Adrian Łukaszewicz, M. Kopeć, Grzegorz Szczęsny, Zbigniew L. Kowalewski
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Characteristics of orthopaedic implants damage and mechanisms of its initiation
Implant fractures complicate orthopaedic procedures requiring secondary surgeries. However, it is not exactly known when the damage initiation starts and which factors predispose them to the highest degree. Thus, the aim of the study was to characterize changes observed in orthopaedic implants after their removal from the bone. Particular efforts were made to determine, which of them occur during the process of its production, installation, usage and removal. Such identification enabled to specify the role of lesions emerging during each period and their role in the implant’s deformation or fracture. The paper was focused on implants dedicated to the stabilization of the femur fractures since the bone transfers the highest loads. External surface and geometric features of eight representative implants were observed under standard and stereoscopic cameras, as well as under light and scanning electron microscopes. Macroscopic analysis of the investigated implants exhibited a number of defects in the form of scratches, abrasions, deformations and chipping. The wear degree of each implant was different and strictly depended on how it was implanted in the patient's body, as well as on how the patient exploited it through his mobility. Four different sources of implant integrity changes were identified: manufacturing-related changes, implant application-related changes, daily life-related changes and implant removal-related changes.
期刊介绍:
Featuring original, peer-reviewed papers by leading specialists from around the world, the International Journal of Damage Mechanics covers new developments in the science and engineering of fracture and damage mechanics.
Devoted to the prompt publication of original papers reporting the results of experimental or theoretical work on any aspect of research in the mechanics of fracture and damage assessment, the journal provides an effective mechanism to disseminate information not only within the research community but also between the reseach laboratory and industrial design department.
The journal also promotes and contributes to development of the concept of damage mechanics. This journal is a member of the Committee on Publication Ethics (COPE).