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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Malviya, A., Abdul, N., Khanduja, V.: Outcomes following total hip arthroplasty: a review of the registry data. Indian J. Orthop. 51, 405–413 (2017)
Learmonth, I.D., Young, C., Rorabeck, C.: The operation of the century: total hip replacement. Lancet 370, 1508–1519 (2007)
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)
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)
Marketsandmarkets. HIP Replacement Market Worth 5.9 Billion USD by 2020. http://www.marketsandmarkets.com/PressReleases/hip-reconstruction-devices.asp. Accessed 18 June 2016
Researchmarkets. http://www.researchandmarkets.com/reports/1877536/overview_of_orthopedic_joint_replacement_market.pdf. Accessed 9 June 2013
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)
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)
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)
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)
Galante, J.O.: Causes of fractures of the femoral component in total hip replacement. J. Bone Joint Surg. Am. 62A, 670–673 (1980)
Ellman, M.B., Levine, B.R.: Fracture of the modular femoral neck component in total hip arthroplasty. J. Arthroplasty 28(1), 196el–196e5 (2013)
Skendzel, J.G., Blaha, J.D., Urquhart, A.G.: Total hip arthroplasty modular neck failure. J. Arthroplasty 26(2), 338e1–338e4 (2011)
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)
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
Bottlang, M., Fitzpatrick, D.C., Augat, P.: Musculoskeletal biomechanics: principles of orthopedics, orthopaedic knowledge update 10. Am. Acad. Orthop. Surg. 10, 59–72 (2011)
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)
Chen, Q., Thouas, G.A.: Metallic implant biomaterials. Mater. Sci. Eng. R 87, 1–57 (2014)
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)
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)
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)
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)
Oravcová, M., Palček, P., Chalupová, M.: Premature failure of a femoral hip replacement. In: DAS 2015 (2015). Mater. Today: Proc. 3, 1114–1117 (2016)
Efe, T., Schmitt, J.: Analyses of prosthesis stem failures in noncemented modular hip revision prostheses. J. Arthroplasty 26, 665.e07–665.e12 (2011)
Manivasagam, G., Dhinasekaran, D., Rajamanickam, A.: Biomedical implants: corrosion and its prevention - a review. Recent Pat. Corros. Sci. 2, 40–54 (2010)
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)
Wroblewski, B.M.: The mechanism of fracture of the femoral prosthesis in total hip replacement. Int. Orthop. 3, 137–139 (1979)
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
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this paper
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)