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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Delayed failure of metal-ceramic restorations due to static fatigue can occur when residual tensile stress is present in porcelain, even in the absence of intra-oral forces. Fixed-partial-denture (FPD) specimens and semicircular arch specimens with gapped cross-arch segments were employed to characterize the potential of two incompatible metal-ceramic systems for producing delayed crack development and to determine the relative sensitivity of these test designs as monitors of incompatibility stresses which resulted from thermal contraction differences between a nickel-chromium alloy and three experimental porcelains. The arch specimens were judged to be more suitable for analysis of residual stresses because of the larger magnitude of gap changes at each procedural change. However, the FPD specimens exhibited earlier evidence of delayed crack growth in porcelain when the thermal contraction coefficient of the metal exceeded that of the porcelain by either 1.7 X 10(-6)/degrees C or 2.2 X 10(-6)/degrees C. For these two states of incompatibility, the agreement between experimental gap values for the arch specimens and the gap values predicted from composite strip equations was excellent.
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PMID:Delayed crack development in porcelain due to incompatibility stress. 316 1

As strategies are considered for improving fixation of femoral components in total hip arthroplasty (THA), one is challenged to exceed the standard set by contemporary cement procedures. However, despite the improved ten- to 15-year clinical results anticipated with current cementing techniques, the limited fatigue strength of polymethylmethacrylate warrants continued investigation of alternative systems, particularly for younger patients and in revision arthroplasty. Design considerations for femoral stems for cementless THA include (1) initial mechanical stability afforded by the stem shape, (2) strength and stiffness of the stem, and (3) surface features relating to biocompatibility and attachment to bone. In one approach a fit-and-fill algorithm has been implemented to design stems that maximize contact between prosthesis and cortex in priority areas to achieve stability. Titanium is recommended for the fabrication of such stems because of its corrosion resistance, its biocompatibility, and its modulus, which is lower than that of cobalt-chromium alloy. Long-term fixation of these implants will be dependent upon the maintenance of normal strain patterns in the host bone. Achievement of this goal will require additional strategies that combine optimal fit and optimal material properties of the prosthesis.
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PMID:Strategies for improving fixation of femoral components in total hip arthroplasty. 341 25

The clinical and metallurigical characteristics of five cast cobalt-chromium-molybdenum alloy femoral hip prostheses which failed in vivo were evaluated. The devices included: two of the Howmedica Muller-Charnley design, two of the Howmedica Charnley design, and one of the Zimmer Aufranc-Turner design. Fractographic analyses demonstrated that the five devices had failed by fatigue which originated on the lateral aspect. Failure occurred after an average in vivo time of 80.4 months (approximately 6.7 years). Only two of the devices had Rockwell hardness values that were within the ASTM specifications for the alloy. Upon metallurgical examination, moderate to severe levels of gas porosity, interdendritic shrinkage, and nonmetallic inclusions were found in all of the devices. As expected, extremely large grain sizes also were observed in the devices examined. These results indicate that the metallurgical flaws and defects associated with the cast cobalt-chromium-molybdenum alloys used in these devices may preclude successful longterm performance and warrant manufacturer's attention.
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PMID:Metallurgical analysis of five failed cast cobalt-chromium-molybdenum alloy hip prostheses. 382 Jan 19

In spite of the increasing numbers of porous coated total hip femoral components implanted each year, little is known about the shear strength or fatigue performance of the interface between coating and implant substrate. The appearance of loose beads in clinical follow-up roentgenograms suggests that shear failure of bead welds does occur and that the coating could be a weak link in the implant-bone or implant-cement-bone system. In this study, a test specimen design and test regimen for quasistatic and fatigue testing of implant-porous coating shear properties was developed. Both cobalt-chromium (CoCr) alloy and titanium (Ti) bead-substrate interfaces of various surface designs were studied. Results showed that static bead-substrate interface properties for both titanium and CoCr specimens were superior to published values of bone-bead shear strengths. By comparison, fatigue tests showed that the strength of bead welds on a smooth substrate was inadequate, with a preferential failure site being between beads and substrate rather than between beads and cement or beads and bone. However, implant surface contours or a bead recess were found to protect the bead welds, and specimens with those features successfully withstood ten million dynamic loading cycles.
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PMID:Effects of repetitive loading on the integrity of porous coatings. 382 10

Metallurgical observations of phenomena which influence the clinically successful performance of permanent implants and implant materials are reported. The effect of casting voids in cast cobalt chromium femoral stems of total hip replacements is discussed first. Pitting corrosion occurred in a retrieved stainless-steel implant type AISI 316 containing 2.7% Mo. The fractographic pattern of this device retrieved for fatigue failure shows typical characteristics of corrosion-enhanced fatigue.
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PMID:Performance analysis of total hip prostheses: some particular metallurgical observations. 735 39

