Metallurgical Failure Analysis of a Broken Compression Hip Screw Surgical Implant

Author:

Brooks Charlie R.1,Choudhury Ashok1

Affiliation:

1. Chemical, Metallurgical and Polymer Engineering Department, The University of Tennessee

Abstract

Abstract A compression hip screw is a device designed to hold fractures in the area of the femur in alignment and under compression. A side plate, which is an integral part of the device, is attached by screws to the femur, and it holds the compression screw in position. The device analyzed had broken across the eighth hole (of nine holes) from the end of the plate. The detailed metallurgical failure analysis of the device, including metallography and fractography, is reported here. It was found that the device had adequate metallurgical integrity for the application for which it was intended. It is believed that failure was caused by the lack of a screw in the ninth hole. Evidence is also presented which indicates that the device was bent prior to insertion, and the local plastic deformation may have caused structural changes leading to premature crack initiation.

Publisher

ASM International

Reference20 articles.

1. “Corrosion and Fracture of Type 316 SMO Orthopedic Implants,”;Colangelo;Journal of Biomedical Materials Research,1969

2. “Metallurgical Observations on Some Metallic Surgical Implants Which Failed in Vivo,”;Hughes;Journal of Biomedical Materials Research,1972

3. “Failed Femoral Stems in Total Hip Prostheses,”;Galante;The Journal of Bone and Joint Surgery,1975

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