The worry is that with such a precision fit, even with a precision shaft it's reliant on the air bearing to prevent a touchdown and permanent (a contact at high RPMs is going to squish the mating surface and jam the entire thing into an interference fit) jam. A sharp shock or rotation during operation could well be sufficient to kill the heatsink. For a server, this is not so much of an issue (apart from ruggedised servers), but it may make the heatsink a no-go for laptops, or even desktops.
Remember the disc-scratching issue with the Xbox 360 (not from tilting the console, but from normal operation in horizontal or vertical orientation)? That was a MUCH looser fit than here, but even minor vibrations from people walking nearby were sufficient to cause damage.