Fixation strength of taper connection at head-neck junction in retrieved carbon fiber-reinforced PEEK hip stems

J Artif Organs. 2014 Dec;17(4):358-63. doi: 10.1007/s10047-014-0789-6. Epub 2014 Sep 5.

Abstract

Carbon fiber-reinforced polyetheretherketone (CFR-PEEK) hip prostheses possess numerous advantages over metal prostheses; however, the security of the taper connection between the CFR-PEEK stem and the modular femoral head in vivo has not been verified. Therefore, we mechanically examined the taper connection of retrieved in vivo loaded CFR-PEEK stems in comparison with in vivo loaded titanium alloy stems. CFR-PEEK and titanium alloy femoral stems with a 12/14 taper trunnion were implanted in ovine hips. A 22-mm ceramic head was intraoperatively impacted to the stem. Retrieved specimens were obtained following weight-bearing conditions for up to 39 postoperative weeks and taper junction pull-off tests were conducted. Postoperative retrieved CFR-PEEK stem pull-off strength was significantly greater than that at time zero. Postoperative retrieved CFR-PEEK stem pull-off strength was also significantly higher than that of postoperative retrieved titanium alloy stem. Microscopic findings of the taper surface revealed no obvious damage in the retrieved CFR-PEEK stems, whereas fretting and corrosion were observed in the retrieved titanium alloy stems. The present findings suggest that the taper connection between the ceramic head and the 12/14 CFR-PEEK stem trunnion is more secure than that between the ceramic head and the titanium alloy trunnion.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Arthroplasty, Replacement, Hip
  • Benzophenones
  • Ceramics
  • Hip Prosthesis*
  • Ketones*
  • Materials Testing*
  • Polyethylene Glycols*
  • Polymers
  • Prosthesis Design*
  • Sheep
  • Titanium

Substances

  • Benzophenones
  • Ketones
  • Polymers
  • polyetheretherketone
  • Polyethylene Glycols
  • Titanium