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Bearing Surfaces in Total Hip Arthroplasty

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Hip Arthroplasty

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Abstract

Total hip arthroplasty is soon going to witness more than eight decades of practice although the revolution in hip arthroplasty came after the introduction of low friction arthroplasty by Sir John Charnley in the 1960s. Long term outcomes have been good with metal on highly cross-linked polyethylene, which has traditionally been the preferred bearing surface for the past two decades and has almost replaced conventional polyethylene due to concerns over poly-wear and osteolysis. However, with the increasing functional demands of younger patients and increasing life expectancy and awareness about the biological multisystemic effects of wear residues of bearing surfaces, there has been increasing interest in newer bearing surfaces. This chapter discusses the tribological properties of various biomaterials used in hip arthroplasty in isolation and their pros and cons in various combinations like metal-on-polyethylene, metal-on-metal, ceramic-on-ceramic, and ceramic-on-polyethylene. Finally, the current evidence for various combinations is summarized along with a brief sneak-peek into the future of bearing surfaces in hip arthroplasty.

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  1. Joint Replacement & Sports Injury Centre, Paras Health, Gurugram, Haryana, India

    Vivek Logani

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  1. Head of Orthopedics and Joint Replacement, Amrita Institute of Medical Sciences Amrita Vishwavidyapeetham, Faridabad, India

    Mrinal Sharma

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Logani, V. (2023). Bearing Surfaces in Total Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_11

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