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Long Term Wear of Ceramic on Ceramic Hips

  • J. Fisher
  • J. Nevelos
  • T. D. Stewart
  • J. L. Tipper
  • E. Ingham
Conference paper
Part of the Ceramics in Orthopaedics book series (CIO)

Abstract

First and second generation alumina on alumina bearings in hip prostheses showed low long term wear rates in vivo 1 mmVyear with a characteristic style wear pattern on the head, thought to be associated with cup rim contact [1]. Standard laboratory simulator studies have failed to replicate this wear rate or mechanism [2,3]. In 1999 we developed a new hip simulation method which replicates joint laxity, microseparation and head cup rim contact [4], and this has been show to replicate wear rates, mechanism and debris found in third generation hip and alumina on alumina Biolox Forte bearings [4,5,6,7,8]. The wear rates of these third generation bearings is at least ten fold less than highly cross linked polyethylene. Additionally, the ceramic wear debris has been found to be less reactive than cross linked polyethylene [9,10] resulting in substantially lower functional osteolytic potential. Using these novel simulator methods fourth generation Biolox Delta alumina matrix components, have shown further reduction in wear compared to third generation Biolox Forte bearings [11].

Keywords

Wear Rate Wear Debris Laser Capture Microdissection Joint Laxity Biomedical Material Research 
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.

References

  1. 1.
    Nevelos JE, Ingham E, Doyle C, Nevelos AB, Fisher J. Analysis of retrieved alumina ceramic components for Mittelmeier total hip prostheses. Biomaterials, 20, 1833–1840 (1999).PubMedCrossRefGoogle Scholar
  2. 2.
    Nevelos JE, Ingham E, Doyle C, Nevelos AB, Fisher J. The influence of acetabular cup angle on the wear of “BIOLOX Forte” alumina ceramic bearing couples in a hip joint simulator. Journal of Materials Science: Materials in Medicine 12, 141–144 (2001).PubMedCrossRefGoogle Scholar
  3. 3.
    Nevelos JE, Ingham E, Doyle C, Nevelos AB, Fisher J. Wear of HIPed and non-HIPed alumina-alumina hip joints under standard and severe simulator testing conditions. Jnl of Biomaterials 22, 2191–2197 (2001).CrossRefGoogle Scholar
  4. 4.
    Nevelos J, Ingham E, Doyle C, Streicher R, Nevelos A, Walter W, Fisher J. Microseparation of the centers of alumina-alumna artificial hip joints during simulator testing produces clinically relevant wear and patterns. The Journal of Arthroplasty 15, 793–795 (2000).PubMedCrossRefGoogle Scholar
  5. 5.
    Nevelos JE, Prudhommeaux, Hamadouche M, Doyle C, Ingham E, Meunier A, Nevelos AB, Sedel L, Fisher J. Comparative analysis of two different types of alumina-alumina hip prosthesis retrieved for aseptic loosening. Jnl of Bone and Joint Surgery, Vol. 83-B, No. 4, 598–603 (2001).Google Scholar
  6. 6.
    Tipper JL, Firkins PJ, Besong AA, Barbour PSM, Nevelos J, Stone MH, Ingham E, Fisher J. Characterisation of wear debris from UHMWPE on zirconia ceramic, metal-on-metal and alumina ceramic-on-ceramic hip prostheses generated in a physiological anatomical hip joint simulator. Wear 250, 120–128, 2001.CrossRefGoogle Scholar
  7. 7.
    Hatton A, Nevelos JE, Nevelos AA, Banks RE, Fisher J, Ingham E. Alumina-alumina artificial hip joints. Part I: A histological analysis and characterisation of wear debris by laser capture microdissection of tissues retrieved at revision. Biomaterials 23, 3429–3440 (2002).PubMedCrossRefGoogle Scholar
  8. 8.
    Tipper JL, Hatton A, Nevelos JE, Ingham E, Doyle C, Streicher R, Nevelos AB, Fisher J. Alumina-alumina artificial hip joints. Part II: Characterisation of the wear debris from in vitro hip joints simulations. Biomaterials 23, 3441–3448 (2002).PubMedCrossRefGoogle Scholar
  9. 9.
    Hatton A, Nevelos JE, Matthew JB, Fisher J, Ingham E. Effects of clinically relevant alumina ceramic wear particles on TNF-* production by human peripheral blood mononuclear phagocytes. Biomaterials 24, 1193–1204 (2003).PubMedCrossRefGoogle Scholar
  10. 10.
    Fisher J, Ingham E, Stone MH. Alternative bearing couples in total hip replacements: Solutions for young patients HIP International Vol 13 31–35 (2003).Google Scholar
  11. 11.
    Stewart TD, Tipper JL, Insley G, Streicher RM, Ingham E, Fisher J. Long-term wear of ceramic matrix composite materials for hip prostheses under severe swing phase microseparation. Journal of Biomedical Materials Research, Applied Biomaterials, Part B, 66B, 567–573, 2003.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • J. Fisher
  • J. Nevelos
  • T. D. Stewart
  • J. L. Tipper
  • E. Ingham

There are no affiliations available

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