Advertisement

Kinematic evaluation of total hip arthroplasty with various bearing materials

  • D. A. Dennis
  • R. D. Komistek
  • M. R. Mahfouz
Part of the Ceramics in Orthopaedics book series (CIO)

Summary

The present study demonstrates that femoral head separation from the acetabular component can occur under weight-bearing conditions during gait and an abduction-adduction activity in subjects implanted with various designs of THA. The incidence and magnitude is greatest in those with MOP THA and least in subjects implanted with an AOA THA. Potential detrimental effects resulting from hip joint separation include premature polyethylene wear, component loosening secondary to impulse loading conditions and late hip instability. The reduced hip separation observed in AOA THA subjects is likely related to the increased wetability of this material as well as reduced diametral clearance typically seen in hard-on hard bearings which results in a cohesive fluid film lubrication regime.

Keywords

Femoral Head Acetabular Component Stance Phase Swing Phase Polyethylene Wear 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bergmann G, Graichen F, Rohlmann A, Dipl-Ing HL(1997) Hip joint forces during load carrying. Clin Orthop 335:190–201.PubMedGoogle Scholar
  2. 2.
    Bergmann G, Graichen F, Rohlmann A (1993) Hip joint loading during walking and running, measured in two patients. J Biomech 26:969–990.PubMedCrossRefGoogle Scholar
  3. 3.
    Bono JV, Sanford L, Toussaint JT (1994) Severe polyethylene wear in total hip arthroplasty. Observation from retrieved AML PLUS hip implants with an ACS polyethylene liner. J Arthroplasty 9(2):119–125.PubMedCrossRefGoogle Scholar
  4. 4.
    Brand RA, Crowninshield RD, Wittock CE et al (1982) A model of lower extremity muscular anatomy. J Biomech 104:304.CrossRefGoogle Scholar
  5. 5.
    Clarke IC, Good V, Anissian L, Gustafson A (1997) Charnley wear model validation of hip simulators-ball diameter versus polytetrafluoroethylene and polyethylene wear. Proc Inst Mech Eng 211(1):25–36.Google Scholar
  6. 6.
    Clarke IC, Kabo M (1991) Wear in total hip replacement. IN HC Amstutz (ed). Total Hip Arthroplasty. Churchhill Livingstone, New York, pp 535–570.Google Scholar
  7. 7.
    Coventry MB (1985) Late dislocations in patients with Charnley total hip arthroplasty. J Bone Joint Surg 67A:832–841.Google Scholar
  8. 8.
    Crowninshield RD, Johnston RC, Andrews JG and Brand RA (1978) A biomechanical investigation of the human hip. J Biomech 11:75–85.PubMedCrossRefGoogle Scholar
  9. 9.
    Davy DT, Kotzar GM, Brown RH, Heiple KG, Goldberg VM, Heiple KG JR, Berilla J, Burstein AH (1988) Telemetric force measurements across the hip after total arthroplasty. J Bone Joint Surg, 70A:45–50.Google Scholar
  10. 10.
    Dennis DA, Komistek RD, Hoff WA, Gabriel S (1996) In vivo knee kinematics derived using an inverse perspective technique. Clin Orthop 331:107–117.PubMedCrossRefGoogle Scholar
  11. 11.
    Dennis DA, Komistek RD, Northcut EJ, Ochoa JA, Ritchie A (2001) In vivo determination of Hip Joint Separation and the forces generated due to impact loading conditions. J Biomech 34:623–629.PubMedCrossRefGoogle Scholar
  12. 12.
    Dowson D, Jobbins B (1988) Design and development of a versatile hip joint simulator and preliminary assessment of wear and creep in Charnley total replacement hip joints. Eng Med 17:11–117.CrossRefGoogle Scholar
  13. 13.
    Dumbleton JH, Miller DA, Miller EH (1972) A simulator for load bearing joints. Med Biol Eng 8:7–43.Google Scholar
  14. 14.
    English TA: Measurement of hip load forces in vivo using a telemetric method design, method and results. Brit Orthop Tes Soc Bradford, 1978.Google Scholar
  15. 15.
    Eftekhar NS (1987) Long-term results of cemented total hip arthroplasty. Clin Orthop 225:207–217.PubMedGoogle Scholar
  16. 16.
    Garcia-Cimbrelo E, Diez-Vazquez V, Madero R, Munuera L (1997) Progression of radiolucent lines adjacent to the acetabular component and factors influencing migration after Charnley low-friction total hip. J Bone Joint Surg 79A:1373–1380.Google Scholar
  17. 17.
    Gross AE, Dust WN (1997) Acute polyethylene fracture in an uncemented acetabular cup. Can J Surg 40(4):310–312.PubMedGoogle Scholar
  18. 18.
    Harris WH, Sledge CB (1990) Total hip and total knee replacement. N Engl J Med 323:725.PubMedCrossRefGoogle Scholar
  19. 19.
    Hodge WA, Fuan RS, Carlson KL, Burgess RG, Harris WH, Mann RW (1986) Contact pressures in the human hip joint measured in vivo. Biophysics 83:2879–2883.Google Scholar
  20. 20.
    Ilchmann T (1997) Radiographic assessment of cup migration and wear after hip replacement. Acta Orthop Scand Suppl 276:1–26.PubMedGoogle Scholar
  21. 21.
    Kavanagh BF (1992) Femoral head fractures associated with total hip arthroplasty. Orthop Clin North Am 23:249–257.PubMedGoogle Scholar
  22. 22.
