The Influence of Artificial Ageing on the Stability of Ceramic Inserts in Sandwich Acetabular Cups

  • H. Schmotzer
  • M. Simnacher
  • M. Zuberbühler
  • K. Zweymüller
Conference paper
Part of the Ceramics in Orthopaedics book series (CIO)


Ultrahigh molecular weight polyethylene (UHMWPE) was introduced in total hip arthroplasty by Charnley in 1962 as a bearing material articulating against a stainless steel ball head [3]. This combination prooted to be highly successful clinically in the short to medium term. However, already early on wear of UHMWPE was recognized as a potential source of problems. Attempts to improve on this issue were the introduction of ceramic ball heads made from high purity alumina ceramics or elimination of UHMWPE altogether by the use of hard-on-hard bearing, either metal-on-metal or ceramics-on-ceramics.


Artificial Ageing Ceramic Component Material Test System Ceramic Insert Ceramic Liner 
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  1. 1.
    ASTM F2003-00: Standard guide for accelerated aging of ultra-high molecular weight polyethyleneGoogle Scholar
  2. 2.
    Boutin P (1972) Arthroplastie totale de hanche par prothèse en alumine frittée. Rev Chir Orthop 58:229–246PubMedGoogle Scholar
  3. 3.
    Charnley J (1979) Low friction arthroplasty of the hip—Theory and practise, Springer-Verlag, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  4. 4.
    Komistek R, Sedel L, Hammill C, Northcut E, Walker S and Bizot P (2002) In vivo determination of hip joint separation in subjects having variable bearing surfaces. Trans. 48th Annual Meeting of the ORS:0127Google Scholar
  5. 5.
    Mittelmeier H (1975) Selbsthaftende Keramik-Metall-Verbund-Endoprothese. Med Orthop Technik 95:152–159Google Scholar
  6. 6.
    Nevelos J, Ingham E, Doyle C, Streicher R, Nevelos A, Walter W and Fisher J (2000) Microseparation of the centers of alumina-alumina artificial hip joints during simulator testing produces clinically relevant wear rates and patterns. J Arthroplasty 15(6):793–795PubMedCrossRefGoogle Scholar
  7. 7.
    Willmann G, Kramer U. (1998) Keramische Pfannen für Hüftprothesen Teil 5: Konzeptionelle Überlegungen. Biomed. Technik 43:342–349CrossRefGoogle Scholar
  8. 8.
    Zweymüller K (2000) Indikation und Kontraindikation für unterschiedliche Gleitpaarungen bei modularen Hüftpfannen. In: Willmann G, Zweymüller K (eds.) Bioceramics in hip joint replacement—Proceedings 5th international Ceramtec Symposium. Georg Thieme Verlag, Stuttgart, pp 2–8Google Scholar

Copyright information

© Steinkopff Verlag, Darmstadt 2003

Authors and Affiliations

  • H. Schmotzer
  • M. Simnacher
  • M. Zuberbühler
  • K. Zweymüller

There are no affiliations available

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