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Computer-based analysis of the taper connection strength of different revision head and adapter sleeve designs

  • Johanna Meier ORCID logo EMAIL logo , Jessica Hembus ORCID logo , Rainer Bader and Danny Vogel ORCID logo
Published/Copyright: September 13, 2023

Abstract

Objectives

Ceramic revision heads, equipped with titanium adapter sleeves, are used in femoral head revision in total hip arthroplasty to avoid ceramic fracture due to the damaged taper.

Methods

A finite element analysis of the taper connection strength of revision heads with varying head diameters combined with adapter sleeves of different lengths was conducted. The influence of various assembly forces, head diameter, and length of the adapter sleeves was evaluated. For two combinations, the pattern of contact pressure was evaluated when applying a simplified joint load (3 kN, 45° load angle). Experimental validation was conducted with 36 mm heads and adapter sleeves in size S, as well as 28 mm heads and adapter sleeves in size XL.

Results

The pull-off force increased with higher assembly forces. Using larger head diameters and adapter sleeves led to decreased pull-off forces, a reduced contact surface, and less contact pressure. The contact pressure showed significant peaks and a diagonal pattern under 45° angle loading when assembly forces were less than 4 kN, and larger adapter sleeves were utilized.

Conclusion

A sufficient assembly force should be ensured intraoperatively, especially with an increasing head diameter and adapter sleeve size, as lower assembly forces might lead to reduced taper connection strength.


Corresponding author: Johanna Meier, Biomechanics and Implant Technology Research Laboratory, Department of Orthopaedics, Rostock University Medical Center, Rostock, Germany, Phone: +49 (0)381 498 7035, E-mail: .

Award Identifier / Grant number: FKZ: 03ZZ1027K

Acknowledgments

The authors thank the Mathys Orthopädie GmbH (Mörsdorf, Germany) and Aristotech GmbH (Luckenwalde, Germany) for providing implant specimens and geometric data of the implants analysed. They also thank Mario Jackszis for assisting the experimental tests.

  1. Informed consent: “Not applicable”.

  2. Ethical approval: “Not applicable”.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: The authors declare that there is no conflict of interest regarding the publication of this paper.

  5. Research funding: The authors kindly thank the Federal Ministry of Education and Research (BMBF) for granting this research project (BMBF FKZ: 03ZZ1027K).

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Received: 2023-02-14
Accepted: 2023-08-28
Published Online: 2023-09-13
Published in Print: 2024-04-25

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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