Zusammenfassung
In der Orthopädischen Chirurgie kommen unterschiedliche Implantatmaterialien aus den Werkstoffgruppen der Metalle, Keramiken und Polymere, die sich hinsichtlich ihrer mechanischen und biologischen Eigenschaften unterscheiden, zum Einsatz. Neben der Biokompatibilität müssen lasttragende Implantate hohe Festigkeiten und eine ausreichende Langzeitstabilität aufweisen. Materialien in artikulierenden Bereichen benötigen zudem eine hohe Abrieb- und Korrosionsbeständigkeit. Die Kenntnis der Eigenschaften bzw. Vor- und Nachteile der unterschiedlichen, üblichweise verwendeten Implantatmaterialien sowie der Beanspruchung der jeweiligen Implantatsysteme beim Einsatz im menschlichen Körper ist notwendig, um das geeignete Material für ein bestimmtes Implantatdesign finden zu können. Darüber hinaus sollten patientenindividuelle Anforderungen und Unterschiede bei der Auswahl des Materials berücksichtigt werden. Im Einzelfall muss auf einen alternativen Werkstoff zurückgegriffen werden.
This is a preview of subscription content, log in via an institution to check access.
Literatur
Affatato S, Spinelli M, Zavalloni M, Mazzega-Fabbro C, Viceconti M (2008) Tribology and total hip joint replacement: current concepts in mechanical simulation. Med Eng Phys 30(10):1305–1317. https://doi.org/10.1016/j.medengphy.2008.07.006. PubMed PMID: 18774742
Aherwar A (2019) Manufacturing and evaluation of corrosion resistance of nickel-added Co–30Cr–4Mo metal alloy for orthopaedic biomaterials. In: Bains PS, Sidhu SS, Bahraminasab M, Prakash C (Hrsg) Biomaterials in orthopaedics and bone regeneration. Materials horizons: from nature to nanomaterials. Springer Singapore, Singapore, S 159–174
Ambrožič M, Gorjan L, Gomilšek M (2014) Bend strength variation of ceramics in serial fabrication. J Eur Ceram Soc 34(7):1873–1879. https://doi.org/10.1016/j.jeurceramsoc.2013.12.045
Ashida M, Chen P, Doi H, Tsutsumi Y, Hanawa T, Horita Z (2014) Microstructures and mechanical properties of Ti-6Al-7Nb processed by high-pressure torsion. Procedia Eng 81:1523–1528. https://doi.org/10.1016/j.proeng.2014.10.184
ASTM C1239-13 (2013) Standard practice for reporting uniaxial strength data and estimating weibull distribution parameters for advanced ceramics. ASTM International, West Conshohocken
ASTM F648-14 (2014) Standard specification for ultra-high-molecular-weight polyethylene powder and fabricated form for surgical implants. ASTM International, West Conshohocken
ASTM F2026-17 (2017) Standard specification for Polyetheretherketone (PEEK) polymers for surgical implant applications. ASTM International, West Conshohocken
ASTM F75-18 (2018) Standard specification for cobalt-28 chromium-6 molybdenum alloy castings and casting alloy for surgical implants (UNS R30075). ASTM International, West Conshohocken
ASTM F799-19 (2019) standard specification for cobalt-28 chromium-6 molybdenum alloy forgings for surgical implants (UNS R31537, R31538, R31539). ASTM International, West Conshohocken
ASTM F1537-20 (2020) Standard specification for wrought cobalt-28 chromium-6 molybdenum alloys for surgical implants (UNS R31537, UNS R31538, and UNS R31539). ASTM International, West Conshohocken
Avanzini A, Donzella G, Gallina D, Pandini S, Petrogalli C (2013) Fatigue behavior and cyclic damage of peek short fiber reinforced composites. Compos Part B 45(1):397–406. https://doi.org/10.1016/j.compositesb.2012.06.008
