Failure analysis of a femoral hip stem made of stainless steel after short time of exposure

• Autorzy: Mierzejewska Ż. A. , Oksiuta Z.
• Języki publikacji: EN

Abstrakty

EN

This paper describes a case study summarising the failure analysis of a stainless steel femoral stem, which failed prematurely within 36 months of exploitation in human body. In order to determine the mechanism of failure, a broken stem component were analyzed by means of macroscopic and microscopic obserwations and hardness measurements. Metallurgical obserwations revealed that the tested material does fulfill ASTM requirements. Scanning electron microscopy images revealed the presence of stress-induced cracking. The results of the hardness revealed significant nonuniformity from the surface towards the inner part of the stem. It is assumed that any discontinuity or defect on the fracture surface of the stem acted as preferential site for a crack nucleation and propagation by fatigue until the cross section of stem was not able to sustain a load generated by a patient.

Słowa kluczowe

EN

hip replacement; endoprosthesis stem fracture; isolated fracture; total hip arthroplasty complications; fatigue fracture

PL

proteza stawu biodrowego; endoproteza; pękanie zmęczeniowe

• Wydawca: Oficyna Wydawnicza Politechniki Białostockiej
• Czasopismo: Acta Mechanica et Automatica
• Rocznik: 2014
• Tom: Vol. 8, no. 3
• Strony: 146--150
• Opis fizyczny: Bibliogr. 19 poz., rys., tab., wykr.

Twórcy

autor

Mierzejewska Ż. A.

• Faculty of Mechanical Engineering, Division of Materials and Biomedical Engineering, Bialystok University of Technology

autor

Oksiuta Z.

• Faculty of Mechanical Engineering, Division of Materials and Biomedical Engineering, Bialystok University of Technology

Bibliografia

• 1. Brown T. (2012) Preventing Mechanical Failures - An Introduction to Failure Mode Identification, A Culture of Reliability, Vol. 3, 46-48.
• 2. Charnley J. (1975), Fracture of femoral prostheses in total hip replacement : a clinical study. Clin Orthop, 1 1 1 :105-20.
• 3. Delaunay, C. P., Kapandji, A. I. (1996), Primary total hip arthroplasty with the Karl Zweymuller first­generation cementless prosthesis: a 5 to 9 year retrospective study, J. Arthroplasty, 11, 643.652.
• 4. Galante J. (1980), Current Concept Review Causes of Fractures of the Femoral Component in Total Hip Replacement, Journal of Bone and Joint Surgery, Vol. 62 (4), Vol. 62(4), 670-673.
• 5. Griza S., Vieira dos Santos S., Ueki M. M., Bertoni F., Strohaecker T.R. (2013), Case study and analysis of a fatigue failure in a THA stem,Engineering Failure Analysis, 28, 166–175.
• 6. Hernandez­Rodriguez M. A. L., Ortega­Saenz J. A., Cotreras­Hernandez G. R. (2010), Failure analysis of a total hip prosthesis implanted in active patient, Journal of the Mechanical Behavior of Biomedical Materials, Vol. 3 (8), 619-622.
• 7. Jarvi K., Kerry R. M. (2007), Case Report Segmental Stem Fracture of a Cemented Femoral Prosthesis, The Journal of Arthroplasty,Vol. 22(4), 612–616.
• 8. Kamachi M. U., Sridhar T. M., Eliaz N., Baldev R. A. J. (2003), Failures of stainless steel orthopaedic devices: causes and remedies, Corros Rev, 21, 231-67.
• 9. Kishida Y.,Sugano N., Ohzono K., Sakai T., Nishii T., Yoshikawa H. (2002), Stem Fracture of the Cementless Spongy Metal Lubeck Hip Prosthesis, The Journal of Arthroplasty, Vol. 17 (8), 1021–1027.
• 10. Lakstein D., Eliaz N., Levi O, Backstein D., Kosashvili Y., Safir O., Gross A. E. (2011), Fracture of Cementless Femoral Stems at the Mid-Stem Junction, J Bone Joint Surg Am., 93, 57-65.
• 11. Malchau H, Herberts P, Eisler T, Garellick G, Soderman P. (2002), The Swedish Total Hip Replacement Register, J Bone Joint Surg Am,84-A, Suppl 2, 2-20.
• 12. Martens M., Aernoudt E., De Meester P., Ducheyne P., Muller J. C., Delangh R., Kestelijn P. (1974), Factors in the Mechanical Failure of the Femoral Component in Total Hip Prosthesis, Acta Orthop Scandinavica, 45(5), 693-710.
• 13. Mollan R. A. B., Watters P. H., Steele R., McClelland C. J. (1984), Failure of the femoral component in the Howse total hip arthroplasty, C/in Orthop, 190, 142-7.
• 14. Petch N. J. (1953), The cleavadge strength of policrystalls, JISi, 174, 25-28.
• 15. Roffey P. (2012), Case study: Failure of a high nitrogen stainless steel femoral stem, Engineering Failure Analysis, Vol. 20, 173-182.
• 16. Scheerlinck T, Druyts P, Casteleyn P. (2004), The use of primary total hip arthroplasty in university hospitals of the European Union, Acta Orthop Belg, 70(3), 231-9.
• 17. Sen R. K., Mootha A. K., Saini R., Kumar V. (2009) Segmental Fracture Of A Cemented Femoral Stem - A Case Report And Review Of Litrature, The Internet Journal of Orthopedic Surgery, Vol. 13 (1), 13-15.
• 18. Standard Specification for Wrought Nitrogen Strengthened 21 Chromium-10 Nickel-3 Manganese-2.5 Molybdenum Stainless Steel Alloy Bar for Surgical Implants, American Society for Testing and Materials, Materals, West Conshohocken, PA, ASTM F1586.
• 19. Wilson L. F., Nolan J. F., Wood-Waddington M. B. (1992), Fracture of the femoral stem of the ring TCH hip prosthesis, J Bone Joint Surg Br, 74(5), 725-8