THE CHARACTERIZATION OF PARTICULATE DEBRIS OBTAINED FROM FAILED ORTHOPEDIC IMPLANTS:
Chapter 10

10Discussion of Results

Debris Generation and The Role of Hydrogen

Many of the titanium particles observed are very thin and exhibit jagged and brittle fracture-like surfaces. The particles observed for these specimens are more aptly termed lens-shaped since their thickness was on the order of tenths of microns when viewed edge on. The fact that these particles exhibit a white fringe at their outer extremes indicates that the edges of these particles are less than 500Å thick. This extremely thin nature of debris tends to implicate hydrogen in the generation process. These lenticular plates are probably hydrogen stabilized b phase that existed as the thin b component of Widmänstatten a + b regions of the stem-mesh interface where the acicular a + b phase is present.

On the other extreme, the particle shown in Figure 40 exhibits very ductile behavior: wear marks are visible on its surface and surface cracking is not evident. Thus, hydrogen does not appear to play a major role in the debris generation within the joints of some patients. Clearly, variation in the chemistry of the patient's synovial environment and loading conditions are very important factors in terms of how much and what kind of titanium debris is generated.

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