Total joint replacement is an established treatment for severely impaired joints. Significant complications persist, however, which are directly influenced by fracture processes occurring in the interfacial structures found in total joint replacement systems. The purpose of this research is to establish failure criteria for these structures using the principles of fracture mechanics. The specific problem to be studies is surface damage occurring on the polyethylene surface of the tibial component in total knee replacement as a result of articulation with the metal femoral component. Failure criteria governing the occurrence of the problem will be experimentally established. Stress analysis will be performed to determine the stresses arising within the implant system which would lead to failure. These stresses will be examined as a function of the implant geometry. Fracture analysis will then be performed to show that variations in component geometry will affect the propensity for failure. This analysis will employ the experimentally determined failure criteria. The goal is to demonstrate that design variables can be chosen to minimize the occurrence of such failures without adversely affecting other aspects of implant function. In this way, the longterm performance for total joint replacement will be improved.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Project (R01)
Project #
5R01AR038905-03
Application #
3158924
Study Section
Orthopedics and Musculoskeletal Study Section (ORTH)
Project Start
1987-09-01
Project End
1990-08-31
Budget Start
1989-09-01
Budget End
1990-08-31
Support Year
3
Fiscal Year
1989
Total Cost
Indirect Cost
Name
Hospital for Special Surgery
Department
Type
DUNS #
City
New York
State
NY
Country
United States
Zip Code
10021
Estupinan, J A; Bartel, D L; Wright, T M (1998) Residual stresses in ultra-high molecular weight polyethylene loaded cyclically by a rigid moving indenter in nonconforming geometries. J Orthop Res 16:80-8
Astion, D J; Saluan, P; Stulberg, B N et al. (1996) The porous-coated anatomic total hip prosthesis: failure of the metal-backed acetabular component. J Bone Joint Surg Am 78:755-66
Pruitt, L; Koo, J; Rimnac, C M et al. (1995) Cyclic compressive loading results in fatigue cracks in ultra high molecular weight polyethylene. J Orthop Res 13:143-6
Elbert, K; Bartel, D; Wright, T (1995) The effect of conformity on stresses in dome-shaped polyethylene patellar components. Clin Orthop Relat Res :71-5
Elbert, K E; Wright, T M; Rimnac, C M et al. (1994) Fatigue crack propagation behavior of ultra high molecular weight polyethylene under mixed mode conditions. J Biomed Mater Res 28:181-7
Tsao, A; Mintz, L; McRae, C R et al. (1993) Failure of the porous-coated anatomic prosthesis in total knee arthroplasty due to severe polyethylene wear. J Bone Joint Surg Am 75:19-26
Wright, T M; Rimnac, C M; Stulberg, S D et al. (1992) Wear of polyethylene in total joint replacements. Observations from retrieved PCA knee implants. Clin Orthop Relat Res :126-34