
2.75 2.883 1.805 3.124 1.844 3.527 l-913 4.294 2.047 6.169 2.384
3GO 3.121 1.820 3.394 l-858 3.860 l-928 4.770 2.068 7.130 2.438

ratio.Radial strainsat the. cartilage surface asymptotic deformation. Both applications


may be predicted from the results shown in should be, of course, conflned to small loads
Fig. 8 by differentiation. The solution shows to stay within the limits of the small-strain
compressive strains within the center portion assumption.
of the contact region, tensile strains in the The present theory may be qualitatively
remaining part of the contact region and the compared with some of the previously re-
near part of the outside region, and com- ported results of indentation tests of cartilage.
pressive strains at further radial distances. For example, Elmore ,ef al. ( 1963) applied
This result is qualitatively similar to the constant unit loads of I.37 X lo6 dynes/cm2
predictions of the Hertz theory for indentation to bovine patellar cartilage using circular-
of an elastic half-space by a rigid spherical plane indenters of various diameters. Inden-
indenter. tations were measured 18 minutes after
application of the load, i.e. after most of the
DISCUSSION creep should have occurred. They observed
Articular cartilage is a viscoelastic material larger indentations with the larger diameter
and any dynamic analysis must treat it as-such. indenters. Unfortunately, they did not report
Nevertheless, the present theory, which the cartilage layer thickness and the values
assumes the material is elastic, is useful in of a/h cannot be computed. Their indenters
two limiting cases. Creep tests of cartilage had radii ranging from 0.565-1.382 mm. In all
indicate an instantaneous elastic response probability the cartilage would have been
followed by creep over several minutes to 2 mm or more thick and their a/h values would
an asymptotic deformation. The present all have been less than unity. As shown in
elastic theory for indenter-loaded layers may Figs. 3 and 4, the larger indenters should have
be useful in predicting the instantaneous produced the larger indentations. This effect
response to a step load and in predicting the is relevant to the interpretation of previous
A MATHEMATICAL ANALYSIS 549

0.00

:: -a05
b Q

Fig. 7. Nondimensional shear stress at the interface,


z = h, for the spherical indenter.
.,

0.003
-0.10

J
Fig. 6 Nondimensional normal stress at the interface,
- = h, for the spherical indenter.
. o.cQ2

indentation tests that, by assuming a uniaxial


stress field beneath the indenter, neglected
this relationship between area aspect ratio and P
relative indentation. - 0.001
SC4
Hirsch (1944), in an early study, applied
step loads and measured the initial indentation
of cartilage of the tibia1 plateau. Using a
plane-ended indenter, he measured the
.ooo -1
initial deformation of a I.9 mm thick layer of
cartilage for three different step loads.
According to the present theory, the deforma-
tions with a plane-ended indenter should have
been linearly prooortional to the load. Hirsch - 0.w 1 1
did not observe deformations proportional Fig. 8. Nondimensional radial displacement at the
to load. His loads, however, caused indenter surface, ,- = 0, for the spherical indenter.
550 W. C. HAYES et al.

displacements that were 12, 16, and 2 1 per solution may provide a theoretical basis for
cent of the cartilage thickness and theoretical- a quantitative determination of the elastic
experimental comparison is not justified. shear modulus of cartilage in situ. The earlier
These fmite displacements exceed the limits study (Hayes and Mockross 1971) indicates
of the theory and may exceed the linear range a strong dependence of shear modulus,
for cartilage elasticity. measured at low loads, on the degree of
Using spherical indenters of 10 and 30 mm osteoarthritic degeneration. The measured
radii, Hirsch measured the initial elastic values of Poissons ratio, on the other hand,
indentations at step loads of 490 X 10sdynes. indicate a fairly narrow range. Thus, the
Larger indentations were noted with the results of an indenter test and an assumed
10 mm indenter. The curves of Fig 5 predict value for Poissons ratio could be used with
that at a given value of the load, P, the theory to estimate the elastic shear modulus
indentation will be larger for the indenter of and, consequently, the degenerative condition
smaller radius. Also, using a 30 mm radius of the in situ cartihge.
spherical indenter Hirsch measured the The spherical indenter solution reported
indentation for six levels of load. here may also be examined as a preliminary
Unfortunately, quantitative comparisons model for loading in normal and artificial
between the present theory and the measure- synovial joints. To do so, it is important to
ments of Elmore et al. (1963) and of Hirsch compare the assumptions upon which the
(1944) are not possible. The shear modulus, analysis is based with the characteristics of
Poissons ratio, and thickness of the cartilage the biological tissues involved. The assump
tested are required for a quantitative com- tion of the rigidity of the supporting half-space
parison. The material pmperties are not is. not overly restrictive considering experi-
known for either experimental study and mental data for the elastic modulii of cartilage
Elmore et al. did not report cartilage layer and of cortical and cancellous bone. Such
thickness. All these quantities would have to an assumption, however, precludes investi-
be measured independently if a definitive com- gating the stress field in the subchondral
parison is to be made. A previous study region, an investigation of interest in a
(Hayes and Mockross 1971),however, showed theoretical analysis of the subchondral and
that for the initial elastic response in a creep marginal changes occurring in osteoarthritis.
test the shear modulus and Poissons ratio The assumption of the elasticity of the
were 4.1 X 10 dynes/cm* and O-42,respective- cartilage also precludes investigation of its
ly, for healthy cartilage and 5.8 x IO*dyn/ viscoelastic response but again this is not
cm* and O-39, respectively, for somewhat overly restrictive under short term loading
degenerated cartilage. Selecting values for conditions as in normal gait. The assumption
the material constants somewhere in this of the rigidity of the indenter is a more serious
range gives good quantitative agreement restriction, since, in such a case, all deforma-
between the present theory and the tests of tions are assumed to occur in the layer. In the
Hirsch. In as much as the material properties normal joint, both contacting condyles display
in this comparison were simply chosen to the layered geometry and deformations in
give a good fit (i.e. not independently deter- the contact region are shared. The rigid
mined), the agreement must be considered indenter assumption results in sufficiently
subjective. Nevertheless, this preliminary large normalized indentations at low values
comparison is interesting. of joint normal force to violate the small
If, indeed, the theory is verified with tests displacement requirements of a linear theory.
that include an independent measure of the Results for the stress and displacement fields
cartilage material properties, the indenter are thus only valid for joint forces on the order
A MATHEMATICAL ANALYSIS 551

of 10 kponds. Therefore, although the articular cartilage from indentation tests on the human
solution applies directly to low-level loading femoral head. J. Biomechanics 4,239-250.
Kopal, 2. (1955) Numerical Analysis, 556 pp., Wiley,
of joints in which one component has been New York.
replaced prosthetically, it should be regarded Krakovits, G. (1969a) Die elastizitat der gelenksknotpel.
as a preliminary model for the loading in Anat.Anz. 124,113-119.
Krakovits, G. (1969b) Bestimmung des elastizititsmoduls
normal synovial joints. Major improvements der knorpelschicht auf femurkiipfen mit hilfe der
in the applicability of the analysis can be kugeldruckprobe. Anat. Anz. 124,1X-166.
expected with the consideration of a deform- Lebedev, N. N. and Ufliand, I. A. (1958) Axisymmetric
contact problem for an elastic layer. PMM 22,442-450.
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this investigation by Training Grant GM 00874 from the Sokoloff, L. (1969) The Biology of Degenerative Joint
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