The purpose of this study was to evaluate the incidence of corrosion and fretting in 48 retrieved titanium-6aluminum-4vanadium and/or cobalt-chromium-molybdenum modular total hip prosthesis with respect to alloy material microstructure and design parameters. The results revealed vastly different performance results for the wide array of microstructures examined. Severe corrosion/fretting was seen in 100% of as-cast, 24% of low carbon wrought, 9% of high carbon wrought and 5% of solution heat treated cobaltchrome. Severe corrosion/fretting was observed in 60% of Ti-6Al-4V components.Design features which allow for fluid entry and stagnation, amplification of contact pressure and/or increased micromotion were also shown to play a role. 75% of prosthesis with high femoral head-trunnion offset exhibited poor performance compared to 15% with a low offset. Large femoral heads (>32mm) did not exhibit poor corrosion or fretting. Implantation time was not sufficient to cause poor performance; 54% of prosthesis with greater than 10 years in-vivo demonstrated none or mild corrosion/fretting. v Effect of heat treatments on Ti-6Al-4V microstructure.
Effect of heat treatments on Ti-6Al-4V mechanical propertiesFracture toughness values for equiaxed and highly transformed microstructuresTi-6Al-4V ASTM mechanical and compositional requirements Summary of modular total hip prosthesis retrieval studies during the past 25 years.
As-received prostheses catalogingGeneral prostheses feature cataloging Macroscopic Examination. Overall implant examination, i.e. non-surface specific.
Porous Surface Coating TypesFemoral head and femoral stem dimensional variables
Modular junction dimensional variablesCorrosion and Fretting Scoring Criteria Worst fretting or corrosion score distribution by moment arm length.Worst fretting/corrosion score distribution for either head or trunnion by implantation time in-vivo. Cobalt-Carbon phase diagram illustrating the lever rule principle that dictates the fraction AB/AC of the constituent phases which will be liquid at the sintering temperature AC. i.e. an increase in carbon content will decrease the temperature required for adhering porous coatings.Porous coated as-cast cobalt-chrome stem Effect of Cooling Rates and Highest Temperature on Ti-6Al-4V Microstructure Finite element analysis predicting greater wear at the trunnion surface as femoral head is increased from 32mm to 56mm.Material, contact conditions and environmental variables governing potential for fretting wear.Pitting corrosion phenomena and associated reactions and surface features. Ion channeling contrast enhanced image of taper subsurface at 6,000X magnification, revealing differences in morphology near the surface.FIB trench subsurface regions selected for energy dispersive spectroscopy analysis.Cobalt, chromium, and molybdenum elemental weight percent at different depths as determined by EDS.(Left to right) 1. FIB sample pull out of as-cast carbide in matrix. 2. Areas from which EDS and TEM diffraction patterns were taken. 3. TEM im...