Faculty of Engineering and Information Technologies, School of Aerospace, Mechanical and Mechatronic Engineering
Abstract
Multi-component, or modular, implants have a number of advantages over monoblock implants, but also a number of disadvantages related to micromotion and fretting at the taper interface. Depending on the fretting regime, either fatigue or wear damage may occur, resulting in greatly reduced fatigue lives and the production of metallic wear debris. Current revision rates of hip implants with replaceable necks are double those with fixed necks. To improve the understanding of taper performance and identify factors that can reduce wear and fatigue damage, 3-D finite element modelling of a taper connection representing the neck-stem junction of a dual modular hip prosthesis was performed. This included evaluations of short- and long-term taper strength, wear simulations and fatigue life predictions. Wear simulations included material removal due to wear. Fatigue damage calculations were performed using the critical plane Smith-Watson-Topper and Fatemi-Socie parameters together with an isotropic, linear damage accumulation model. To facilitate fatigue calculations, a unique method of tracking a consistent set of material points was presented. Taper geometry, assembly force and the magnitude of the cyclic load were all found to affect taper performance. Increasing the assembly load reduced micromotion, but reductions in wear were offset by an increase in contact pressure. Increased loads resulted in significant increases in fatigue damage. Clinically relevant wear rates were predicted, suggesting that wear volumes produced by neck-stem tapers are similar to rates of head-neck and bearing surfaces of large head metal-on-metal total hips. Fatigue crack initiation sites were predicted to be within the taper junction, located at the edges of the wear patches in regions of partial slip. Due to the evolution of the contact and sub-surface stress/strains, the inclusion of material removal was found to be critical in the prediction of both crack initiation site and fatigue damage
