High Cup Angle and Microseparation Increase the Wear of Hip Surface Replacements View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-09

AUTHORS

Ian J. Leslie, Sophie Williams, Graham Isaac, Eileen Ingham, John Fisher

ABSTRACT

High wear rates and high patient ion levels have been associated with high (> 55 degrees) cup inclination angles for metal-on-metal surface replacements. Wear rates and patterns have been simulated for ceramic-on-ceramic bearings by applying microseparation to replicate head offset deficiency. We tested 39-mm metal-on-metal surface replacements (n = 5) in a hip simulator with (A) an increased cup inclination angle of 60 degrees and (B) an increased cup inclination angle and microseparation over 2 million cycles. (A) resulted in a ninefold increase in wear rate and (B) resulted in a 17-fold increase in wear rate compared to a standard gait condition study. Wear particles produced under microseparation conditions were larger than those produced under standard conditions but of similar shape (round to oval). The data suggest both head and cup position influence the wear of surface replacements; we believe it likely bearings with high wear either have a high cup inclination angle, an offset deficient head, or a combination of both. More... »

PAGES

2259-2265

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11999-009-0830-x

DOI

http://dx.doi.org/10.1007/s11999-009-0830-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004081875

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19363640


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