Abstract
This chapter discusses the failure of orthopaedic devices, the causes of such failure and methods of predicting various modes of failure. The primary modes of failure are mechanical, chemical and the adverse biological response to implants. Orthopaedic devices may fracture or deform under loads applied in their use. A prediction of the ability of a device to withstand expected loading in the hostile envioronment in which they are used may be developed from a knowledge of the mechanical and corrosive properties of the materials used and a knowledge of the loading to which they are subjected. Knowing these, stress analysis may be applied, usually the ,,Finite Element“ method, to determine the stresses and strains throughout the body of the device being evaluated. These stresses and strains are then compared to ,,safe“ values by varous criteria. Wear is the primary mechanical failure mode either by wear through of the part or by the adverse biological response to the products of wear. The various forms of wear are discuseed with the means for minimizing such wear. The dominant mode of wear type failure in incongruent knee repacement bearings is actually fatigue of the articular surface due to excessive contact stresses. Stress analysis of typical incongruent (fixed) and congruent (mobile) knee replacment bearings indicates that the fixed bearing knee bearings analysed are grossly overstressed. Only the mobile bearing device that was analysed has acceptable contact stress values. Mechanical testing confirmed this analysis showing much higher wear for the fixed bearing devices with wear increasing with increasing stress.
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References
Harris, E.C.: Elements of Structural Engineering. Roland Donald Press, New York (1954)
Ludema, K.C.: Wear. ASM Handbook. Friction, Lubrication, and wear Technology, vol. 18, pp. 175–280 (1992)
Amenzade, Y.A.: Theory of Elasticity. Mir, Moscow (1979)
Black, J.: Biological Performance of Materials - Fundamentals of Biocompatibility. Marcel Dekker, New York (1981)
Deutshman, A.D., Michels, W.J., Wilson, C.E.: Machine Design, Ch.6. Macmillan, New York (1976)
Hutton, D.V.: Fundamentals of Finite Element Analysis. McGraw-Hill, New York (2004)
Crowell, H.P.: Three Dimensional Finite Element Analysis of a Tibial Ankle Prosthesis. Dissertaion, New Jersey Institute of Technology (1990)
Yau, S.F.: A Three-Dimensional Finite Element Stress Analysis of Interface Conditions in Porous Coated Hip Prosthesis. Dissertaion, New Jersey Institute of Technology (1991)
Stulberg, S.D., et al.: Failure mechanisms of metal-backed patellar components. Clinical Orthopaedics and Related Research 236, 88-105 (1988)
Bourne, R.B., et al.: Metal-backed total knee replacement patellar components: a major problem for the future, Paper No. 315 presented at the 58th Annual Meeting of the AAOS (1990)
Jones, S.M.G., et al.: Polyethylene wear in uncemented knee replacements. Journal of Bone and Joint Surgery 74B(1), 18-22 (1992)
Engh, G.A., Dwyer, K.A., Hannes, C.K.: Polyethylene wear of metal-backed tibial components in total and unicompartmental knee prostheses. Journal of Bone and Joint Surgery 74B(1), 9-17 (1992)
Rose, R.M., Goldfarb, E.V., Ellis, E., Crugnola, A.M.: On pressure dependence of the wear of ultra high molecular weight polyethylene. Wear 92, 99–111 (1983)
Bartel, D.L., et al.: [14] Bartel DL et al Performance of the tibial component of the total knee replacement. Journal of Bone and Joint Surgery 64A, 10–26 (1982)
Bartel, D.L., Bicknell, V.L., Wright, T.M.: The effect of conformity, thickness and material on stresses in ultra-high molecular weight polyethylene components for total joint replacement. Journal of Bone and Joint Surgery 68A, 10–41 (1986)
Ravell, P.A.: The production and biology of polyethylene wear debris. Archives of Orthopaedic and Traumatic Surgery 91, 167-181
Pappas, M.J., Makris, G., Buechel, F.F.: Evaluation of contact stress in metal plastic knee replacements. In: Pizzoferrato, A., et al. (eds.) Biomaterials and Clinical Applications, Clemson SC:101, pp. 259–264. Elsevier, Amsterdam (1897)
