Abstract
The objective of this investigation was to evaluate the in vitro and in vivo susceptibilities of a surgical cobalt‐chromium‐molybdenum alloy to localized corrosion. In vitro cyclic anodic polarization curves were generated for the cobalt alloy under various surface and electrolyte conditions. Surfaces of the test specimens were examined before and after each polarization experiment. In vivo analyses involved macroscopic and microscopic examinations of cobalt alloy surfaces on retrieved total hip prostheses. The electrolyte selected for the in vitro polarization study was 0.9% saline at a pH of 7.00 ± 0.05 and temperature of 37 ± 1°C in both aerated and deaerated conditions. Surface conditions for the cobalt alloys included nonpassivated and passivated treatments. Hysteresis behavior was exhibited by the passivated alloy but not by the nonpassivated alloy. According to the protection potential theory, hysteresis behavior indicates a material should be susceptible to pitting corrosion. Therefore, based on polarization curves and theory, the results of the present study indicated the cobalt alloy was susceptible to pitting corrosion when in the passivated condition but not when in the nonpassivated condition. Examination of the surfaces before and after each polarization curve revealed no evidence of pitting corrosion. Also, the examination of nonwear cobalt surfaces of total hip prostheses with implantation times up to 6 years revealed no features uniquely identified as the result of pitting corrosion. Therefore, it was hypothesized that certain conditions inherent in the electrochemical phase of this study had caused the development of hysteresis behavior for the passivated alloy, and this hysteresis behavior should not be associated with pitting corrosion as is normally taken to be the case by application of the protection potential theory. Instead, it is postulated that the hysteresis behavior exhibited by the passivated alloy is due to processes involving a breakdown of the pre‐established passive film followed by a repassivation characteristic of the saline electrolyte.