    Kavanagh BF, Ilstrup DM, Fitzgerald RH, Fitzgerald RH Jr (1985) Revision total hip arthroplasty. J Bone Joint Surg 67-A:517–526.Google Scholar
  23. 23.
    Komistek RD, Dennis DA, Haas BD, Ochoa JA, Hammill C (2002) An In Vivo Comparison of Hip Joint Separation for after Metal-on-Metal or Metal-on-Polyethylene THA J. Bone Joint Surgery 84:1836–1841.Google Scholar
  24. 24.
    Komistek RD, Kane TR, Mahfouz M, Ochoa JA, Dennis DA (2005) Knee Mechanics: A Review of Past and Present Techniques to Determine In Vivo Loads. J Biomechanics 38(2):215–28.CrossRefGoogle Scholar
  25. 25.
    Komistek RD, Stiehl JB, Paxson RD, Soutas-Little RW (1998) Mathematical model of the lower extremity joint reaction forces using Kane’s method of dynamics: A technical note. J Biomech 13:185–189.Google Scholar
  26. 26.
    Lombardi, AV, Mallory TH; Dennis DA, Komistek RD, Fada RA, Northcut EJ (2000) An in vivo determination of total hip arthroplasty pistoning during activity. J Arthroplasty 15(6): 702–709.PubMedCrossRefGoogle Scholar
  27. 27.
    Mahfouz M, Hoff W, Komistek R, Dennis D (2003) A Robust Method for Registration of Three-Dimensional Knee Implant Models to Two-Dimensional Fluoroscopy Images, IEEE Transactions on Medical Imaging, Dec Vol. 22, No. 12, 1561–74.PubMedCrossRefGoogle Scholar
  28. 28.
    Maxian TA, Thomas TD, Pederson DR, Callaghan JJ (1996) 3-Dimensional sliding/contact computational simulation of total hip wear. Clin Orthop 333:41–50.PubMedCrossRefGoogle Scholar
  29. 29.
    McKellop HA, Campbell P, Park SH, Schmalzried TP, Grigoris P, Amstutz HC, Sarmiento A (1995) The origin of submicron polyethylene wear debris in total hip arthroplasty. Clin Orthop 311:3–21.PubMedGoogle Scholar
  30. 30.
    McKellop HA, Clark IC (1984) Evolution and evaluation of materials-screening machines and joint simulators in predicting in vivo wear phenomena. In: Duchyene P, Hastings GW (eds). Functional Behavior of Orthopaedic Biomaterials. Applications. Vol II, CRC Press, Boca Raton FL, pp 51–85.Google Scholar
  31. 31.
    Nevelos J, Ingham E, Doyle C, Streicher R, Nevelos A, Walter W, 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 15:793.PubMedCrossRefGoogle Scholar
  32. 32.
    Numair J, Joshi AB, Murphy JC, Porter ML, Hardinge K (1997) Total hip arthroplasty for congenital dysplasia or dislocation of the hip. Survivorship analysis and long term results. J Bone Joint Surg 79A:1352–1360.Google Scholar
  33. 33.
    Paul JP (1976) Approaches to design: Force actions transmitted by joints in the human body. Proc Res Soc London 192:163–172.CrossRefGoogle Scholar
  34. 34.
    Pooley C, Tabor D (1972) Friction and molecular structure: The behavior of some thermoplastics. Proc R Soc Lond 329A: 251.Google Scholar
  35. 35.
    Rydell NM (1966) Forces Acting on the Femoral Head-Prothesis. Acta Orthop Scandinavia, Supplementum 88:113–124.Google Scholar
  36. 36.
    Saikko V, Paavolainen P, Kleimola M, Slatis P (1992) A five-station hip joint simulator for rate studies. Proc Inst Mech Eng 206:195–200.Google Scholar
  37. 37.
    Saikko VO, Paavolainen PO, Slatis P (1993) Wear of the polyethylene acetabular cup. Metallic and ceramic heads compared in a hip simulator. Acta Orthop Scand 64(4): 391–402.PubMedCrossRefGoogle Scholar
  38. 38.
    Sarojak M, Hoff W, Komistek R., Dennis D (1999) An Interactive System for Kinematic Analysis of Artificial Joint Implants. Biomedical Sciences Instrumentation 35:9–14.PubMedGoogle Scholar
  39. 39.
    Seireg A, Arvikar RJ (1973) A mathematical model for evaluation of forces in lower extremities of the musculo-skeletal system. J Biomech 6:313–326.PubMedCrossRefGoogle Scholar
  40. 40.
    Seireg A, Arvikar RJ (1973) The prediction of muscular load sharing and joint forces in the lower extremities during walking. J Biomech 8:89–102.CrossRefGoogle Scholar
  41. 41.
    Sochart DH, Porter ML (1997) The long term results of Charnley low-friction arthroplasty in young patients who have congenital dislocation, degenerative osteoarthrosis, or rheumatoid arthritis. J Bone Joint Surg 79A:1599–1617.Google Scholar
  42. 42.
    Taylor JG, Perry JS, Meswania JM, Donaldson N, Walker PS, Cannon SR (1997) Telemetry of forces from proximal femoral replacements and relevance to fixation. J Biomech 30(3): 225–234.PubMedCrossRefGoogle Scholar
  43. 43.
    Wright KWJ, Scales JT (1977) The use of hip joint simulators for the evaluation of wear of total hip prosthesis. In Winter GD, Leray JL, deGroot K (eds). Evaluation of Biomaterials. John Wiley, Chichester, 135–146.Google Scholar
  44. 44.
    Yamaguchi M, Bauer TW, Hashimoto Y (1997) Three dimensional analysis of multiple wear vectors in retrieved acetabular cups. J Bone Joint Surg 79A:1539–1544.Google Scholar

Copyright information

© Steinkopff Verlag, Darmstadt 2006

Authors and Affiliations

  • D. A. Dennis
  • R. D. Komistek
  • M. R. Mahfouz

There are no affiliations available

Personalised recommendations