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Wear and Diagnostic Analysis of Clinical Failures of Artificial Hip Joints

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UHMWPE Biomaterials for Joint Implants

Part of the book series: Springer Series in Biomaterials Science and Engineering ((SSBSE,volume 13))

Abstract

Wear is an important factor in the life of artificial joint prosthesis. This chapter mainly describes the wear mechanism of artificial hip joints, the definition of wear life criteria, causes of abnormal wear, and clinical manifestations of wear failure and establishes an analytical procedure for assessing failure incidents. The clinical manifestations of the wear failure are classified through a wear-osteolysis morphological matrix. The procedure for assessing failure causes is established through a clinical investigation. Nine types of clinical manifestations of wear failure were found. Primary wear processes in artificial hip joints include boundary and mixed friction, adhesive, ploughing, and third-body (abrasive) wear. Surface quality, fit clearance between the acetabular cup and the femoral head, and roundness greatly affect the early abnormal wear. The diversity of clinical manifestations of wear failure is the morphological result of mechanical wear and osteolysis, which is helpful for assessing failure incidents.

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Author information

Authors and Affiliations

  1. Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Jin-Wu Wang & Ke-Rong Dai

  2. Clinical Translational Engineering Research Center of Digital Medicine, Ministry of Education, Shanghai Jiaotong University, Shanghai, China

    Han Yang & Cheng-Tao Wang

  3. Tribology Research Institute, School of Mechanical Engineering, Southwest Jiaotong University, Chengdu, Sichuan, China

    Zhong-Min Jin

  4. State Key Laboratory of Manufacturing System Engineering, School of Mechanical Engineering, Xi’an Jiaotong University, Xi’an, Shaanxi, China

    Zhong-Min Jin

  5. Institute of Medical and Biological Engineering, School of Mechanical Engineering, University of Leeds, Leeds, UK

    Zhong-Min Jin

Authors
  1. Jin-Wu Wang
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  2. Han Yang
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  3. Cheng-Tao Wang
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  4. Zhong-Min Jin
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  5. Ke-Rong Dai
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Corresponding author

Correspondence to Jin-Wu Wang .

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Editors and Affiliations

  1. Ningbo Institute of Materials Technology & Engineering, Chinese Academy of Sciences, Ningbo, Zhejiang, China

    Jun Fu

  2. Tribology Research Institute, School of Mechanical Engineering, Southwest Jiaotong University, Chengdu, Sichuan, China

    Zhong-Min Jin

  3. Shanghai Key Laboratory of Orthopaedic Implants Department of Orthopaedic Surgery Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Jin-Wu Wang

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Wang, JW., Yang, H., Wang, CT., Jin, ZM., Dai, KR. (2019). Wear and Diagnostic Analysis of Clinical Failures of Artificial Hip Joints. In: Fu, J., Jin, ZM., Wang, JW. (eds) UHMWPE Biomaterials for Joint Implants. Springer Series in Biomaterials Science and Engineering, vol 13. Springer, Singapore. https://doi.org/10.1007/978-981-13-6924-7_10

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