Metallurgical Failure Analysis of Intramedullary Nail Used for Femoral Fracture Stabilization

Abstract

Currently orthopedics challenge is the use of intramedullary nails to straighten diaphyseal femoral fractures. In this paper it was conducted a case study on an intramedullary nail used for femoral fracture stabilization, in the case of one young patient. The evolution was unfavorable to the fracture site and the implant failed after three month of first surgical intervention. Intramedullary nail dimensions were 300mm length and 10mm in diameter. The following investigations were made in order to establish the failure causes: determination of the chemical composition through spectral analysis, macrostructural analysis using stereomicroscopy, optical microstructural analysis using optical microscopy, fractographic analysis using scanning electron microscopy. The final conclusions showed that the metallic biomaterial used for manufacturing the intramedullary nail was approximately an austenitic stainless steel AISI 316L, but with major microstructural defects. Macro-structural analysis revealed the presence of two zones of cracking, which are very rare at austenitic stainless steels. Also breaking with a fragile character has radial front tear propagation. In longitudinal section, cracks were evidenced due to the extraction operation and also the presence of corrosion products was shown. From fractographic analysis it was determined that intramedullary nail failure was predominantly through the mechanism of brittle fracture that took place at the point of maximum bending of the implant fragile.