Fretting corrosion of orthopaedic implant materials by bone cement

Debonding of bone cement from the stem of the femoral component of a hip prosthesis can result in local tangential oscillatory movement, i.e. fretting, between the two contacting materials as the limb is moved. Patches where such rubbing has occurred are frequently seen on removed implants. Fretting fatigue experiments have been carried out in Hanks solution on austenitic stainless steel and Ti-6Al-4V (IMI 318) with bridges of bone cement clamped to the specimens. Fretting appears to have little effect on the fatigue life of either material but the scanning electron microscope reveals the formation of thick oxide layers which subsequently give rise to loose debris particles by a process of delamination. Further experiments carried out in Hanks solution in an electrolytic cell have shown that there are potential changes when a bone cement rider is fretted against a stainless steel or titanium alloy plate although the change in potential is only one tenth that obtained with a metal-on-metal contact. Fretting by bone cement appears to be producing damage to the metal surfaces which manifests itself as mild wear rather than a diminution in fatigue strength.