Fatigue fractures of the femoral component of Charnley and Charnley-Müller type total hip prostheses.

TLDR: The prosthesis should be inserted in varus position with regard to the axis of the intramedullary canal, and the prostheses should be made of an alloy with appreciably higher yield stress and fatigue strength than the alloys of the investigated broken Charnley and Charnleys-Müller type prostheses.

Abstract: A survey is given of the mechanical failures of the femoral component of Charnley and Charnley-Muller type total hip prostheses. Fractographic analysis reveals that all the prostheses have broken by metal fatigue. A review of the clinical data has been combined with a metallurgical and a mechanical study in order to assess the reasons of the mechanical failures. The following conclusions have been reached. The prosthesis should be inserted in varus position with regard to the axis of the intramedullary canal, and the prosthesis should be made of an alloy with appreciably higher yield stress and fatigue strength than the alloys of the investigated broken Charnley and Charnley-Muller type prostheses.