Skip to main content
Log in

Superelastic Orthopedic Implant Coatings

  • Published:
Journal of Materials Engineering and Performance Aims and scope Submit manuscript

Abstract

The demand for hip and knee replacement surgery is substantial and growing. Unfortunately, most joint replacement surgeries will fail within 10-25 years, thereby requiring an arduous, painful, and expensive revision surgery. To address this issue, a novel orthopedic implant coating material (“eXalt”) has been developed. eXalt is comprised of super elastic nitinol wire that is knit into a three-dimensional spacer fabric structure. eXalt expands in vivo to conform to the implantation site and is porous to allow for bone ingrowth. The safety and efficacy of eXalt were evaluated through structural analysis, mechanical testing, and a rabbit implantation model. The results demonstrate that eXalt meets or exceeds the performance of current coating technologies with reduced micromotion, improved osseointegration, and stronger implant fixation in vivo.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

Similar content being viewed by others

References

  1. S. Mendenhall (ed.), 2013 Hip and Knee Implant Review, Orthop. Netw. News 2013, 24, p 1–20

  2. D. Fender, W.M. Harper, and P.J. Gregg, The Trent Regional Arthroplasty Study: Experiences with a Hip Register, J Bone Joint Surg Br, 2000, 82B, p 944–947

    Article  Google Scholar 

  3. J.W. Surdam, M.J. Archibeck, S.C. Schultz, D.W. Junick, and R.E. White, A Second-Generation Cementless Total Hip Arthroplasty Mean 9-Year Results, J. Arthroplast., 2007, 22, p 204–209

    Article  Google Scholar 

  4. K.J. Bozic et al., Hospital Resource Utilization for Primary and Revision Total Hip Arthroplasty, J. Bone Joint Surg. Am., 2005, 87, p 570–576

    Google Scholar 

  5. J.E. Dalton, S.D. Cook, K.A. Thomas, and J.F. Kay, The Effect of Operative Fit and Hydroxyapatite Coating on the Mechanical and Biological Response to Porous Implants, J. Bone Joint Surg. Am., 1995, 77, p 97–110

    Google Scholar 

  6. P.M. Sandborn, S.D. Cook, W.P. Spires, and M.A. Kester, Tissue Response to Porous-Coated Implants Lacking Initial Bone Apposition, J. Arthroplast., 1988, 3, p 337–346

    Article  Google Scholar 

  7. M. Sundfeldt, L.V. Carlsson, C.B. Johansson, P. Thomsen, and C. Gretzer, Aseptic Loosening, Not Only a Question of Wear: A Review of Different Theories, Acta Orthop., 2006, 77, p 177–197

    Article  Google Scholar 

  8. J. Wolff, Das Gesetz der Transformation der Knochen (Berlin A. Hirchwild). Translated as: The Law of Bone Remodeling, Springer, Berlin, 1892.

  9. R.M. Pilliar, J.M. Lee, and C. Maniatopoulos, Observations on the Effect of Movement on Bone Ingrowth into Porous-Surfaced Implants. Clin. Orthop. Relat. Res. 1986, p 108–113. http://www.ncbi.nlm.nih.gov/pubmed/3720113. Accessed 10 May 2013.

  10. R. Pilliar, Powder Metal-Made Orthopedic Implants with Porous Surface for Fixation by Tissue Ingrowth, Clin. Orthop. Relat. Res. Relat. Res., 1983, 176, p 42–51

    Google Scholar 

  11. R.J. Friedman, Y.H. An, J. Ming, R.A. Draughn, and T.W. Bauer, Influence of Biomaterial Surface Texture on Bone Ingrowth in the Rabbit Femur, J. Orthop. Res., 1996, 14, p 455–464

    Article  Google Scholar 

  12. D.W. Fabi and B.R. Levine, ASM Handbook: Materials for Medical Devices, vol. 23, ASM International, Materials Park, OH, 2012, p 307–319

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthew Fonte.

Additional information

This article is an invited paper selected from presentations at the International Conference on Shape Memory and Superelastic Technologies 2013, held May 20-24, 2013, in Prague, Czech Republic, and has been expanded from the original presentation.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fournier, E., Devaney, R., Palmer, M. et al. Superelastic Orthopedic Implant Coatings. J. of Materi Eng and Perform 23, 2464–2470 (2014). https://doi.org/10.1007/s11665-014-1008-6

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11665-014-1008-6

Keywords

Navigation