Skip to main content
SpringerLink
Log in

Co-Cr Head Roughness and its Effect on Wear of UHMWPE and XLPE Cups

  • Conference paper
Bioceramics and Alternative Bearings in Joint Arthroplasty

Part of the book series: Ceramics in Orthopaedics ((CIO))

  • 829 Accesses

Abstract

Crosslinked polyethylene appears to be a better hip bearing material than conventional polyethylene, but will it take us past the expected 20-year survival and into the anticipated need for 30-year survivors? Knowing that a sizeable percentage of Co-Cr femoral heads roughen in the patient, and that XLPE is sensitive to roughening, there are many doubts over the long-term clinical use of Co-Cr heads with XLPE cups. Wear studies at LLUMC suggest there is a likely cost for using larger Co-Cr head sizes in young and active patients, i.e. those requiring a larger femoral head to increase stability and reduce dislocation. Therefore, we believe that these higher activity patients with extended expectations will better benefit from alternative bearing surfaces such as ceramic on ceramic. In addition, there are four modes of wear generation, i.e. impingement, backside wear etc., however, we still know very little about these processes for XLPE, especially understanding changes in wear particle sizes and concentrations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Donaldson T., Dickson T., Vinglass R., Bowsher J. G., Williams P., Clarke I.: Metal-metal bearings and large femoral heads for ultra-low wear with high stability. In Am Acad Ortho Surg, pp. SE003. Edited, Washington, D.C., 2005.

    Google Scholar 

  2. Clarke I., Tateiwa T., Manaka M., Shishido T., Gustafson A.: Clinical and laboratory perspectives on all-ceramic THR. In Trans 7th World Biomat Congr, pp. 222. Edited, Sydney, Australia, 2004.

    Google Scholar 

  3. Eickmann T., Green D. D., Donaldson T., Clarke I.: Backside wear in retrieved Hylamer liners. In Trans 50th Ann Meet Ortho Res Soc, pp.1461.Edited, San Francisco, California, 2004.

    Google Scholar 

  4. Clarke I., Donaldson T., Bowsher J. G., Nasser S., Takahashi T. Current concepts of metal-on-metal hip resurfacing. Ortho Clin North Am, 2005: In Press.

    Google Scholar 

  5. Heisel C., Silva M., dela Rosa M. A., Schmalzried T. P. Short-term in vivo wear of cross-linked polyethylene. J Bone Joint Surg Am, 2004, 86-A(4): 748–51.

    PubMed  Google Scholar 

  6. McKellop H., Shen F. W., Lu B., Campbell P, Salovey R. Development of an extremely wear-resistant ultra high molecular weight polyethylene for total hip replacements. J Orthop Res, 1999, 17(2): 157–67.

    Article  PubMed  CAS  Google Scholar 

  7. Muratoglu O. K., Bragdon C. R., O’Connor D. O., Jasty M., Harris W. H. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award. J Arthroplasty, 2001, 16(2): 149–60.

    Article  PubMed  CAS  Google Scholar 

  8. Muratoglu O. K., O’Connor D. O., Bragdon C. R., Delaney J., Jasty M., Harris W. H., Merrill E., Venugopalan P. Gradient crosslinking of UHMWPE using irradiation in molten state for total joint arthroplasty. Biomaterials, 2002, 23(3): 717–24.

    Article  PubMed  CAS  Google Scholar 

  9. Wang A., Essner A., Polineni V. K., Stark C., Dumbleton J. H. Lubrication and wear of ultra-high molecular weight polyethylene in total joint replacements. Tribology International, 1998, 31(1–3): 17–33.

    Article  CAS  Google Scholar 

  10. Wroblewski B. M., Siney P. D., Fleming P. A. Low-friction arthroplasty of the hip using alumina ceramic and cross-linked polyethylene. A ten-year follow-up report. J Bone Joint Surg Br, 1999, 81(1): 54–5.

    Article  PubMed  CAS  Google Scholar 

  11. Charnley J., Kamangar A., Longfield M. D. The optimum size of prosthetic heads in relation to the wear of plastic sockets in total replacement of the hip. Med Biol Eng, 1969, 7(1): 31–9.

