Low Friction Arthroplasty of the Hip

Theory and Practice

  • John Charnley

Table of contents

  1. Front Matter
    Pages I-XII
  2. John Charnley
    Pages 1-2
  3. John Charnley
    Pages 3-15
  4. John Charnley
    Pages 16-19
  5. John Charnley
    Pages 20-24
  6. John Charnley
    Pages 25-40
  7. John Charnley
    Pages 41-65
  8. John Charnley
    Pages 66-90
  9. John Charnley
    Pages 91-106
  10. John Charnley
    Pages 107-110
  11. John Charnley
    Pages 111-124
  12. John Charnley
    Pages 125-133
  13. John Charnley
    Pages 134-139
  14. John Charnley
    Pages 152-168
  15. John Charnley
    Pages 169-183
  16. John Charnley
    Pages 290-301
  17. John Charnley
    Pages 302-307
  18. John Charnley
    Pages 308-313
  19. John Charnley
    Pages 314-319
  20. John Charnley
    Pages 320-331
  21. John Charnley
    Pages 332-344
  22. John Charnley
    Pages 345-354
  23. Back Matter
    Pages 355-378

About this book


The theme of this work is the application of the engmeermg theory of frictional torque to total hip replacement. The author adhered tenaciously to this theory, involving the use of a small-diameter femoral head, throughout the epoch when the large-diame­ ter, metal-to-metal design dominated the field. During that considerable period general satisfaction with the early results rendered criticisms of the large-diameter head unwelcome. There was a formidable array of counter­ criticism: the small head would pierce a film of synovial fluid; the small head would wear the socket too rapidly; the small head would always have a high risk of dislocation; detachment of the trochanter, to achieve precise orientation for the small head, was unacceptable. But all these objections have now been largely overcome. Lubrication of high molecular weight polyethylene (HMWP) on metal is now accepted as being mainly by the boundary regime with thick fluid films playing no part. We now know that HMWP can indeed tolerate the very high stresses imposed by the small head and in tribological theory there may even be some advantage in high stress. Dislocation is now known not to be an automatic sequel to the small head.


Hüftgelenk Hüftgelenkprothese Instrument arthroplasty biomechanics complication head hip hip arthroplasty stress

Authors and affiliations

  • John Charnley
    • 1
    • 2
    • 3
  1. 1.University of ManchesterUK
  2. 2.Centre for Hip SurgeryWrightington HospitalWigan, LancashireEngland
  3. 3.King Edward VII HospitalMidhurst, SussexUK

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 1979
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-67015-2
  • Online ISBN 978-3-642-67013-8
  • Buy this book on publisher's site