Abstract
The success of hydroxyapatite (HA) coated implant devices is now well documented, with numerous published studies (1, 2, 3, 4) demonstrating excellent long-term clinical results. Clearly, many of the HA coatings used in earlier clinical studies involving plasma-sprayed HA-coated product were not as consistent in chemistry and mechanical properties as those now found on contemporary prostheses. The overall consistency and quality of HA plasma-sprayed coating on implant surfaces improved soon after their introduction, as early concerns arose regarding adequate bonding properties to the substrate, the sequela of HA debris, and possible osteolysis. Typically, as with the introduction of most new technologies to the orthopedic community, use of HA-coated implants did not increase dramatically until 5 years after regulatory acceptance was granted in the US (1991), and excellent clinical results were reported from a number of studies. Currently in the US, 30% of all cementless hip implants are HA-coated.
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Private communication with Edward Ahn, PhD.
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Serekian, P. (2004). Hydroxyapatite: from Plasma Spray to Electrochemical Deposition. In: Fifteen Years of Clinical Experience with Hydroxyapatite Coatings in Joint Arthroplasty. Springer, Paris. https://doi.org/10.1007/978-2-8178-0851-2_3
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DOI: https://doi.org/10.1007/978-2-8178-0851-2_3
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