This test method describes a uniaxial, constant amplitude, fully reversed fatigue test to characterize the fatigue performance of a uniform cylindrical waisted specimen manufactured from acrylic bone cement.

This test method considers two approaches to evaluating the fatigue performance of bone cement:

5.2.1 Testing is conducted at three stress levels to characterize the general fatigue behavior of a cement over a range of stresses. The stress level and resultant cycles to failure of the specimens are plotted on an S-N diagram.

5.2.2 Another approach is to determine the fatigue strength of a particular cement. The fatigue strength for orthopaedic bone cement is to be determined at 5 million (5 × 10⁶) cycles. The “two-point method” is the specified procedure for conducting fatigue testing to determine fatigue strength [1].

This test method does not define or suggest required levels of performance of bone cement. This fatigue test method is not intended to represent the clinical use of orthopaedic bone cement, but rather to characterize the material using standard and well-established methods. The user is cautioned to consider the appropriateness of this test method in view of the material being tested and its potential application.

It is widely reported that multiple clinical factors affect the fatigue performance of orthopaedic bone cement; however, the actual mechanisms involved are not well understood. Clinical factors which may affect the performance of bone cement include: temperature and humidity, mixing method, time of application, surgical technique, bone preparation, implant design, and patient factors, among others. This test method does not specifically address these clinical factors. The test method can be used to compare different acrylic bone cement formulations and products and different mixing methods and environments (that is, mixing temperature, vacuum, centrifugation, and so forth).

1.1 This standard describes test procedures for evaluating the constant amplitude, uniaxial, tension-compression uniform fatigue performance of acrylic bone cement materials.

1.2 This standard is relevant to orthopaedic bone cements based on acrylic resins, as specified in Specification F451. The procedures in this guide may or may not apply to other surgical cement materials.

1.3 It is not the intention of this standard to define levels of performance of these materials. Furthermore, it is not the intention of this standard to directly simulate the clinical use of these materials.

1.4 A rationale is given in Appendix X1.

1.5 The values stated in SI units are to be regarded as the standard.

1.6 This standard does not purport to address all of the safety concerns associated with its use. It is the responsibility of the user of this standard to consult and establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.