Role of Ceramic Components in the Era of Crosslinked Polyethylene for THR

  • A. Wang
  • J. H. Dumbleton
  • M. T. Manley
  • P. Serekian
Conference paper
Part of the Ceramics in Orthopaedics book series (CIO)

Abstract

This paper presents a summary of 10 years experience of the authors in the search of advanced wear reduction bearing technologies for total hip replacement. By adhering to the principles of anatomical testing, cross-shear motion and biological lubrication in in-vitro hip simulator testing, the authors successfully reproduced the clinical wear- mechanisms, wear-debris, wear-rates and wear-rankings of past successful and unsuccessful bearing materials. This validated hip simulator test protocol was used to evaluate the wear performance of various next genetation bearing materials including metal-on-crosslinked polyethylene, ceramic-on-crosslinked polyethylene, metal-on-metal and ceramic-on-ceramic. A key criterion in determining the efficacy of the next generation bearing surface was that it show superior wear performance over predicate devices consistently and predictably in the laboratory. Metal-on-crosslinked polyethylene showed superior wear performance over metal-on-conventional polyethylene. However, this combination was still susceptible to 3rd-body wear. Ceramic-on-crosslinked polyethylene significantly reduced the susceptibility to 3rd-body wear while ceramic-on-ceramic articulation completely eliminated the 3rd-body wear problem. In contrast, precision made metal-on-metal devices failed the basic criteria test due to erratic and unpredictable wear behavior under carefully controlled laboratory conditions.

Keywords

Wear Rate Wear Performance Ceramic Component Crosslinked Polyethylene PMMA Bone Cement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Steinkopff Verlag, Darmstadt 2003

Authors and Affiliations

  • A. Wang
  • J. H. Dumbleton
  • M. T. Manley
  • P. Serekian

There are no affiliations available

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