    PubMed  CAS  Google Scholar 

  12. Beaule P. E., Dorey F. J., LeDuff M., Gruen T., Amstutz H. C. Risk factors affecting outcome of metal-on-metal surface arthroplasty of the hip. Clin Orthop, 2004, (418): 87–93.

    Google Scholar 

  13. Dowson D., Taheri S., Wallbridge N. C. The role of counterface imperfections in the wear of polyethylene. Wear, 1987, 119(3): 277–293.

    Article  Google Scholar 

  14. Elfick A. P., Hall R. M., Pinder I. M., Unsworth A. The influence of femoral head surface roughness on the wear of ultrahigh molecular weight polyethylene sockets in cementless total hip replacement. J Biomed Mater Res, 1999, 48(5): 712–8.

    Article  PubMed  CAS  Google Scholar 

  15. McKellop H., Shen F. W., DiMaio W., Lancaster J. G. Wear of gamma-crosslinked polyethylene acetabular cups against roughened femoral balls. Clin Orthop, 1999, (369): 73–82.

    Google Scholar 

  16. Bauer T. W., Ming J., D’Antonio J. A., Morawa L. G. Abrasive three-body wear of polyethylene caused by broken multifilament cables of a total hip prosthesis. A report of these cases. J Bone Joint Surg Am, 1996, 78(8): 1244–7.

    PubMed  CAS  Google Scholar 

  17. Scott D. L., Campbell P. A., McClung C. D., Schmalzried T. P. Factors contributing to rapid wear and osteolysis in hips with modular acetabular bearings made of Hylamer. J Arthroplasty, 2000, 15(1): 35–46.

    Article  PubMed  CAS  Google Scholar 

  18. Jasty M., Bragdon C. R., Lee K., Hanson A., Harris W. H. Surface damage to cobalt-chrome femoral head prostheses. J Bone Joint Surg Br, 1994, 76(1): 73–7.

    PubMed  CAS  Google Scholar 

  19. Muratoglu, O. K.; Bragdon, C. R.; O’Connor, D. O.; Jasty, M.; Harris, W. H.; Gul, R.; and McGarry, F.: Unified wear model for highly crosslinked ultra-high molecular weight polyethylenes (UHMWPE). Biomaterials, 20(16): 1463–70, 1999.

    Article  PubMed  CAS  Google Scholar 

  20. McKellop, H.; Shen, F. W.; Lu, B.; Campbell, P.; and Salovey, R.: Effect of sterilization method and other modifications on the wear resistance of acetabular cups made of ultra-high molecular weight polyethylene. A hip-simulator study. J Bone Joint Surg Am, 82-A(12): 1708–25, 2000.

    PubMed  CAS  Google Scholar 

  21. Good, V.; Ries, M.; Barrack, R. L.; Widding, K.; Hunter, G.; and Heuer, D.: Reduced wear with oxidized zirconium femoral heads. J Bone Joint Surg Am, 85-ASuppl 4: 105–10, 2003.

    PubMed  Google Scholar 

  22. Oonishi H., Kadoya Y. Wear of high-dose gamma-irradiated polyethylene in total hip replacements. J Orthop Sci, 2000, 5(3): 223–8.

    Article  PubMed  CAS  Google Scholar 

  23. Grobbelaar C. J., du Plessis T. A., Marais F. The radiation improvement of polyethylene prostheses. A preliminary study. J Bone Joint Surg Br, 1978, 60-B(3): 370–4.

    PubMed  CAS  Google Scholar 

  24. Bradford L., Baker D. A., Graham J., Chawan A., Ries M. D., Pruitt L. A. Wear and surface cracking in early retrieved highly cross-linked polyethylene acetabular liners. J Bone Joint Surg Am, 2004, 86-A(6): 1271–82.

    PubMed  Google Scholar 

  25. Bradford L., Kurland R., Sankaran M., Kim H., Pruitt L. A., Ries M. D. Early failure due to osteolysis associated with contemporary highly cross-linked ultra-high molecular weight polyethylene. A case report. J Bone Joint Surg Am, 2004, 86-A(5): 1051–6.

