Skip to main content

Failure Analysis of Prematurely Failed Hip Joint Implant Inside the Femur Bone

  • Conference paper
  • First Online:
Proceedings of the 7th International Conference on Fracture Fatigue and Wear (FFW 2018)

Part of the book series: Lecture Notes in Mechanical Engineering ((LNME))

Included in the following conference series:

  • 1521 Accesses

Abstract

The hip joint implant once put inside the femur is expected to deliver an average life span of ~25 years. Its premature failure is highly painful to the patient as for the removal of stem cemented inside the femur; the bone at times needs to be slit for the implant removal and replacement. The visual observations of implant retrieved after failure revealed no signs of any surface wear and tear or any surface cracking even after staying inside the body for almost 10 years. The stereo microscopic examination of fractured surface revealed some serration marks apart from rough and flat regions particularly in the upper broken part of implant. Optical emission spectroscopy divulged the composition to deviate from standard SS 316L grade. The optical microstructure showed presence of almost equiaxed austenite grains. The measured hardness was 81 HRB (viz. < 1 HRC) and bend strength was 360 MPa vis-à-vis normal human bone hardness of ~20 HRC and bend strength of ~110 MPa. The implant showed no cracking even after bending at 150°. The SEM analysis revealed occurrence of many surface and sub-surface defects such as inclusions, pin hole porosities and corrosion pits. EDS mapping showed inhomogeneous distribution of chromium. The presence of fatigue failure got confirmed on revelation of features such as serration marks, cleavage and dimples. The cracks most apparently got initiated at multiple locations and progressed inside the femoral stem.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Malviya, A., Abdul, N., Khanduja, V.: Outcomes following total hip arthroplasty: a review of the registry data. Indian J. Orthop. 51, 405–413 (2017)

    Article  Google Scholar 

  2. Learmonth, I.D., Young, C., Rorabeck, C.: The operation of the century: total hip replacement. Lancet 370, 1508–1519 (2007)

    Article  Google Scholar 

  3. Hoskin, H.L.D., Furie, E., Collins, W., Ganey, T.M., Schlatterer, D.R.: Mechanics and complications of reverse shoulder arthroplasty: morse taper failure analysis and prospective rectification. In: 6th International Conference on Fracture Fatigue and Wear, IOP Conference Series: Journal of Physics, Conference Series, vol. 843, p. 012019 (2017)

    Google Scholar 

  4. Kurtz, S.M., Roder, C., Lau, E., Ong, K., Widmer, M., Maravic, M.: International survey of primary and revision total hip replacement. In: 56th Annual Meeting of the Orthopaedic Research Society, New Orleans (2010)

    Google Scholar 

  5. Marketsandmarkets. HIP Replacement Market Worth 5.9 Billion USD by 2020. http://www.marketsandmarkets.com/PressReleases/hip-reconstruction-devices.asp. Accessed 18 June 2016

  6. Researchmarkets. http://www.researchandmarkets.com/reports/1877536/overview_of_orthopedic_joint_replacement_market.pdf. Accessed 9 June 2013

  7. Clarke, A., Pulikottil-Jacob, R., Grove, A., Freeman, K., Mistry, H., Tsertsvadze, A.: OP75 NICE hips: hip replacement interventions for osteoarthritis in the UK – a clinical and cost-effectiveness analysis. Ageing Popul. J. Epidemiol. Commun. Health 68(1), A37–A38 (2014)

    Article  Google Scholar 

  8. Pennington, M., Grieve, R., Sekhon, J.S., Gregg, P., Black, N., van der Meulen, J.H.: Cemented, cementless and hybrid prostheses for total hip replacement: cost effectiveness analysis. J. Epidemiol. Community Health BMJ 346, f1026 (2013)

    Google Scholar 

  9. Rimnac, C.M., Wright, T.M., Bartel, D.L., Klein, R.W., Petko, A.A.: Failure of orthopedic implants: three case histories. Mater. Charact. 26, 201–209 (1991)

    Article  Google Scholar 

  10. Griza, S., Kwietniewski, C., Tarnowski, G.A., Bertoni, F., Reboh, Y., Strohaecker, T.R., Baumvol, I.J.R.: Fatigue failure analysis of a specific total hip prosthesis stem design. Int. J. Fatigue 30, 1325–1332 (2008)

    Article  Google Scholar 

  11. Galante, J.O.: Causes of fractures of the femoral component in total hip replacement. J. Bone Joint Surg. Am. 62A, 670–673 (1980)

