Summary
The advantages of oxide ceramic materials as articulating surfaces for total knee arthroplasty (TKA) and hemiarthroplasty devices include their greater lubricity and abrasion resistance. Unfortunately, the benefits of ceramics cannot often be accessed because of their brittle character and the difficulty of fabricating them into the necessary prosthetic shapes. There are advantages to a substance that would allow the benefits of ceramic materials to be wedded to the mechanical resiliency of a metallic substrate. With only its metallic surface transformed by oxidation into ceramic oxide, oxidized zirconium (OxZr) alloy is such a substance. The oxidized surface of the zirconium alloy has the characteristics of zirconia ceramic for reducing wear when articulating against UHMWPE or cartilage. In addition, the oxide is very durable and adherent to the underlying metal substrate. Based on laboratory investigations and early clinical results, it appears that this combination of properties may contribute to the reduction of wear-related complications in arthroplasty. Prior work indicates that OxZr would be an appropriate bearing surface for total joint arthroplasty and for hemiarthroplasty and that it may have meaningful advantages over CoCr alloys.
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Hunter, G., Jones, W.M., Spector, M. (2005). Oxidized Zirconium. In: Bellemans, J., Ries, M.D., Victor, J.M. (eds) Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27658-0_59
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DOI: https://doi.org/10.1007/3-540-27658-0_59
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