Running-in behavior of dual-mobility cup during the gait cycle: A finite element analysis

Proc Inst Mech Eng H. 2024 Jan;238(1):99-111. doi: 10.1177/09544119231216023. Epub 2023 Dec 29.

Abstract

The running-in process is considered an essential aspect of the comprehensive wear process. The phenomenon of running-in occurs during the initial stages of wear in the prosthetic hip joint. Within the field of tribology, the running-in phenomenon of the hip joint pertains to the mechanism by which the contact surfaces of the artificial hip joint components are adjusted and a suitable lubricating film is formed. During the process of hip joint running-in, there is an interaction between the metal surface of the ball and the joint cup, which results in adjustments being made until a steady state is achieved. The achievement of desirable wear existence and reliable performance of artificial hip joint components are reliant upon the tribological running-in of the hip joint. Despite the establishment of current modeling approaches, there remains a significant lack of understanding concerning running-in wear, particularly the metal-on-polyethylene (MoP) articulations in dual-mobility cups (DMC). An essential aspect to consider is the running-in phase of the dual mobility component. The present study employed finite element analysis to investigate the running-in behavior of dual mobility cups, wherein femoral head components were matched with polyethylene liners of varying thicknesses. The analysis of the running-in phase was conducted during the normal gait cycle. The results of this investigation may be utilized to design a dual-mobility prosthetic hip joint that exhibits minimal running-in wear.

Keywords: Running-in; artificial hip joint; dual-mobility cup; finite element analysis; wear.

MeSH terms

  • Arthroplasty, Replacement, Hip*
  • Finite Element Analysis
  • Gait
  • Hip Prosthesis*
  • Humans
  • Polyethylene
  • Prosthesis Design
  • Prosthesis Failure

Substances

  • Polyethylene