Squeaking and microcracks in a delta–delta ceramic coupling: pin-on-disc study View Full Text


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Article Info

DATE

2016-04

AUTHORS

Kiyokazu Fukui, Ayumi Kaneuji, Tadami Matsumoto, Kazuhiro Shintani

ABSTRACT

There is a rising concern about squeaking in ceramic-on-ceramic total hip arthroplasty (THA). In pin-on-disc testing of a delta-delta coupling, we reproduced squeaking and observed microcracks on worn surfaces. We used a pin-on-disc machine and made discs and pins by cutting delta ceramic to a diameter of 40 mm (D-D). Cross-linked polyethylene was used for a comparison disc (D-P). We performed the same test using another D-D coupling specimen to confirm reproducibility. Squeaking in the D-D specimen was reproduced in wet conditions, though it was not found in the D-P specimen. Fast Fourier transform analysis showed a peak frequency for squeaking of 2794 Hz. The noise occurred at about 6.6 km of sliding distance. Scanning electron microscopy revealed that the worn surface of the pin in D-D at 10.8 km of sliding distance had some microcracks. However, there was no obvious damage to the worn surface of the pin in D-P at the same sliding distance. We confirmed the reproducibility of these findings, obtaining similar results, including squeaking, from another D-D coupling specimen. Our findings show that squeaking may occur in THA using delta ceramic bearings even if implants are placed to avoid extra-articular impingement of the femoral neck. Although the clinical relevance of microcracks is unknown, they may affect long-term outcomes in THA using delta ceramic bearings. More... »

PAGES

299-304

References to SciGraph publications

  • 2008-02. Alumina-on-Alumina in THA in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2011-06. Survival of Hard-on-Hard Bearings in Total Hip Arthroplasty: A Systematic Review in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2010-02. THA With Delta Ceramic on Ceramic: Results of a Multicenter Investigational Device Exemption Trial in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2001-12. Long-term wear of HIPed alumina on alumina bearings for THR under microseparation conditions in JOURNAL OF MATERIALS SCIENCE: MATERIALS IN MEDICINE
  • 2010-09. Natural History of Squeaking after Total Hip Arthroplasty in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2010-02. Delta Ceramic-on-Alumina Ceramic Articulation in Primary THA: Prospective, Randomized FDA-IDE Study and Retrieval Analysis in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00590-016-1748-0

    DOI

    http://dx.doi.org/10.1007/s00590-016-1748-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1001799748

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26971327


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