Loosening of cemented femoral hip stems could be initiated by failure of the cement mantle due to high cement stresses. The goals of this study were to determine if realistic stem-cement interface characteristics could result in high cement stresses when compared to a bonded stem-cement interface and to determine if stem design parameters could be chosen to reduce peak cement stresses. Three-dimensional finite-element models of cemented femoral hip components were studied with bonded or realistic Coulomb friction stem-cement interfaces. The results showed that the use of a non-bonded, non-linear Coulomb friction interface resulted in substantially different stress fields in the cement when compared to a bonded stem-cement interface. Tensile stresses in the proximal cement mantel for the Coulomb friction interface case (10.8 MPa) were greater than the fatigue strength of the cement. In contrast, the tensile stresses in the cement mantle were not greater than the fatigue strength for the bonded case (7.5 MPa). Failure of the cement mantle in the proximal femur could therefore be initiated by a lack of a bond at the stem-cement interface. The effect of different cross-sectional stem geometries (medial radii of 3.0, 4.9 and 5.5 mm and antero-posterior widths of 9.8 and 13.7 mm) and different elastic moduli (cobalt chromium alloy and titanium alloy) for the stem material were also evaluated for models with a Coulomb friction interface. Changes in the stem cross-section and elastic modulus had only limited effects on the stress distributions in the cement. Of the parameters evaluated in this study, the characteristics of the stem-cement interface had the largest effect on cement mantle stresses.
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PMID:Coulomb frictional interfaces in modeling cemented total hip replacements: a more realistic model. 755 76

Long-term biomechanical problems associated with the use of sintered porous coating on prosthetic femoral stems inserted without cement include proximal loss of bone and a risk of fatigue fracture of the prosthesis. We sought to identify groups of patients in whom these problems are accentuated and in whom the use of porous coating may thus jeopardize the success of the arthroplasty. We attempted to develop clinical guidelines for the use of sintered porous coating by investigating the long-term biomechanical effects of bone growth into partially (two-thirds) porous-coated anatomic medullary locking hip prostheses that fit well. More specifically, we used a detailed finite element analysis and a composite beam theory to determine the dependence of proximal loading of the bone and maximum stresses on the stem on the development of clinically observed patterns of bone ingrowth and the dependence of the risk of fatigue fracture of the stem on the diameter of the stem, the diameter of the periosteal bone, and the material from which the prosthesis was made. We found that bone ingrowth per se substantially reduced proximal loading of the bone. With typical bone ingrowth, axial and torsional loads acting on the proximal end of the bone were reduced aa much as twofold compared with when there was no ingrowth; bending loads on the proximal end of the bone were also reduced. The risk of fatigue fracture of the stem was insensitive to the development of bone ingrowth. However, the risk of fatigue fracture of the stem increased with decreased diameters of the stem and the periosteal bone and with increased modulus of the stem. The maximum risk of fracture was found in active patients in whom a cobalt-chromium-alloy stem with a small diameter had been implanted in a bone with a small diameter.
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PMID:Mechanical consequences of bone ingrowth in a hip prosthesis inserted without cement. 860 24

Fractographic analyses were performed on retrieved porous and surface-coated cobalt-chromium alloy prostheses which were revised because of metallurgical fracture. Two femoral neck fractures and one fractured post of a femoral component of a total knee replacements were retrieved and analyzed via light, stereo and scanning electron microscopy (SEM). In all cases, fatigue was the mechanism of failure. The life time of these prostheses was 3-5 years. The porous coating; microstructural features, including large grains, carbides, porosity, inclusions and defects; design and manufacturing defects were all likely causative factors in these fatigue failures. In light of these and other reported fractures, further study of fatigue mechanisms and improvement of design and manufacturing processes are warranted.
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PMID:Fractographic analysis of failed porous and surface-coated cobalt-chromium alloy total joint replacements. 787 61

The aim of this study was to determine the fatigue resistance of the cast clasps of removable partial dentures. The different commercial types of metals used included five cobalt-chromium alloys, pure titanium, one titanium alloy (Ti-6A1-4V) and one gold alloy (type IV) that was either unhardened or age-hardened (n = 5 per group). The test method used was a constant-deflection fatigue test in which the force required to deflect the clasp for 0.6 mm and the number of loading cycles required to fracture the clasp were determined. The fatigue fracture surface of the clasps was examined with a scanning electron microscope. The results revealed that a fatigue fracture occurred in the cobalt-chromium clasp after approximately 25,000 loading cycles, in the pure titanium clasps after 4500 loading cycles, in the titanium alloy clasp after 20,000 loading cycles, and in the gold alloy clasp after 21,000 loading cycles. The means differed significantly (p < 0.001). Activation of the clasp by bending it 0.5 mm increased the fatigue resistance of the cobalt-chromium alloy and gold alloy clasps but decreased the fatigue resistance of both pure titanium and titanium alloy clasps (p < 0.005). The results of this study suggest that significant differences exist in the fatigue resistance of removable denture clasps made from different commercial cast metals, which may cause loss of retention of the removable partial denture and clasp failures.
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PMID:Deflection fatigue of cobalt-chromium, titanium, and gold alloy cast denture clasp. 853 Nov 62

This study determined the effect of various durations of induction melting of a cobalt-chromium alloy on resistance to deflection fatigue. Commercial cobalt-chromium alloy was melted by high-frequency induction for various lengths of time before it was cast into the shape of a denture clasp. The test method used was a constant-deflection fatigue test. The fatigue fracture surface of the clasp was examined with a scanning electron microscope, and the surface hardness (Vickers hardness) of the clasps was measured. In clasps with greater fatigue resistance scanning electron microscope photomicrographs revealed a coarse grain structure. The surface hardness of the alloy was least in the group with the lowest fatigue resistance and was higher in groups with greater fatigue resistance. This study suggests that, although some porosities are formed in the middle of the clasps after the alloy is overheated, the fatigue resistance of cobalt-chromium alloy denture clasps can be increased by lengthening the induction melting period of the alloy.
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PMID:Duration of induction melting of cobalt-chromium alloy and its effect on resistance to deflection fatigue of cast denture clasps. 864 83


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