Aza AH de, Chevalier J, Fantozzi G, Schehl M, Torrecillas R (2002) Crack growth resistance of alumina, zirconia and zirconia toughened alumina ceramics for joint prostheses. Biomaterials 23(3):937–945. https://doi.org/10.1016/S0142-9612(01)00206-X
Bal BS, Rahaman MN (2012) Orthopedic applications of silicon nitride ceramics. Acta Biomater 8(8):2889–2898. https://doi.org/10.1016/j.actbio.2012.04.031. PubMed PMID: 22542731
Bargel H-J, Schulze G (Hrsg) (2018) Werkstoffkunde. Springer-Lehrbuch, 12. Aufl. Springer Vieweg, Berlin, S 531
Bizot P, Nizard R, Lerouge S, Prudhommeaux F, Sedel L (2000) Ceramic/ceramic total hip arthroplasty. J Orthop Sci 5(6):622–627. https://doi.org/10.1007/s007760070017. PubMed PMID: 11180930
Black J (2006) Biological performance of materials: fundamentals of biocompatibility, 4. Aufl. CRC Taylor & Francis, Boca Raton, S 497. https://doi.org/10.1201/9781420057843
Blumenfeld TJ, McKellop HA, Schmalzried TP, Billi F (2011) Fracture of a cross-linked polyethylene liner: a multifactorial issue. J Arthroplast 26(4):666.e5–666.e8. https://doi.org/10.1016/j.arth.2010.07.009. PubMed PMID: 20851563
Bracco P, Bellare A, Bistolfi A, Affatato S (2017) Ultra-high molecular weight polyethylene: influence of the chemical, physical and mechanical properties on the wear behavior. A review. Materials (Basel) 10(7). https://doi.org/10.3390/ma10070791. PubMed PMID: 28773153
Brach Del Prever EM, Bistolfi A, Bracco P, Costa L (2009) UHMWPE for arthroplasty: past or future? J Orthop Traumatol 10(1):1–8. https://doi.org/10.1007/s10195-008-0038-y. PubMed PMID: 19384628
Brockett C, Williams S, Jin Z, Isaac G, Fisher J (2007) Friction of total hip replacements with different bearings and loading conditions. J Biomed Mater Res Part B Appl Biomater 81(2):508–515. https://doi.org/10.1002/jbm.b.30691. PubMed PMID: 17041924
Brown SA, Simpson JP (1981) Crevice and fretting corrosion of stainless-steel plates and screws. J Biomed Mater Res 15(6):867–878. https://doi.org/10.1002/jbm.820150611. PubMed PMID: 7309768
Browne M, Gregson PJ (1994) Surface modification of titanium alloy implants. Biomaterials 15(11):894–898. https://doi.org/10.1016/0142-9612(94)90113-9
Buggy M, Carew A (1994) The effect of thermal ageing on carbon fibre-reinforced polyetheretherketone (PEEK). J Mater Sci 29(7):1925–1929. https://doi.org/10.1007/BF00351315
Catelas I, Wimmer MA, Utzschneider S (2011) Polyethylene and metal wear particles: characteristics and biological effects. Semin Immunopathol 33(3):257–271. https://doi.org/10.1007/s00281-011-0242-3. PubMed PMID: 21267569
Charnley J (2010) The classic: the bonding of prostheses to bone by cement. 1964. Clin Orthop Relat Res 468(12):3149–3159. https://doi.org/10.1007/s11999-010-1545-8. PubMed PMID: 20824402
Chivers R (1994) The effect of molecular weight and crystallinity on the mechanical properties of injection moulded poly(aryl-ether-ether-ketone) resin. Polymer 35(1):110–116. https://doi.org/10.1016/0032-3861(94)90057-4
Cole KC, Casella IG (1993) Fourier transform infra-red spectroscopic study of thermal degradation in poly(ether ether ketone)-carbon composites. Polymer 34(4):740–745. https://doi.org/10.1016/0032-3861(93)90357-G
