Developmental Dysplasia of the Hip
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presents
Wheeless' Textbook of Orthopaedics

Stainless Steel



- See: Characteristics of Metals and Implants:

- Discussion:
    - has best mechanical properties, as it is strong and has good fatigue resistance;
    - it is easily worked and cheap to manufacture;
    - serious draw back is the tendency to corrode;
    - forged stainless steel has greater yield strength than cast stainless steel, but has
          lower fatigue strength than other alloys;
          - because of femoral component fracture with early designs, stainless
                steel is no longer routinely used;
    - from the standpoint of erosion, biocompatibility, and fatigue life, stainless steel
          is inferior to other superalloys;

- Corrosion Properties:
    - corrodes more easily than other materials;
    - addition of chromium and molybdenum to stainless steel produces corrosive
            resistant surface layer;
    - surfaces of all metal implants in the U.S. are covered using nitric acid to
            form an oxide or hydroxide on their surfaces;
    - fretting corrosion:
          - a process in which abrasive wear is accompanied by corrosion;
          - protective oxide layer on metal is removed by abrasion process;
          - because new passivation layer that forms after abrasion is neither as durable
                  nor as chemically inert as original layer, metal is more susceptible to
                  corrosion;
          - this form of corrosion often occurs between screw heads & plates;
          - stainless steel & cobalt-chromium alloys are susceptible to fretting corrosion;







Original Text by Clifford R. Wheeless, III, MD.