Implant wear mechanisms--basic approach

Biomed Mater. 2008 Dec;3(4):042001. doi: 10.1088/1748-6041/3/4/042001. Epub 2008 Sep 25.

Abstract

Numerous parameters control the long-term performance of a total hip joint arthroplasty. The articulating motions between the femoral and the acetabular components produce wear debris in a hip implant. Surface roughness, clearance, coefficient of friction and sliding distance are found to be contributing parameters that affect wear rates. Wear produced in a hip implant leads to the loosening of a hip prosthesis and thus failure of the hip implant. Ultra-high-molecular-weight polyethylene (UHMWPE) has been successfully used as an acetabular weight bearing component in the THR applications. Cross-linked UHMWPE was found to improve the lifespan of an artificial hip. A gradient cross-linking of UHMWPE has been observed to be a recent development in implant bearing materials. During in vitro studies, gradient cross-linked UHMWPE showed nearly undetectable wear rates.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Hip / methods*
  • Cross-Linking Reagents / pharmacology
  • Equipment Design
  • Friction
  • Hip Prosthesis
  • Humans
  • Materials Testing
  • Oxygen / chemistry
  • Polyethylenes / chemistry*
  • Prostheses and Implants
  • Prosthesis Design
  • Prosthesis Failure
  • Surface Properties

Substances

  • Cross-Linking Reagents
  • Polyethylenes
  • ultra-high molecular weight polyethylene
  • Oxygen