    Article  Google Scholar 

  12. Ellman, M.B., Levine, B.R.: Fracture of the modular femoral neck component in total hip arthroplasty. J. Arthroplasty 28(1), 196el–196e5 (2013)

    Article  Google Scholar 

  13. Skendzel, J.G., Blaha, J.D., Urquhart, A.G.: Total hip arthroplasty modular neck failure. J. Arthroplasty 26(2), 338e1–338e4 (2011)

    Article  Google Scholar 

  14. Colica, K., Sedmakb, A., Grbovicb, A., Tatica, U., Sedmaka, S., Djordjevica, B.: Finite element modeling of hip implant static loading. In: International Conference on Manufacturing Engineering and Materials, ICMEM 2016, Nový Smokovec, Slovakia (2016), Procedia Eng. 149, 257–262 (2016)

    Article  Google Scholar 

  15. U.S. Food and Drug Administration. Comprehensive Reverse Shoulder Humeral Tray: A summary of 510(k) safety and effectiveness information in accordance with the requirements of 21 CFR 807.92. Food and Drug Administration (2012). http://www.accessdata.fda.gov. Accessed 14 July 2014

  16. Bottlang, M., Fitzpatrick, D.C., Augat, P.: Musculoskeletal biomechanics: principles of orthopedics, orthopaedic knowledge update 10. Am. Acad. Orthop. Surg. 10, 59–72 (2011)

    Google Scholar 

  17. Crowninshield, R.D., Johnston, R.C., Andrews, J.G., Brand, R.A.: A biomechanical investigation of the human hip. J. Biomech. 1, 75–86 (1978)

    Article  Google Scholar 

  18. Chen, Q., Thouas, G.A.: Metallic implant biomaterials. Mater. Sci. Eng. R 87, 1–57 (2014)

    Article  Google Scholar 

  19. Yang, C.T., Wei, H.W., Kao, H.C., Cheng, C.K.: Design and test of hip stem for medullary revascularization. Med. Eng. Phys. 31, 994–1001 (2009)

    Article  Google Scholar 

  20. Buttaro, M.A., Mayor, M.B., Van Citters, D.: Fatigue fracture of a proximally modular, distally tapered fluted implant with diaphyseal fixation. J. Arthroplasty 22(5), 780–783 (2007)

    Article  Google Scholar 

  21. Smith, A.J., Dieppe, P., Vernon, K., Porter, M., Blom, A.W.: Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales. Lancet 379(9822), 1199–1204 (2012)

    Article  Google Scholar 

  22. Stronach, B.M., Roach, M.D., John, K.R.S.: Case report: failure of Emperion modular femoral stem with implant analysis. Arthroplasty Today 2, 11–14 (2016)

    Article  Google Scholar 

  23. Oravcová, M., Palček, P., Chalupová, M.: Premature failure of a femoral hip replacement. In: DAS 2015 (2015). Mater. Today: Proc. 3, 1114–1117 (2016)

    Google Scholar 

  24. Efe, T., Schmitt, J.: Analyses of prosthesis stem failures in noncemented modular hip revision prostheses. J. Arthroplasty 26, 665.e07–665.e12 (2011)

    Article  Google Scholar 

  25. Manivasagam, G., Dhinasekaran, D., Rajamanickam, A.: Biomedical implants: corrosion and its prevention - a review. Recent Pat. Corros. Sci. 2, 40–54 (2010)

    Article  Google Scholar 

  26. Arun, K.V., Jadhav, K.K.: Behaviour of human femur bone under bending and impact loads. Eur. J. Clin. Biomed. Sci. 2(2), 6–13 (2016)

    Google Scholar 

  27. Wroblewski, B.M.: The mechanism of fracture of the femoral prosthesis in total hip replacement. Int. Orthop. 3, 137–139 (1979)

    Google Scholar 

Download references

Acknowledgements

(1) Dr. Jagdish Panse, Chief Orthopedic Surgeon, Inlaks Budhrani Hospital, Pune, (2) Dr. S. B. Sarkar, Ex. Prof, IIT, Kharagpur and (3) Mr. Abhijeet Bhopale, FE-SEM Lab, COEP, Pune.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. P. Butee .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Butee, S.P., Kambale, K. (2019). Failure Analysis of Prematurely Failed Hip Joint Implant Inside the Femur Bone. In: Abdel Wahab, M. (eds) Proceedings of the 7th International Conference on Fracture Fatigue and Wear. FFW 2018. Lecture Notes in Mechanical Engineering. Springer, Singapore. https://doi.org/10.1007/978-981-13-0411-8_26

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-0411-8_26

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-0410-1

  • Online ISBN: 978-981-13-0411-8

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics