Is There Material Loss at the Conical Junctions of Modular Components for Total Knee Arthroplasty?

BACKGROUND: Clinical concern exists regarding fretting corrosion and material loss from taper junctions in orthopedic devices, with previous research focusing on the modular components from total hip arthroplasty. Comparatively little has been published regarding the fretting corrosion and material loss in modular knee devices. The purpose of this study is to evaluate fretting corrosion damage and quantify material loss for conical total knee arthroplasty taper interfaces. METHODS: Stem tapers of 166 retrieved modular knee devices were evaluated for fretting corrosion using a semiquantitative scoring method. High precision profilometry was then used to determine volumetric material loss and maximum wear depth for a subset of 37 components (implanted for 0.25-18.76 years). Scanning electron microscopy and energy-dispersive X-ray spectroscopy were used to characterize the observed damage. RESULTS: Mild to severe fretting corrosion was observed on the majority of tapers, with 23% receiving a maximum visually determined damage score of 4. The median rate of volumetric material loss was 0.11 mm3/y (range 0.00-0.76) for femoral components (both cone and bore taper surfaces combined) and 0.01 mm3 (range 0.00-8.10) for tibial components. Greater rates of material loss were associated with mixed metal pairings. There was a strong correlation between visual fretting corrosion score and calculated material loss (ρ = 0.68, P < .001). Scanning electron microscopy revealed varying degrees of scratching, wear, fretting corrosion, and instances of cracking with morphology not consistent with fretting corrosion, wear, or fatigue. CONCLUSION: Although visual evidence of fretting corrosion damage was prevalent and correlated with taper material loss, the measured volumetric material loss was low compared with prior reports from total hip arthroplasty.

Water oxidation by an electropolymerized catalyst on derivatized mesoporous metal oxide electrodes.

A general electropolymerization/electro-oligomerization strategy is described for preparing spatially controlled, multicomponent films and surface assemblies having both light harvesting chromophores and water oxidation catalysts on metal oxide electrodes for applications in dye-sensitized photoelectrosynthesis cells (DSPECs). The chromophore/catalyst ratio is controlled by the number of reductive electrochemical cycles. Catalytic rate constants for water oxidation by the polymer films are similar to those for the phosphonated molecular catalyst on metal oxide electrodes, indicating that the physical properties of the catalysts are not significantly altered in the polymer films. Controlled potential electrolysis shows sustained water oxidation over multiple hours with no decrease in the catalytic current.

Stabilization of a ruthenium(II) polypyridyl dye on nanocrystalline TiO2 by an electropolymerized overlayer.

The long-term performance of dye-sensitized solar and photoelectrochemical cells is strongly dependent on the stability of surface-bound chromophores and chromophore-catalyst assemblies at metal oxide interfaces. We report here electropolymerization as a strategy for increasing interfacial stability and as a simple synthetic route for preparing spatially controlled, multicomponent films at an interface. We demonstrate that [Fe(v-tpy)2](2+) (v-tpy = 4'-vinyl-2,2':6',2″-terpyridine) can be reductively electropolymerized on nanocrystalline TiO2 functionalized with a phosphonate-derivatized Ru(II) polypyridyl chromophore. The outer:inner Fe:Ru ratio can be controlled by the number of reductive electrochemical scan cycles as shown by UV-visible absorption and energy dispersive X-ray spectroscopy measurements. Overlayer electropolymerization results in up to 30-fold enhancements in photostability compared to the surface-bound dye alone. Transient absorbance measurements have been used to demonstrate that photoexcitation and electron injection by the MLCT excited state(s) of the surface-bound Ru(II) complex is followed by directional, outside-to-inside, Fe(II) → Ru(III) electron transfer. This strategy is appealing in opening a new approach for synthesizing surface-stabilized chromophore-catalyst assemblies on nanocrystalline metal oxide films.

Strategies for stabilization of electrodeposited metal particles in electropolymerized films for H2O oxidation and H+ reduction.

Metal particles were electrodeposited on a variety of conducting substrates, and their electrocatalytic activity toward H2O oxidation to O2 and H(+) reduction to H2 was evaluated. Co, Ni, Cu, Pd, Ag, and Pt were all electrodeposited on fluorine-doped tin oxide (FTO) electrodes. Particularly active were Pd and Pt for H(+) reduction and Co and Ag for H2O oxidation. When cycled reductively in 0.1 M HClO4, FTO electrodes derivatized with Pt and Pd reached current densities for hydrogen evolution of 18.3 and 13.2 mA/cm(2), respectively, at -0.6 V vs normal hydrogen electrode (NHE). FTO electrodes with electrodeposited Co or Ag were cycled oxidatively in H2O buffered to pH 7 with phosphate buffer. Current densities of 10.5 and 8.70 mA/cm(2), respectively, were reached at +1.8 V vs NHE with H2O oxidation onsets at +1.3 and +1.4 V, respectively. The impacts on catalytic stability and performance of electrodeposited metals in/on an electrically conductive polymer support were also investigated. Films of poly-[Fe(vbpy)3](PF6)2 (vbpy is 4-methyl-4'-vinyl-2,2'-bipyridine) were generated on FTO by reductive electropolymerization. Significant improvements to the long-term stability of electrodeposited Ag and Pt particles were observed in the poly-[Fe(vbpy)3](PF6)2 support. Films of poly-[M(vbpy)3](PF6)2 with M = Co(II) or Cu(II) were also prepared and evaluated as electrocatalysts for H2O oxidation. Films containing Co(II) reached current densities of 6.0 mA/cm(2) at +1.8 V vs NHE in H2O.

Water oxidation and oxygen monitoring by cobalt-modified fluorine-doped tin oxide electrodes.

Electrocatalytic water oxidation occurs at fluoride-doped tin oxide (FTO) electrodes that have been surface-modified by addition of Co(II). On the basis of X-ray photoelectron spectroscopy and transmission electron microscopy measurements, the active surface site appears to be a single site or small-molecule assembly bound as Co(II), with no evidence for cobalt oxide film or cluster formation. On the basis of cyclic voltammetry measurements, surface-bound Co(II) undergoes a pH-dependent 1e(-)/1H(+) oxidation to Co(III), which is followed by pH-dependent catalytic water oxidation. O2 reduction at FTO occurs at -0.33 V vs NHE, allowing for in situ detection of oxygen as it is formed by water oxidation on the surface. Controlled-potential electrolysis at 1.61 V vs NHE at pH 7.2 resulted in sustained water oxidation catalysis at a current density of 0.16 mA/cm(2) with 29,000 turnovers per site over an electrolysis period of 2 h. The turnover frequency for oxygen production per Co site was 4 s(-1) at an overpotential of 800 mV at pH 7.2. Initial experiments with Co(II) on a mesoporous, high-surface-area nanoFTO electrode increased the current density by a factor of ~5.

Coordination chemistry of single-site catalyst precursors in reductively electropolymerized vinylbipyridine films.

Reductive electropolymerization of [Ru(II)(PhTpy)(5,5'-dvbpy)(Cl)](PF6) and [Ru(II)(PhTpy)(5,5'-dvbpy)(MeCN)](PF6)2 (PhTpy is 4'-phenyl-2,2':6',2″-terpyridine; 5,5'-dvbpy is 5,5'-divinyl-2,2'-bipyridine) on glassy carbon electrodes gives well-defined films of poly{[Ru(II)(PhTpy)(5,5'-dvbpy)(Cl)](PF6)} (poly-1) or poly{[Ru(II)(PhTpy)(5,5'-dvbpy)(MeCN)](PF6)2} (poly-2). Oxidative cycling of poly-2 with added NO3(-) results in the replacement of coordinated MeCN by NO3(-) to give poly{[Ru(II)(PhTpy)(5,5'-dvbpy)(NO3)](+)}, and with 0.1 M HClO4, replacement by H2O occurs to give poly{[Ru(II)(PhTpy)(5,5'-dvbpy)(OH2)](2+)} (poly-OH2). Although analogous aqua complexes (e.g., [Ru(tpy)(bpy)(OH2)](2+)) undergo rapid loss of H2O to MeCN in solution, poly-OH2 and poly-OH2(+) are substitutionally inert in MeCN. The substitution chemistry is reversible, with reductive scans of poly-1 or poly-OH2 in MeCN resulting in poly-2, although with some loss of Faradaic response.