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01-12-2014 | Original Article

Fixation strength of taper connection at head–neck junction in retrieved carbon fiber-reinforced PEEK hip stems

Authors: Ichiro Nakahara, Masaki Takao, Shunichi Bandoh, Nobuhiko Sugano

Published in: Journal of Artificial Organs | Issue 4/2014

Abstract

Carbon fiber-reinforced polyetheretherketone (CFR-PEEK) hip prostheses possess numerous advantages over metal prostheses; however, the security of the taper connection between the CFR-PEEK stem and the modular femoral head in vivo has not been verified. Therefore, we mechanically examined the taper connection of retrieved in vivo loaded CFR-PEEK stems in comparison with in vivo loaded titanium alloy stems. CFR-PEEK and titanium alloy femoral stems with a 12/14 taper trunnion were implanted in ovine hips. A 22-mm ceramic head was intraoperatively impacted to the stem. Retrieved specimens were obtained following weight-bearing conditions for up to 39 postoperative weeks and taper junction pull-off tests were conducted. Postoperative retrieved CFR-PEEK stem pull-off strength was significantly greater than that at time zero. Postoperative retrieved CFR-PEEK stem pull-off strength was also significantly higher than that of postoperative retrieved titanium alloy stem. Microscopic findings of the taper surface revealed no obvious damage in the retrieved CFR-PEEK stems, whereas fretting and corrosion were observed in the retrieved titanium alloy stems. The present findings suggest that the taper connection between the ceramic head and the 12/14 CFR-PEEK stem trunnion is more secure than that between the ceramic head and the titanium alloy trunnion.

Wenz LM, Merritt K, Brown SA, Moet A, Steffee AD. In vitro biocompatibility of polyetheretherketone and polysulfone composites. J Biomed Mater Res. 1990;24:207–15.PubMedCrossRef

Morrison C, Macnair R, MacDonald C, Wykman A, Goldie I, Grant MH. In vitro biocompatibility testing of polymers for orthopaedic implants using cultured fibroblasts and osteoblasts. Biomaterials. 1995;16:987–92.PubMedCrossRef

Hennessy DW, Callaghan JJ, Liu SS. Second-generation extensively porous-coated THA stems at minimum 10-year followup. Clin Orthop Relat Res. 2009;467:2290–6.PubMedCentralPubMedCrossRef

Yildiz H, Ha SK, Chang FK. Composite hip prosthesis design. I. Analysis. J Biomed Mater Res. 1998;39:92–101.PubMedCrossRef

Yildiz H, Chang FK, Goodman S. Composite hip prosthesis design. II. Simulation. J Biomed Mater Res. 1998;39:102–19.PubMedCrossRef

Skinner HB. Composite technology for total hip arthroplasty. Clin Orthop Relat Res. 1988;235:224–36.PubMed

Zhang G, Latour RA Jr, Kennedy JM, Del Schutte H, Friedman RJ Jr. Long-term compressive property durability of carbon fibre-renforced polyetheretherketone composite in physiological saline. Biomaterials. 1996;17:781–9.PubMedCrossRef

Götze C, Tschugunow A, Götze HG, Böttner F, Pötzl W, Gosheger G. Long-term results of the metal-cancellous cementless Lübeck total hip arthroplasty: a critical review at 12.8 years. Arch Orthop Trauma Surg. 2006;126:28–35.PubMedCrossRef

Kishida Y, Sugano N, Ohzono K, Sakai T, Nishii T, Yoshikawa H. Stem fracture of the cementless spongy metal Lübeck hip prosthesis. J Arthroplasty. 2002;17:1021–7.PubMedCrossRef

10.

Gilbert JL, Buckley CA, Jacobs JJ, Bertin KC, Zernich MR. Intergranular corrosion-fatigue failure of cobalt–alloy femoral stems. A failure analysis of two implants. J. Bone Joint Surg Am. 1994;76:110–5.PubMed

11.

Burstein AH, Wright TM. Neck fractures of femoral prostheses. A report of two cases. J Bone Joint Surg Am. 1985;67:497–9.PubMed

12.

Thyssen JP, Jakobsen SS, Engkilde K, Johansen JD, Søballe K, Menné T. The association between metal allergy, total hip arthroplasty, and revision. Acta Orthop. 2009;80:646–52.PubMedCentralPubMedCrossRef

13.

Langton DJ, Jameson SS, Joyce TJ, Gandhi JN, Sidaginamale R, Mereddy P, Lord J, Nargol AV. Accelerating failure rate of the ASR total hip replacement. J Bone Joint Surg Br. 2011;93:1011–6.PubMedCrossRef

14.

Pandit H, Glyn-Jones S, McLardy-Smith P, Gundle R, Whitwell D, Gibbons CL, Ostlere S, Athanasou N, Gill HS, Murray DW. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg Br. 2008;90:847–51.PubMedCrossRef

15.

Willert HG, Buchhorn GH, Fayyazi A, Flury R, Windler M, Köster G, Lohmann CH. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005;87:28–36.PubMedCrossRef

16.

Krüger T, Alter C, Reichel H, Birke A, Hein W, Spielmann RP. Possibilities of follow-up imaging after implantation of a carbon fiber-reinforced hip prosthesis. Aktuelle Radiol. 1998;8:81–6.PubMed

17.

