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Influence of the Wear-Couple and Patient Activity on Linear Wear in Total Hip Replacement

  • Christian Hendrich
  • N. Wollmerstedt
  • S. Goebel
  • J. M. Martell
Conference paper
Part of the Ceramics in Orthopaedics book series (CIO)

Abstract

In total hip replacement different factors have a major impact on wear behaviour and long-term durability. Beside the wear-couple the influence of patient activity is relatively undefined. Aim of this studies was to examine the wear behaviour of alumina heads in combination with conventional polyethylene (PE) (n=99) vs. CoCr heads (n=109), the wear behaviour of alumina heads in combination with highly-crosslinked PE (n=70), and the influence of patient activity in the groups with alumina heads. Linear wear was analyzed using Martell’s method and activity was assessed using electronic step-watch monitors. Compared to CoCr heads the use of alumina significantly reduced linear wear. A further reduction was observed with the combination of alumina and highly-crosslinked PE after a certain period of higher wear during bedding-in. In spite of being nearly 20 years younger the activity in the patients with the highly-crosslinked PE differed only about 20% compared to the patients with conventional PE. In conclusion the selection of the wear-couple has a significant influence on linear wear while patient activity in our study groups was in the same magnitude.

Keywords

Wear Rate Polyethylene Wear Linear Wear Linear Wear Rate Ceramic Femoral Head 
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.

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Copyright information

© Steinkopff Verlag 2007

Authors and Affiliations

  • Christian Hendrich
    • 1
  • N. Wollmerstedt
  • S. Goebel
  • J. M. Martell
  1. 1.Schloss WerneckOrthopädisches KrankenhausWerneckGermany

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