Cooper JR, Dowson D, Fisher J, Jobbins B (1991) Ceramic bearing surfaces in total artificial joints: resistance to third body wear damage from bone cement particles. J Med Eng Technol 15(2):63–67. https://doi.org/10.3109/03091909109009970. PubMed PMID: 1875384
Cuckler JM (2012) If hip implant retrievals could speak, what would they tell us? J Bone Joint Surg (Br) 94(11 Suppl A):11–13. https://doi.org/10.1302/0301-620X.94B11.30613. PubMed PMID: 23118372
DIN 50320:1979-12 (1979) Verschleiß; Begriffe, Systemanalyse von Verschleißvorgängen, Gliederung des Verschleißgebietes
DIN EN ISO 10993-1 (2010-04) Biologische Beurteilung von Medizinprodukten_- Teil_1: Beurteilung und Prüfungen im Rahmen eines Risikomanagementsystems (ISO_10993-1:2009); Deutsche Fassung EN_ISO_10993-1:2009. Beuth, Berlin
DIN EN ISO 6892-1 (2017-02) Metallische Werkstoffe_- Zugversuch_- Teil_1: Prüfverfahren bei Raumtemperatur (ISO_6892-1:2016); Deutsche Fassung EN_ISO_6892-1:2016. Beuth, Berlin
DIN ISO 5834-2 (2014-02) Chirurgische Implantate_- Ultrahochmolekulares Polyethylen_- Teil_2: Halbzeuge (ISO_5834-2:2011). Beuth, Berlin
Disegi JA, Eschbach L (2000) Stainless steel in bone surgery. Injury 31:D2–D6. https://doi.org/10.1016/s0020-1383(00)80015-7
Eliaz N (2019) Corrosion of metallic biomaterials: a review. Materials (Basel) 12(3). https://doi.org/10.3390/ma12030407. PubMed PMID: 30696087
Evans AG (1990) Perspective on the development of high-toughness ceramics. J Am Ceram Soc 73(2):187–206. https://doi.org/10.1111/j.1151-2916.1990.tb06493.x
Fisher J, Jin Z, Tipper J, Stone M, Ingham E (2006a) Tribology of alternative bearings. Clin Orthop Relat Res 453:25–34. https://doi.org/10.1097/01.blo.0000238871.07604.49. PubMed PMID: 17016223
Fisher J, Jennings LM, Galvin AL (2006b) Wear of highly crosslinked polyethylene against cobalt chrome and ceramic femoral heads. In: Benazzo F, Falez F, Dietrich M (Hrsg) Bioceramics and alternative bearings in joint arthroplasty. Ceramics in Orthopaedics, Steinkopff, S 185–188
Frosch K-H, Stürmer KM (2006) Metallic biomaterials in skeletal repair. Eur J Trauma 32(2):149–159. https://doi.org/10.1007/s00068-006-6041-1
Ganesh VK, Ramakrishna K, Ghista DN (2005) Biomechanics of bone-fracture fixation by stiffness-graded plates in comparison with stainless-steel plates. Biomed Eng Online 4:46. https://doi.org/10.1186/1475-925X-4-46. PubMed PMID: 16045807
Garino JP (2013) The reliability of modern alumina bearings in total hip arthroplasty – update to a 2006 report. Semin Arthroplast 24(4):193–201. https://doi.org/10.1053/j.sart.2014.01.003
Geetha M, Singh AK, Asokamani R, Gogia AK (2009) Ti based biomaterials, the ultimate choice for orthopaedic implants – a review. Prog Mater Sci 54(3):397–425. https://doi.org/10.1016/j.pmatsci.2008.06.004
Gilbert JL (2017) Corrosion in the human body: metallic implants in the complex body environment. Corrosion 73(12):1478–1495. https://doi.org/10.5006/2563
Goodman S (2005) Wear particulate and osteolysis. Orthop Clin North Am 36(1):41–48, vi. https://doi.org/10.1016/j.ocl.2004.06.015. PubMed PMID: 15542121
Gopal V, Manivasagam G (2019) Zirconia-alumina composite for orthopedic implant application. In: Applications of nanocomposite materials in orthopedics. Elsevier, Duxford, S 201–219
Graaf D de , Hintzen HT, de With G (2006) Subcritical crack growth and power law exponent of Y–Si–Al–O(–N) glasses in aqueous environment. J Mater Sci 41(18):6031–6034. https://doi.org/10.1007/s10853-006-0508-7
