Abstract
The femoral components of total knee replacement are generally made of metal and are mainly implanted with bone cement. Common complications in total knee arthroplasty (TKA) include abrasive wear, malpositioning and material fatigue [2]. In comparison to metal, ceramic components provide a better biocompatibility as well as higher scratch and wear resistance. Laboratory tests showed a decrease in the wear debris rate with the bearing couple ceramic-on-polyethylene to more than one third compared to the couple metal-on-polyethylene [1,9]. Another benefit of ceramic implants also exists in the avoidance of allergic reactions in comparison to metal. A disadvantage of ceramic implants is the low fracture toughness respectively the brittle characteristics [19]. Hence the risk of implant damage resulting from stress peaks has to be minimised by an optimal load transmission in the adjacent bone stock. The load transmission also influences the long-time behaviour of the bone cement. Local cement breakage and cement wear debris induce inflammatory reactions, which can finally lead to aseptic loosening [11,4].
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Schultze, C., Klüß, D., Lubomierski, A., Schmitz, KP., Bader, R., Mittelmeier, W. (2007). Finite-Element-Analysis of a Cemented Ceramic Femoral Component in Total Knee Arthroplasty. In: Chang, JD., Billau, K. (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/978-3-7985-1783-7_17
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DOI: https://doi.org/10.1007/978-3-7985-1783-7_17
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