Ramirez MA, Rodriguez EK, Zurakowski D, Richardson LC. Detection of orthopaedic implants in vivo by enhanced-sensitivity, walk-through metal detectors. J Bone Joint Surg Am. 2007;89:742–6.PubMedCrossRef

18.

McCarthy JC, Bono JV, O’Donnell PJ. Custom and modular components in primary total hip replacement. Clin Orthop Relat Res. 1997;344:162–71.PubMedCrossRef

19.

Collier JP, Mayor MB, Williams IR, Surprenant VA, Surprenant HP, Currier BH. The tradeoffs associated with modular hip prostheses. Clin Orthop Relat Res. 1995;311:91–101.PubMed

20.

McCarthy JC, Bono JV, O’Donnell PJ. Custom and modular components in primary total hip replacement. Clin Orthop Relat Res. 1997;344:162–71.PubMedCrossRef

21.

Collier JP, Surprenant VA, Jensen RE, Mayor MB. Corrosion at the interface of cobalt-alloy heads on titanium-alloy stems. Clin Orthop Relat Res. 1991;271:305–12.PubMed

22.

Goldberg JR, Gilbert JL, Jacobs JJ, Bauer TW, Paprosky W, Leurgans S. A multicenter retrieval study of the taper interfaces of modular hip prostheses. Clin Orthop Relat Res. 2002;401:149–61.PubMedCrossRef

23.

Cook RB, Bolland BJ, Wharton JA, Tilley S, Latham JM, Wood RJ. Pseudotumour formation due to tribocorrosion at the taper interface of large diameter metal on polymer modular total hip replacements. J Arthroplasty. 2013;28:1430–6.PubMedCrossRef

24.

Cooper HJ, Della Valle CJ, Berger RA, Tetreault M, Paprosky WG, Sporer SM, Jacobs JJ. Corrosion at the head–neck taper as a cause for adverse local tissue reactions after total hip arthroplasty. J Bone Joint Surg Am. 2012;94:1655–61.PubMed

25.

Barrack RL, Burke DW, Cook SD, Skinner HB, Harris WH. Complications related to modularity of total hip components. J Bone Joint Surg Br. 1993;75:688–92.PubMed

26.

Pellicci PM, Haas SB. Disassembly of a modular femoral component during closed reduction of the dislocated femoral component: a case report. J Bone Joint Surg Am. 1990;72:619–20.PubMed

27.

Woolson ST, Pottorff GT. Disassembly of a modular femoral prosthesis after dislocation of the femoral component: a case report. J Bone Joint Surg Am. 1990;72:624–5.PubMed

28.

Cales B, Stefani Y. Risks and advantages in standardization of bores and cones for heads in modular hip prostheses. J Biomed Mater Res. 1998;43:62–8.PubMedCrossRef

29.

ISO Standard 7206-10, 2003, Implants for surgery-Partial and total hip joint prostheses, Part 10. Determination of resistance to static load of modular femoral heads. International Organization for Standardization, Geneva, Switzerland, 2003; Available at: http://www.iso.org.

30.

Maharaj G, Bleser S, Albert K, Lambert R, Jani S, Jamison R. Characterization of wear in composite material orthopaedic implants. Part I: The composite trunnion/ceramic head interface. Biomed Mater Eng. 1994;4:193–8.PubMed

31.

Pennock AT, Schmidt AH, Bourgeault CA. Morse-type tapers: factors that may influence taper strength during total hip arthroplasty. J Arthroplasty. 2002;17:773–8.PubMedCrossRef

32.

Rehmer A, Bishop NE, Morlock MM. Influence of assembly procedure and material combination on the strength of the taper connection at the head–neck junction of modular hip endoprostheses. Clin Biomech (Bristol, Avon). 2012;27:77–83.CrossRef

33.

Heiney JP, Battula S, Vrabec GA, Parikh A, Blice R, Schoenfeld AJ, Njus GO. Impact magnitudes applied by surgeons and their importance when applying the femoral head onto the Morse taper for total hip arthroplasty. Arch Orthop Trauma Surg. 2009;129:793–6.PubMedCrossRef

34.

Lieberman JR, Rimnac CM, Garvin KL, Klein RW, Salvati EA. An analysis of the head–neck taper interface in retrieved hip prostheses. Clin Orthop Relat Res. 1994;300:162–7.PubMed

35.

Nassutt R, Mollenhauer I, Klingbeil K, Henning O, Grundei H. Relevance of the insertion force for the taper lock reliability of a hip stem and a ceramic femoral head. Biomed Tech (Berl). 2006;51:103–9.PubMedCrossRef

Title: Fixation strength of taper connection at head–neck junction in retrieved carbon fiber-reinforced PEEK hip stems
Authors: Ichiro Nakahara
Masaki Takao
Shunichi Bandoh
Nobuhiko Sugano
Publication date: 01-12-2014
Publisher: Springer Japan
Published in: Journal of Artificial Organs / Issue 4/2014
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI: https://doi.org/10.1007/s10047-014-0789-6

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Fixation strength of taper connection at head–neck junction in retrieved carbon fiber-reinforced PEEK hip stems

Abstract

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Abstract

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