    PubMed  Google Scholar 

  26. McKellop H. A., Campbell P., Park S. H., Schmalzried T. P., Grigoris P., Amstutz H. C., Sarmiento A. The origin of submicron polyethylene wear debris in total hip arthroplasty. Clin Orthop, 1995, (311): 3–20.

    Google Scholar 

  27. Endo M. M., Barbour P. S. M., Barton D. C., Fisher J., Tipper J. L., Ingham E., Stone M. H.; Comparative wear and wear debris under three different counterface conditions of crosslinked and non-crosslinked ultra high molecular weight polyethylene, Biomed Mater Eng, 11(1), 23–35, 2001.

    PubMed  CAS  Google Scholar 

  28. Essner A., Polineni V.K., Wang A., Stark C., Dumbleton J.H.; Effect of femoral head surface roughness and crosslinking on the wear of UHMWPE acetabular inserts, Trans Society Biomaterials, 21, 4, 1998.

    Google Scholar 

  29. McKellop H., Shen F., DiMaio W., Lancaster J.G.; Wear of gamma-crosslinked polyethylene acetabular cups against roughened femoral balls, J. Clinical Orthop. Related Res., 369, 73–82, 1999.

    Article  Google Scholar 

  30. Good V., Ries M., Barrack R. L., Widding K., Hunter G., Heuer D. Reduced wear with oxidized zirconium femoral heads. J Bone Joint Surg Am, 2003, 85-ASuppl 4: 105–10.

    PubMed  Google Scholar 

  31. Bowsher J. G., Hussain A., Elfick A. P., Green S. S., Shelton J. C.: Severe patient activity substantially increased the number of submicron-sized wear particles in a XLPE-on-metal hip simulator study. In Trans 51st Ann Meet Ortho Res Soc, 2005, pp. 12. Edited, Washington D. C.

    Google Scholar 

  32. Yamamoto K., Clarke I. C., Masaoka T., Oonishi H., Williams P. A., Good V. D., Imakiire A. Microwear phenomena of ultrahigh molecular weight polyethylene cups and debris morphology related to gamma radiation dose in simulator study. J Biomed Mater Res, 2001, 56(1): 65–73.

    Article  PubMed  CAS  Google Scholar 

  33. Green T. R., Fisher J., Stone M., Wroblewski B. M., Ingham E. Polyethylene particles of a ‘critical size’ are necessary for the induction of cytokines by macrophages in vitro. Biomaterials, 1998, 19(24): 2297–302.

    Article  PubMed  CAS  Google Scholar 

  34. Schmalzreid T. P., Clarke I. C., McKellop H. Bearing Surfaces. In The Adult Hip, Vol. 247–265. Edited by Callaghan, J. J.; Rosenberg, A.; and Rubash, H., Lippincott-Raven Press, 1998.

    Google Scholar 

  35. Bowsher J.G., Shelton J.C.; A hip simulator study of the influence of patient activity level on wear of crosslinked polyethylene under smooth and roughened femoral heads, Wear, 250, 167–179, 2001.

    Article  Google Scholar 

  36. McKellop H. A., Campbell P., Park S. H., Schmalzried T. P., Grigoris P., Amstutz H. C., Sarmiento A. The origin of submicron polyethylene wear debris in total hip arthroplasty. Clin Orthop, 1995, (311): 3–20.

    Google Scholar 

  37. Bauer T. W., Taylor S. K., Jiang M., Medendorp S. V. An indirect comparison of third-body wear in retrieved hydroxyapatite-coated, porous, and cemented femoral components. Clin Orthop, 1994, (298): 11–8.

    Google Scholar 

Download references

Authors
  1. T. Donaldson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Massihi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. G. Bowsher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. I. C. Clarke
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Steinkopff Verlag Darmstadt

About this paper

Cite this paper

Donaldson, T., Massihi, A., Bowsher, J.G., Clarke, I.C. (2005). Co-Cr Head Roughness and its Effect on Wear of UHMWPE and XLPE Cups. In: Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/3-7985-1540-9_9

Download citation

  • DOI: https://doi.org/10.1007/3-7985-1540-9_9

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1518-5

  • Online ISBN: 978-3-7985-1540-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation