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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_34 | Pages 449 - 449
1 Dec 2013
Nambu S Obert R Roark M Linton D Bible S Moseley J
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Introduction:

Modular necks allow intra-operative adjustment of neck length, offset, and version, enabling the surgeon to better match leg length and accommodate anatomical differences. However, there have been recent reports of early fatigue failures of the neck initiating from the neck/stem taper, and some retrieved components exhibit severe fretting corrosion.1 Fatigue testing according to ISO 7206-6 (10/9 orientation) has been shown to replicate the clinical fatigue failures, but results in relatively minor fretting and corrosion. The purpose of this pilot study was to evaluate techniques for accelerating fretting corrosion with the goal of replicating the most severely corroded clinical retrieval cases.

Methods:

Constructs tested in this study consisted of a single stem and neck design (PROFEMUR modular, Wright Medical Technology). The worst case long varus neck design was evaluated in two materials: Ti6Al4V and wrought CoCr. In vitro fatigue testing in the 10/9 configuration was conducted at 10 Hz in unbuffered, aerated saline. Fretting mass loss, distraction force, and assessment of taper corrosion via SEM/EDS were measured. Methods used to exacerbate fretting corrosion are shown in Figure 2.