Graham J, Pruitt L, Ries M, Gundiah N (2000) Fracture and fatigue properties of acrylic bone cement: the effects of mixing method, sterilization treatment, and molecular weight. J Arthroplast 15(8):1028–1035. https://doi.org/10.1054/arth.2000.8188. PubMed PMID: 11112200
Hamdan S, Swallowe GM (1996) The strain-rate and temperature dependence of the mechanical properties of polyetherketone and polyetheretherketone. J Mater Sci 31(6):1415–1423. https://doi.org/10.1007/BF00357847
Harper EJ, Braden M, Bonfield W, Dingeldein E, Wahlig H (1997) Influence of sterilization upon a range of properties of experimental bone cements. J Mater Sci Mater Med 8(12):849–853. https://doi.org/10.1023/a:1018545519964. PubMed PMID: 15348803
Hembus J, Lux L, Jackszis M, Bader R, Zietz C (2018) Wear analysis of cross-linked polyethylene inserts articulating with alumina and ion-treated cobalt-chromium femoral heads under third-body conditions. Wear 402–403:216–223. https://doi.org/10.1016/j.wear.2018.02.017
Hussein M, Mohammed A, Al-Aqeeli N (2015) Wear characteristics of metallic biomaterials: a review. Materials (Basel) 8(5):2749–2768. https://doi.org/10.3390/ma8052749
Ingham E, Fisher J (2005) The role of macrophages in osteolysis of total joint replacement. Biomaterials 26(11):1271–1286. https://doi.org/10.1016/j.biomaterials.2004.04.035. PubMed PMID: 15475057
ISO 5833 (2002-05) Implants for surgery – acrylic resin cements. Beuth, Berlin
Jin M, Yao S, Wang L-N, Qiao Y, Volinsky AA (2016) Enhanced bond strength and bioactivity of interconnected 3D TiO2 nanoporous layer on titanium implants. Surf Coat Technol 304:459–467. https://doi.org/10.1016/j.surfcoat.2016.05.038
Jin Z, Fisher J (2014) Tribology in joint replacement (*Note: This chapter is an updated version of Chapter 2, from the first edition of Joint replacement technology. Revell PA (Hrsg) und published by Woodhead Publishing, 2008*). In: Joint replacement technology. Elsevier, Amsterdam, S 31–61
Jones DP, Leach DC, Moore DR (1985) Mechanical properties of poly(ether-ether-ketone) for engineering applications. Polymer 26(9):1385–1393. https://doi.org/10.1016/0032-3861(85)90316-7
Kaddick C, Pfaff HG (Hrsg) (2002) Results of hip simulator testing with various wear couples. Bioceramics in joint replacement: proceedings. Georg Thieme, New York
Kanerva L, Förström L (2001) Allergic nickel and chromate hand dermatitis induced by orthopaedic metal implant. Contact Derm 44(2):103–104. https://doi.org/10.1034/j.1600-0536.2001.4402096.x. PubMed PMID: 11205382
Kertesz L (2012) Untersuchungen zur Einstellung des Formgebungsprozesses einer α-ß-Titanlegierung im teilflüssigen Zustand Zugl.: Stuttgart, Univ., Diss., (Nicht für den Austausch). Beiträge zur Umformtechnik, Bd 69. MAT INFO Wertstoff Informationsges, Frankfurt am Main, S 172
Kretzer JP, Zietz C, Schröder C, Reinders J, Middelborg L, Paulus A et al (2012) Grundlagen zur tribologischen Analyse von Endoprothesen. Orthopade 41(10):844–852. https://doi.org/10.1007/s00132-012-1948-1. PubMed PMID: 23052851 ger
Krukemeyer MG, Möllenhoff G (2011) Endoprothetik. de Gruyter, Berlin/Boston
Kurtz SM, Devine JN (2007) PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials 28(32):4845–4869. https://doi.org/10.1016/j.biomaterials.2007.07.013. PubMed PMID: 17686513
