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Title:Characterization of micro-threaded stem taper surface of cementless hip endoprostheses
Authors:ID Dolinar, Drago (Author)
ID Kocjančič, Boštjan (Author)
ID Avsec, Klemen (Author)
ID Šetina, Barbara (Author)
ID Kocijan, Aleksandra (Author)
ID Godec, Matjaž (Author)
ID Sedlaček, Marko (Author)
ID Debeljak, Mojca (Author)
ID Grant, John T. (Author)
ID Zupanc, Timon (Author)
ID Jenko, Monika (Author)
Files:.pdf PDF - Presentation file, download (8,47 MB)
MD5: 70C4040E28C63084981B7DDC849A236E
 
URL URL - Source URL, visit https://www.mdpi.com/1996-1944/17/11/2751
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo IMT - Institute of Metals and Technology
Abstract:We investigated micro-threaded stem taper surface and its impact on premature failures, aseptic loosening, and infection in cementless hip endoprostheses. Our study focused on the fretting, and crevice corrosion of micro-threaded tapers, as well as the characterization of the microstructure and surface properties of two new and three retrieved Zweymüller stem tapers. The retrieved samples were selected and examined based on the head–stem taper interface being the sole source of modularity with a metallic component, specifically between the Ti alloy taper stem and the ceramic head. To determine the surface chemistry and microstructures of both new and retrieved hip endoprostheses stem taper titanium alloy, scanning -electron microscopy (SEM) was employed for morphological and microstructural analyses. Energy dispersive spectroscopy (EDS) was utilized for characterizing chemical element distribution, and electron backscattered diffraction (EBSD) was used for phase analysis. The roughness of the micro-threated stem tapers from different manufacturers was investigated using an optical profilometer, with standard roughness parameters Ra (average surface roughness) and Rz (mean peak to valley height of the roughness profile) being measured. Electrochemical studies revealed no fretting corrosion in retrieved stem tapers with ceramic heads. Consequently, three retrieved tapers and two new ones for comparison underwent potentiodynamic measurements in Hank’s solution to determine the corrosion rate of new and retrieved stem taper surfaces. The results showed a low corrosion rate for both new and prematurely failed retrieved samples due to aseptic loosening. However, the corrosion rate was higher in infected and low-grade infected tapers. In conclusion, our study suggests that using ceramic heads reduces taper corrosion and subsequently decreases the incidence of premature failures in total hip arthroplasty.
Keywords:total hip arthroplasty, stem micro-threaded taper, taper surface morphology, microstructure, corrosion, Ti implant alloy
Publication status:Published
Publication version:Version of Record
Publication date:05.06.2024
Publisher:MDPI
Year of publishing:2024
Number of pages:str. 1-17
Numbering:Vol. 17, iss. 11
Source:Švica
PID:20.500.12556/DiRROS-19048 New window
UDC:620.1:669.295: 617.581
ISSN on article:1996-1944
DOI:10.3390/ma17112751 New window
COBISS.SI-ID:195358467 New window
Copyright:© 2024 by the authors
Note:Nasl. z nasl. zaslona; Opis vira z dne 6. 6. 2024;
Publication date in DiRROS:06.06.2024
Views:415
Downloads:319
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Record is a part of a journal

Title:Materials
Shortened title:Materials
Publisher:Molecular Diversity Preservation International
ISSN:1996-1944
COBISS.SI-ID:33588485 New window

Document is financed by a project

Funder:ARIS - Slovenian Research and Innovation Agency
Project number:L3-2621
Name:Mehanizmi omajanja endoproteze kolka

Funder:Other - Other funder or multiple funders
Funding programme:Department for Orthopedic Surgery UMC, Ljubljana, Slovenia
Project number:TP No. 20220103
Name:Tertiary projects

Funder:Other - Other funder or multiple funders
Funding programme:Department for Orthopedic Surgery UMC, Ljubljana, Slovenia
Project number:TP No. 2023019
Name:Tertiary projects

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

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