Pappas, M.J., Buechel, F.F.: New Jersey knee simulator. In: Proceedings of the Eleventh International Biomaterials Symposium held at Clemson SC:101 (1979)
Bartell, D.L., Wright, T.M., Edwards, D.L.: The effect of metal backing on stresses in polyethylene acetabular components. The Hip. In: Proceedings of Hip Society, vol. 229, St. Louis, CV Mosby (1983)
Willert, H.G., Semlitsh, M.: Reaction of the articular capsule to wear products of artificial joint prostheses. Journal of Biomedical Materials Research 11, 134-164 (1977)
Galante, J.O., et al.: The Biological Effects of Implant Materials. Journal of Orthopaedic Research 9, 760-775 (1991)
Dowson, D., et al.: Influence of counterface topography on the wear ofUHMWPE under wet and dry condifions. In: Lee, H.L. (ed.) The Proceedings of the American Chemical Society, Polymer Wear and tis Control, ACS Symp. Ser., vol. 287, pp. 171–187 (1885)
Pappas, M.J., et al.: Comparison of Wear Of UHMWPe Cups Articulating With Co Cr and TiN Coated Femoral Heads. Transactions of the Society of Biomaterials XIII, 36 (1990)
Seely, F.B., Smith, J.O.: Advanced Mechanics of Materials, Ch.14. Wiley and Sons, New York (1958)
Pappas, M.J., Makris, G., Buechel, F.F.: Contact stresses in metal plastic total knee replacements: A theoretical and experimental study. Biomedical Engineering Technical Report. Biomedical Engineering Trust, South Orange NJ (1986)
Hostalen, G.U.R.: Hoechst Aktiengesellschaft, Verkauf Kunstoffe, 6230 Frankfurt am Main 80, 22 (1982)
Pappas, M.J., Makris, G., Buechel, F.F.: Wear in prosthetic knee joints. Scientific Exhibit. In: 59th Annual Meeting of the AAOS, Washington DC (1992)
Pappas, M.J.: LCS White Paper #1, Two Articulating Surface Wear of UHMWPe Bearings. Biomedical Engineering Trust, Trust South Orange NJ (1994)
Pappas, M.J., Buechel, F.F.: N.J. Integrated Knee Replacement System: Rationale and Review of 193 Cases, Biomedical Engineering Technical Report. Biomedical Engineering, Trust South Orange NJ (1984)
Collier, J.P., Williams, I.R., Mayor, M.B.: Retrieval Analysis of Mobile Bearing Prosthetic Knee Devices. In: Hamelynck, K.J., Stiehl, J.B. (eds.) LCS Mobile Bearing Knee Arthroplasty: 25 years of worldwide experience, pp. 74–80. Springer (2002)
Pappas, M.J., Makris, G., Buechel, F.F.: Wear in Prosthetic Knee Joints. In: Scientific Exhibit, 59th Annual Meeting of the AAOS, Washington DC (1992)
Riley, D., et al.: Long Term Results of Geomedic Total Knee Replacement. JBJS 66A, 734 (1984)
Buechel, F.F.: The Infected Total Knee Arthroplasty: Just When You Thought It Was Over. J Arthroplasty 19(4 Suppl. 1), 51–56 (2004)
Moyad, T.F., Thornhill, T., Estok, D.: Evaluation and Management of the Infected Total Hip and Knee. Orthopaedics 31(6), 581-588 (2008)
Buechel, F.F., et al.: Primary Exchange Revision Arthroplasty for Infected Total Knee Replacement: A Long Term Study. Am Journal of Orthop XXXIII, 4 (2004)
Hozak, W.J., Orozco, F.: Osteolysis and Total Hip Replacement. Medscape (2009), http://cme.medscae.com/vioewarticle/420395 (acessed August 29, 2009)
Buechel, F.F.: Osteolysis After Total Ankle Replacement. In: Presented at the 35th Annual Orthopaedic Surgeon & Trauma Society Meeting, Bonaire, Netherlands Antilles (2009)
Buechel, F.F., et al.: Twenty-year evaluation of meniscal bearing and rotating platform knee replacements. Clin Orthop 388, 41-50 (2001)
Shimmin, A.J., Back, D.: Femoral Neck Fractures Following Birmingham Hip Resurfacing: A National Review of 50 Cases. JBJS Br 87B(4), 463-464 (2002)
Garbuz, D.S.: Metal on Metal Hip Resurfacing vs Large Diameter Hip Arthroplasty, Hip Society, The John Charnley Award (2009)
Pandit, H., et al.: Pseudotumors Associated with Metal-on-Metal Hip Resurfacing. JBJS Br 90B, 847-851 (2008)
Navarro, M., Michiardi, A., et al.: Biomaterials in orthopaedics. J of Royal Society Interface 5(27),1137-11 (2008)
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Buechel, F.F., Pappas, M.J. (2015). Failure Modes. In: Principles of Human Joint Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-15311-7_2
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DOI: https://doi.org/10.1007/978-3-319-15311-7_2
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