Time-dependent effects of ethanol-glycerin embalming on iliotibial band biomechanics

J Mech Behav Biomed Mater. 2025 Jan 8:163:106887. doi: 10.1016/j.jmbbm.2025.106887. Online ahead of print.

Abstract

When conducting biomechanical testing or clinical training using embalmed human soft tissues, it is essential to understand their impact on biomechanical properties and their time dependence. Previous studies have investigated this influence, but specific variations over different embalming durations have not been thoroughly addressed to date. Ninety-seven human iliotibial band specimens were obtained from nine donors. All specimens were embalmed in ethanol-glycerin for varying durations: one day, eight days, and fourteen days. Prior to the mechanical trials, the specimens underwent osmotic water adjustment, tapering and standardized clamping. Uniaxial tensile tests were conducted to determine elastic modulus, ultimate tensile strength, and ultimate strain. Surface strain measurements were performed using a digital image correlation system. Ethanol-glycerin embalming of soft tissues significantly affects ultimate strain after one day of submersion time, elastic modulus after eight days, and the ultimate tensile strength after fourteen days. For applications requiring consistent and reliable material properties reflecting a (supra-)vital state, caution is advised against using embalmed tissues even following short submersion durations in ethanol-glycerin.

Keywords: Digital image correlation; Elastic modulus; Ethanol embalming; Iliotibial band; Iliotibial tract; Ultimate strain; Ultimate tensile strength.