Damage mechanics of porcine flexor tendon: mechanical evaluation and modeling.

Porcine flexor tendons underwent cyclic and stress relaxation testing before and after strain exceeding elastic limit ("overstretch") to examine which mechanical parameters undergo changes following subfailure damage. From these data, we developed an "effective strain" damage model (in which the tendon is modeled as if being pulled to a lower strain). Damage was induced at three strain levels to determine the extent to which post-damage parameter changes were affected by overstretch strain level. We found that diffuse damage induced by overstretch decreased elastic and viscoelastic parameters obtained during testing. The stress response of tendon to strain is therefore altered following damage. We next compared the strain-dependent parameter behavior to damage-dependent behavior to determine the effective strain for each parameter. Effects of damage became more pronounced as strain during overstretch increased; following overstretch to 6.5, 9, or 13% strain, effective strain was 2.43 ± 0.33, 1.98 ± 0.3, or 0.88 ± 0.43% strain, respectively. By determining the effective strain and using it to calculate predicted values of post-damage mechanical parameters, it was possible to predict the stress relaxation behavior of tendons with Schapery's nonlinear viscoelastic model. Using this approach, a single parameter predicts both elastic and viscoelastic compromise from known, strain-dependent behaviors.