Lee C (2005) The mechanical properties of PMMA bone cement. In: The well-cemented total hip arthroplasty. Springer, Berlin/Heidelberg, S 60–66
Lewis G (2001) Properties of crosslinked ultra-high-molecular-weight polyethylene. Biomaterials 22(4):371–401. https://doi.org/10.1016/S0142-9612(00)00195-2
Lewis G (2009) Properties of antibiotic-loaded acrylic bone cements for use in cemented arthroplasties: a state-of-the-art review. J Biomed Mater Res Part B Appl Biomater 89(2):558–574. https://doi.org/10.1002/jbm.b.31220. PubMed PMID: 18823020
Lundberg HJ, Liu SS, Callaghan JJ, Pedersen DR, O’Rourke MR, Goetz DD et al (2007) Association of third body embedment with rim damage in retrieved acetabular liners. Clin Orthop Relat Res 465:133–139. https://doi.org/10.1097/BLO.0b013e31815c5a7b. PubMed PMID: 18090471
Marti A (2000) Cobalt-base alloys used in bone surgery. Injury 31:D18–D21. https://doi.org/10.1016/S0020-1383(00)80018-2
Masaki T (1986) Mechanical properties of toughened ZrO2-Y2O3 ceramics. J Am Ceram Soc 69(8):638–640. https://doi.org/10.1111/j.1151-2916.1986.tb04823.x
McEntire BJ, Bal BS, Rahaman MN, Chevalier J, Pezzotti G (2015) Ceramics and ceramic coatings in orthopaedics. J Eur Ceram Soc 35(16):4327–4369. https://doi.org/10.1016/j.jeurceramsoc.2015.07.034
Meyer H, Mueller T, Goldau G, Chamaon K, Ruetschi M, Lohmann CH (2012) Corrosion at the cone/taper interface leads to failure of large-diameter metal-on-metal total hip arthroplasties. Clin Orthop Relat Res 470(11):3101–3108. https://doi.org/10.1007/s11999-012-2502-5. PubMed PMID: 22864616
Mjöberg B, Pettersson H, Rosenqvist R, Rydholm A (1984) Bone cement, thermal injury and the radiolucent zone. Acta Orthop Scand 55(6):597–600. https://doi.org/10.3109/17453678408992403. PubMed PMID: 6524324
Moraes MCCSB, Elias CN, Duailibi Filho J, Oliveira LG (2004) Mechanical properties of alumina-zirconia composites for ceramic abutments. Biomaterials 7(4):643–649. https://doi.org/10.1590/S1516-14392004000400021
Niemann G, Höhn B-R, Winter H (2005) Maschinenelemente: Band 1: Konstruktion und Berechnung von Verbindungen, Lagern, Wellen, 4. Aufl. Springer, Berlin/Heidelberg
Oral E, Muratoglu OK (2011) Vitamin E diffused, highly crosslinked UHMWPE: a review. Int Orthop 35(2):215–223. https://doi.org/10.1007/s00264-010-1161-y. PubMed PMID: 21120476
Quinn GD, Morrell R (1991) Design data for engineering ceramics: a review of the flexure test. J Am Ceram Soc 74(9):2037–2066. https://doi.org/10.1111/j.1151-2916.1991.tb08259.x
Rae PJ, Brown EN, Orler EB (2007) The mechanical properties of poly(ether-ether-ketone) (PEEK) with emphasis on the large compressive strain response. Polymer 48(2):598–615. https://doi.org/10.1016/j.polymer.2006.11.032
Ramalingam S, Reimanis IE, Fuller ER, Haftel JD (2011) Slow crack growth behavior of zirconia-toughened alumina and alumina using the dynamic eatigue indentation technique. J Am Ceram Soc 94(2):576–583. https://doi.org/10.1111/j.1551-2916.2010.04086.x
Ratner BD (Hrsg) (2008) Biomaterials science: an introduction to materials in medicine, 2. Aufl. Elsevier Acad. Press, Amsterdam, S 851
Saib KS, Isaac DH, Evans WJ (1994) Effects of processing variables on fatigue in molded PEEK and its short fiber composites. Mater Manuf Process 9(5):829–850. https://doi.org/10.1080/10426919408934956
