Abstract
The major long term failure mode of total knee arthroplasty is polyethylene wear and its sequellae. These sequellae can include osteolysis, implant loosening, and instability. In an attempt to minimize such polyethylene wear surgeons and implant designers have attempted several modifications of the “traditional approach” to knee replacement. These modifications have included the use of more conforming articular surfaces so as to decrease contact stresses and modifying the properties of the polyethylene itself, and even considering using hard on hard bearing surfaces to completely eliminate the polyethylene. This paper will describe the approach that our group has taken in attempting to decrease polyethylene wear, namely modifying the surface articulating against the polyethylene.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Davidson JA (1993) Characteristics of metal and ceramic total hip bearing surfaces and their effect on long-term ultra high molecular weight polyethylene wear. Clin Orthop 294:361–378
Davidson JA, Mishra AK, Poggie RA, Wert JJ (1992) Sliding friction and UHMWPE wear comparison between cobalt alloy and zirconia surfaces. Orthop Trans, 16 (2):508–509
Davidson JA, Poggie RA, Mishra AK (1994) Abrasive wear of ceramic, metal, and UHMWPE bearing surfaces from third-body bone, PMMA bone cement and titanium debris. Biomed Mater Eng 4 (3):213–229
Fisher J, Firkins P, Reeves EA, Hailey JL, Isaac GH (1995) The influence of scratches to metallic counterfaces on the wear of ultra-high molecular weight polyethylene. Proc Instn Mech Engrs 209 (H4):263–264
Hunter G, Long M (2000) Abrasive wear of oxidized Zr-2.5Nb, CoCrMo, and Ti6A1–4V against bone cement. 6th World Biomaterials Cong Trans, Society For Biomaterials, Minneapolis, MN, p 835
Insall JN, Dorr LD, Scot RD et al (1989) Rationale of the Knee Society clinical rating system. Clin Orthop 248:13–14
Jasty M, Bragdon CR Lee K et al (1994) Surface damage to cobalt-chrome femoral head prostheses. J Bone Joint Surg, 76-B (1), pp 73–77
Lancaster JG, Dowson D, Isaac GH, Fisher J (1997) The wear of ultra-high molecular weight polyethylene sliding on metallic and ceramic counterfaces representative of current femoral surfaces in joint replacement. Proc Instn Mech Engrs, 211 (H1):17–24
Laskin RS, Boume R, Maruyama H, Villaneuva M (2000) The use of a deep dish tibial component in total knee replacement. A randomized prospective study. Clin Orthop 380:36–44
Levesque M., Livingston BJ, Jones WM, Spector M (1998) Scratches on condyles in normal functioning total knee arthroplasty. Trans 44th Ann Mtg Orthop Res Soc. Orthopaedic Research Society, Chicago, IL, p 247
Mishra AK, Davidson JA (1992) PMMA abrasion resistance of zirconia, TiN and ADLC surfaces, 4th World Biomaterials Cong Trans. European Society for Biomaterials, Berlin, p 116
Patel AM, Spector M (1995) Oxidized zirconium for hemiarthroplasty: an in vitro assessment. In: Wilson J, Hench LL, Greenspan D (eds) Bioceramics 8. Elsevier, Oxford, UK, pp 169–175
Patel AM, Spector M (1997) Tribological evaluation of oxidized zirconium using an articular cartilage counterface: a novel material for potential use in herniarthroplasty. Biomaterials 18 (5):441–447
Que, L, Topoleski LDT, Parks NL (1999) Surface roughness of retrieved CoCrMo alloy femoral components from PCA artificial total knee joints. J Biomed Mater Res 53(1):111–118
Ries MD, Sauer WL, Banks SA et al (1999) Effect of femoral component scratches on wear in total knee arthroplasty. Am Acad Orthop Surg 66th Ann Mtg Proc. American Academy of Orthopaedic Surgeons, Rosemont, IL, 231
Spector MD, Rise M, Bourne R et al (2001) UHMWPE wear performance of oxidized zirconium total knee femoral components, scientific exhibit SE34. 68th Annual Meeting AAOS, San Francisco, CA, Feb. 28-Mar 4
Walker PS, Blunn GW, Lilley PA (1996) Wear testing of materials and surfaces for total knee replacement. J Biomed Mater Res 33(3):159–175
White SE, Whiteside LA, McCarthy DS et al (1994) Simulated knee wear with cobalt chromium and oxidized zirconium knee femoral components. Clin Orthop 309:176–184
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Laskin, R.S. (2003). The use of a ceramic surfaced femoral component for total knee arthroplasty. In: Fuchs, S., Tibesku, C.O. (eds) Neues in der Knieendoprothetik. Münsteraner Streitgespräche. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57368-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-642-57368-2_10
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-7985-1388-4
Online ISBN: 978-3-642-57368-2
eBook Packages: Springer Book Archive