0
Journal Contents   |    
Corrosion-Accelerated Mechanical Failure of a Vitallium Nail-Plate
ROBERT M. ROSE; ALAN L. SCHILLER; ERIC L. RADIN
View Disclosures and Other Information
From the Department of Metallurgy and Materials Science, Massachusetts institute of Technology, Cambridge, and the Departments of Orthopaedic Surgery and Pathology, Massachusetts General Hospital, Boston
1972 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1972; 54:854-862 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

Analysis of a broken Vitallium nail-plate device which had been used to fix an intertrochanteric fracture of the hip revealed that the nail was composed of cast Vitallium and the plate of wrought Vitallium. Little or no plastic flow accompanied the failure of the plate, suggesting gross overloading was not the prime cause of implant fracture, although it would have probably occurred in this case if failure had not interceded. The condition of the fracture surface indicated that essentially brittle failure had occurred, and that the fracture crack had initiated from the region of nail-plate contact, even though such a region is normally in a state of compressive stress. The scanning electron microscope was used to examine all surfaces, and revealed the presence of microscopic cracks nucleated by corrosion pits in the nail-plate contact area. The pits were probably due to electrochemical action aggravated by the dissimilar metal contact, stress concentration, and crevice corrosion effect of the nail-plate contact area inherent in the implant design. These findings suggest that wrought and cast Vitallium should not be used in combination, even when only compressive stresses on the implant are involved.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Hip
    Related Audio and Videos
    PubMed Articles
    Biodegradable interlocking nails for fracture fixation.
    Clinical orthopaedics and related research: Issue date- 1998 Dec
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    Maine - Central Maine Medical Center