Santos CT, Barbosa C, Monteiro MJ, Abud IC, Caminha IMV, Roesler CRM (2015) Fretting corrosion tests on orthopedic plates and screws made of ASTM F138 stainless steel. Res Biomed Eng 31(2):169–175. https://doi.org/10.1590/2446-4740.0710
Schneider J, Begand S, Kriegel R, Kaps C, Glien W, Oberbach T (2008) Low-temperature aging behavior of alumina-toughened zirconia. J Am Ceram Soc 91(11):3613–3618. https://doi.org/10.1111/j.1551-2916.2008.02700.x
Schurz J (1983) Biorheologie. Probleme und Ergebnisse in der Medizin. Naturwissenschaften 70(12):602–608. https://doi.org/10.1007/bf00377402. PubMed PMID: 6674814 ger
Sivananthan S, Goodman S, Burke M (2014) Failure mechanisms in joint replacement (*Note: This chapter is an updated version of Chapter 12, from the first edition of Joint replacement technology. Revell PA (Hrsg) und published by Woodhead Publishing, 2008*). In: Joint replacement technology. Elsevier, Amsterdam, S 370–400
Sreekala MS, Balakrishnan P, Thomas S (Hrsg) (2018) Fundamental biomaterials: metals. Woodhead publishing series in biomaterials. Elsevier, Duxford/Cambridge, MA
Stańczyk M, van Rietbergen B (2004) Thermal analysis of bone cement polymerisation at the cement-bone interface. J Biomech 37(12):1803–1810. https://doi.org/10.1016/j.jbiomech.2004.03.002. PubMed PMID: 15519587
Ungethüm M, Winkler-Gniewek W (1984) Metallische Werkstoffe in der Orthopädie und Unfallchirurgie: 7 Tabellen. Thieme, Stuttgart, S 62
Urrutia J, Bono CM, Mery P, Rojas C (2008) Early histologic changes following polymethylmethacrylate injection (vertebroplasty) in rabbit lumbar vertebrae. Spine 33(8):877–882. https://doi.org/10.1097/BRS.0b013e31816b46a5. PubMed PMID: 18404107
Vogel D, Dempwolf H, Baumann A, Bader R (2018) Characterization of thick titanium plasma spray coatings on PEEK materials used for medical implants and the influence on the mechanical properties. J Mech Behav Biomed Mater 77:600–608. https://doi.org/10.1016/j.jmbbm.2017.09.027. PubMed PMID: 29096126
Wang A, Manley M, Serekian P (2004) Wear and structural fatigue simulation of crosslinked ultra-high molecular weight polyethylene for hip and knee bearing applications. J ASTM Int 1(1):11593. https://doi.org/10.1520/JAI11593
Willmann G (2000) Ceramic femoral head retrieval data. Clin Orthop Relat Res 379:22–28. PubMed PMID: 11039788
Wintermantel E, Ha S-W (2009) Medizintechnik. Springer, Bderlin/Heidelberg
Yang C, Tian X, Li D, Cao Y, Zhao F, Shi C (2017) Influence of thermal processing conditions in 3D printing on the crystallinity and mechanical properties of PEEK material. J Mater Process Technol 248:1–7. https://doi.org/10.1016/j.jmatprotec.2017.04.027
Zhang J-d, Poffyn B, Sys G, Uyttendaele D (2011) Comparison of vertebroplasty and kyphoplasty for complications. Orthop Surg 3(3):158–160. https://doi.org/10.1111/j.1757-7861.2011.00141.x. PubMed PMID: 22009645
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this entry
Cite this entry
Vogel, D., Hembus, J., Henke, P., Bader, R. (2021). Verhalten unterschiedlicher Implantatwerkstoffe unter mechanischer Belastung. In: Engelhardt, M., Raschke, M. (eds) Orthopädie und Unfallchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54673-0_44-1
Download citation
DOI: https://doi.org/10.1007/978-3-642-54673-0_44-1
Received:
Accepted:
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-54673-0
Online ISBN: 978-3-642-54673-0
eBook Packages: Springer Referenz Medizin