title: Stress and micromotion in the taper lock joint of a modular segmental bone replacement prosthesis.
abstract: The stress distribution within the components and the micromotion of the interface significantly influence the long-term function of the taper lock joint in a modular segmental bone replacement prosthesis. Bending-induced gap opening between the cone and the sleeve can lead to an inflow of biological fluids, and thus accelerate implant corrosion. Local areas of high stress can also accelerate the corrosive processes and initiate local yielding, which may lead to a fracture in one of the components. In this study, a 3-D finite element (FE) model of a modular segmental bone replacement prosthesis was developed to study the interface micromotion and component stress distribution under the maximum loads applied during gait for a taper lock joint with multiple material combinations. Bending was the main cause of the local high stresses and interface separation within the taper joint. For Ti6A14V components, cortical bone bridging and ingrowth across the taper lock gap reduced the peak stress by 45% and reduced the contact interface separation by 55%. Such tissue formation around the taper lock joint could also form a closed capsule to restrict the migration of potential wear particles and thus prevent the biologic process of bone resorption induced by metal debris.
authors.affiliation: Orthopaedic Biomechanics Laboratory, Johns Hopkins University, School of Medicine, Baltimore, MD 21239, USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Chu
authors.forename: J J
authors.initials: JJ
authors.lastname: Elias
authors.forename: G N
authors.initials: GN
authors.lastname: Duda
authors.forename: F J
authors.initials: FJ
authors.lastname: Frassica
authors.forename: E Y
authors.initials: EY
authors.lastname: Chao
mesh_terms: D001842:Bone and Bones; D020342:Finite Element Analysis; D006801:Humans; D009038:Motion; D016348:Osseointegration / Q000502:physiology; D016062:Porosity; D019736:Prostheses and Implants; D011474:Prosthesis Design; D013314:Stress, Mechanical