Abstract
Alumina was selected as a biomaterial 40 years ago for its unsurpassed biological safety and stability in the living environment. The intrinsic properties of pure alumina limit its mechanical properties, especially toughness, then to improve medical grade alumina is a task that was actively pursued by ceramic manufacturers. A significant effort was devoted to the development of composites of the type zirconia toughened alumina (ZTA), a new class of ceramic biomaterials. The first ZTA material introduced in clinic was a composite known under the trade name of BIOLOX®delta. So far, BIOLOX®delta has 10 years of clinical records in hip replacements and is opening its way also in the knee, while other ceramic medical devices made out BIOLOX®delta are under development. This paper summarize the behavior of this ceramic biomaterial, and the characterization tests performed to assess its stability and its wear properties, as well as the outcomes of THR implants making use of BIOLOX®delta components.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Boutin P. Arthroplastie totale de la hanche par prostheses en alumine fritté. Rev Chir Orthop. 1972;58:230–46.
Piconi C. Chapter 16 – alumina. In: Ducheyne P, editors. Comprehensive biomaterials. Elsevier; 2011. ISBN-978-008-055302-3 (in print).
Charnley J. Total prosthetic replacement of the hip. Physiotherapy. 1967;53:407–9.
Burger W, Richter HG. High strength and toughness alumina matrix composites by transformation toughening and “in situ” platelet reinforcement (ZPTA). Key Eng Mater. 2001;192–195:545–8.
Heimke G, Leyen S, Willmann G. Knee arthroplasty: recently developed ceramics offer new solutions. Biomaterials. 2002;23:1539–51.
Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials. 1999;20:1–25.
Rieu J, Goeuriot P. Ceramic composites for biomedical applications. Clin Mater. 1993;12:211–7.
Claussen N. Microstructural design of zirconia-toughened ceramics. In: Claussen N, Ruhle M, Heuer AH, editors. Science and technology of zirconia II. Columbus: American Ceramic Society; 1984. p. 325–51.
Mandrino A, Eloy R, Moyen B, Lerat J-L, Treheux D. Base alumina ceramics with dispersoids: mechanical behaviour and tissue response after in-vivo implantation. J Mater Sci Mater Med. 1992;3:457–63.
Salomoni A, Tucci A, Esposito L, Stamenkovich I. Forming and sintering of multiphase bioceramics. J Mater Sci Mater Med. 1994;5:651–3.
Affatato S, Testoni M, Cacciari GL, Toni A. Mixed-oxide prosthetic ceramic ball heads. Biomaterials. 1999;20:1925–9.
Burger W. Umwandlungs- und plateletverstärkte Aluminiumoxid-Matrixwerkstoffe (Teil 1). Keram Z. 1997;49:1067–70.
Hannink RHJ, Kelly PY, Muddle BY. Transformation toughening in zirconia-containing ceramics. J Am Ceram Soc. 2000;83:461–87.
Bradt RC. Cr2O3 solid solution hardening of Al2O3. J Am Ceram Soc. 1967;50(1):54–5.
Kuntz M. The effect of chromia content on hardness of zirconia platelet toughened alumina composites. https://www.ceramtec.com/files/.
Chevalier J. What future for zirconia as a biomaterial. Biomaterials. 2006;27:535–43.
Clarke IC, Pezzotti G, Green DD, Shirasu H, Donaldson T. Severe simulation test for run-in wear of all-alumina compared to alumina composite THR. Proceedings 10th BIOLOX symposium, 11–20; 2005.
Dalla Pria P, Giorgini L, Kuntz M, Pandorf T. Ceramic knee design. In: Benazzo F, Falez F, Dietrich M, editors. Bioceramics and alternative bearings in joint arthroplasty. Springer. 2006; p. 115–24..
Mittelmeier W, Ansorge S, Kluess D, Kircher J, Bader R. Ceramic knee endoprostheses: reality or future? In: Benazzo F, Falez F, Dietrich M, editors. Bioceramics and alternative bearings in joint arthroplasty. Springer; 2006. p. 125–32.
Bergschmidt P, Lohmann C, Bader R, et al. A national prospective duocenter study on the clinical and radiological outcome of the multigen plus total knee system with a alumina matrix composite femoral component. In: Cobb JP, editor. Modern trends in THA bearings. Heidelberg: Springer; 2010. p. 245–50.
Scholes SC, Unsworth A. Tribological testing of pre-assembled alumina matrix composite hip prostheses. In: Cobb JP, editors. Modern trends in THA bearings. Springer; 2010. p. 139–44.
Wilson K, Roques A, Dickinson A, Mathias R, Taylor A, Holland J. Initial fixation of a pre-assembled cup system. In: Cobb JP, editors. Modern trends in THA bearings. Springer; 2010. p. 233–7.
Graessel M. Spine: ceramic disc – what you should know. In: Chang JD, Billau K, editors. Bioceramics and alternative bearings in joint arthroplasty. Springer; 2007. p. 261–8.
Burgkart R, Eichhorn S, Kershbaumer S, et al. Mechanical and histological results of a porous coating based on alumina matrix composite. In: Cobb JP, editor. Modern trends in THA bearings. Springer; 2010. p. 245–50.
Chang J-D, Kamdar R, Yoo J-H, Hur M, Lee S-S. Third generation ceramic-on-ceramic bearing surfaces in revision total hip arthroplasty. J Arthroplasty. 2010;24:1231–5.
Lazennec JY, Boyer P, Rousseau MA, et al. Revision strategy and clinical results with alumina matrix composite revision ball heads: a 2 years follow up preliminary results. In: Cobb JP, editors. Modern trends in THA bearings. Springer; 2010. p. 103–6.
Hamilton WG, McAuley JP, Dennis DA, Murphy JA, Blumenfeld TJ, Politi J. THA with delta ceramic on ceramic. Clin Orthop. 2010;468:358–66.
Oakley J. The early clinical results of alumina matrix composite ceramics in primary cementless total hip arthroplasty. In: Cobb JP, editor. Modern trends in THA bearings. Berlin/Heidelberg: Springer; 2010. p. 179–82.
Pezzotti G, Yamada K, Sakakura S, Pitto RP. Raman spectroscopic analysis of advanced ceramic composite for hip prosthesis. J Am Ceram Soc. 2008;91(4):1199–206.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag London
About this chapter
Cite this chapter
Masson, B., Kuntz, M. (2016). Alumina Composite: The Present Generation of Load Bearing Ceramics in Orthopedics. In: Poitout, D. (eds) Biomechanics and Biomaterials in Orthopedics. Springer, London. https://doi.org/10.1007/978-1-84882-664-9_14
Download citation
DOI: https://doi.org/10.1007/978-1-84882-664-9_14
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-84882-663-2
Online ISBN: 978-1-84882-664-9
eBook Packages: MedicineMedicine (R0)