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Quantification of the Contact Area at the Head-Stem Taper Interface of Modular Hip Prostheses

机译:模块化髋关节假体头部-锥度界面接触面积的量化

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摘要

Corrosion of modular taper junctions of hip implants may be associated with clinical failure. Taper design parameters, as well as the intraoperatively applied assembly forces, have been proposed to affect corrosion. Fretting corrosion is related to relative interface shear motion and fluid ingress, which may vary with contact force and area. It was hypothesised in this study that assembly forces modify the extent and distribution of the surface contact area at the taper interface between a cobalt chrome head and titanium stem taper with a standard threaded surface profile. Local abrasion of a thin gold coating applied to the stem taper prior to assembly was used to determine the contact area after disassembly. Profilometry was then used to assess permanent deformation of the stem taper surface profile. With increasing assembly force (500 N, 2000 N, 4000 N and 8000 N) the number of stem taper surface profile ridges in contact with the head taper was found to increase (9.2±9.3%, 65.4±10.8%, 92.8±6.0% and 100%) and the overall taper area in contact was also found to increase (0.6±0.7%, 5.5±1.0%, 9.9±1.1% and 16.1±0.9%). Contact was inconsistently distributed over the length of the taper. An increase in plastic radial deformation of the surface ridges (-0.05±0.14 μm, 0.1±0.14 μm, 0.21±0.22 μm and 0.96±0.25 μm) was also observed with increasing assembly force. The limited contact of the taper surface ridges at lower assembly forces may influence corrosion rates, suggesting that the magnitude of the assembly force may affect clinical outcome. The method presented provides a simple and practical assessment of the contact area at the taper interface.
机译:髋关节植入物的模块化锥形连接处的腐蚀可能与临床失败有关。已经提出锥度设计参数以及术中施加的组装力会影响腐蚀。微动腐蚀与相对界面剪切运动和流体进入有关,它们可能随接触力和面积而变化。在这项研究中假设,装配力会改变钴铬合金头部和钛杆锥度之间锥度界面处表面接触面积的范围和分布,并具有标准的螺纹表面轮廓。组装前在阀杆锥度上施加的薄金涂层的局部磨损用于确定拆卸后的接触面积。然后使用轮廓仪来评估杆锥表面轮廓的永久变形。随着装配力的增加(500 N,2000 N,4000 N和8000 N),与头部锥度接触的杆锥表面轮廓脊的数量增加(9.2±9.3%,65.4±10.8%,92.8±6.0%)和100%),总的接触锥度也增加了(0.6±0.7%,5.5±1.0%,9.9±1.1%和16.1±0.9%)。接触在锥度的长度上不一致地分布。随着装配力的增加,还观察到了表面脊的塑性径向变形(-0.05±0.14μm,0.1±0.14μm,0.21±0.22μm和0.96±0.25μm)的增加。锥形表面脊在较低的组装力下的有限接触可能会影响腐蚀速率,这表明组装力的大小可能会影响临床结果。提出的方法为锥度界面处的接触面积提供了一种简单实用的评估方法。

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