Abstract
Introduction: Blasting techniques using corundum to create rough surfaces are used in many different processes for the surface treatment of hip implants. Recent evidence points an association between residual particles and early loosenings in the sense of third-body wear. Materials and method: The surfaces of five unused, original-packaged CLS stems and ARR-Titan supporting rings, respectively, were compared with five explanted CLS stems and ARR-Titan supporting rings. Results: The surface of the ARR-Titan supporting rings was adhered to Al2O3 particles at 23.2±2.5% on the implants and 12.3±3.0% on the explants (P<0.0001). For the CLS stem, the surface to which Al2O3 particles adhered was 16.4±2.2 % on the implants, whereas the surface to which Al2O3 particles adhered was 12.4±3.3% on the explants (P=0.0275). Discussion: The results of this study show that corundum particles can be found to cover a high percentage on rough-blasted titanium surfaces of ready-to-use devices. In contrast, this contamination is significantly less on the explants treated in an identical fashion prior to implantation.
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References
Aldinger PR, Breusch SJ, Lukoschek M, Mau H, Ewerbeck V, Thomsen M (2003) A ten- to fifteen-year follow-up of the cementless Spotorno stem. J Bone Joint Surg 85-B:209–214
Böhler M, Kanz F, Schwarz B, Steffan I, Walter A, Plenk H Jr, Knahr K (2002) Adverse tissue reactions to wear particles from Co-alloy articulations, increased by alumina-blasting particle contamination from cementless Ti-based total hip implants. A report of seven revisions with early failure. J Bone Joint Surg 84-B:128–136
Bos I (2001) Tissue reactions around loosened hip joint endoprostheses. A histological study of secondary capsules and interface membranes. Orthopäde 30:881–889
Catelas I, Huk OL, Petit A, Zukor DJ, Marchand R, Yahia L (1998) Flow cytometric analysis of macrophage response to ceramic and polyethylene particles: effects of size, concentration, and composition. J Biomed Mater Res 41:600–607
Catelas I, Petit A, Marchand R, Zukor DJ, Yahia L, Huk OL (1999) Cytotoxicity and macrophage cytokine release induced by ceramic and polyethylene particles in vitro. J Bone Joint Surg 81-B:516–521
Catelas I, Petit A, Zukor DJ, Marchand R, Yahia L, Huk OL (1999) Induction of macrophage apoptosis by ceramic and polyethylene particles in vitro. Biomaterials 20:625–630
Darvell BW, Sammant N, Luk WK, Clark RKF, Tideman H (1995) Contamination of titanium castings by aluminium oxide blasting. J Dent 23:319–322
Dhert WJ, Klein CP, Jansen JA, van der Velde EA, Vriesde RC, Rozing PM, de Groot K (1993) A histological and histomorphometrical investigation of fluorapatite, magnesiumwhitlockite, and hydroxylapatite plasma-sprayed coatings in goats. J Biomed Mater Res 27:127–138
Goldberg VM, Stevenson S, Feighan J, Davy D (1995) Biology of gritblasted titanium alloy implants. Clin Orthop 319:122–129
Grübl A, Kolb A, Reinisch G, Gottsauner-Wolf F (2002) REM- Analyse von korundgestrahlten Hüft- TEP- Schäften. Z Orthop Ihre Grenzgeb 140(Suppl.):16
Hatton A, Nevelos JE, Matthews JB, Fisher J, Ingham E (2003) Effects of clinically relevant alumina ceramic wear particles on TNF-alpha production by human peripheral blood mononuclear phagocytes. Biomaterials 24:1193–1204
Howie DW, Vernon-Roberts B (1988) Synovial macrophage response to aluminium oxide ceramic and cobalt-chrome alloy wear particles in rats. Biomaterials 9:442–448
Kubo T, Sawada K, Hirakawa K, Shimizu C, Takamatsu T, Hirasawa Y (1999) Histiocyte reaction in rabbit femurs to UHMWPE, metal, and ceramic particles in different sizes. J Biomed Mater Res 45:363–369
Moberg LE, Nordenram A, Kjellman O (1989) Metal release from plates used in jaw fracture treatment. A pilot study. Int J Oral Maxillofac Surg 18:311–314
Negre J, Henry F (1995) Bone reaction to contact with a granulated titanium surface. Apropos of 101 total hip prostheses with six years follow-up. Rev Chir Orthop Reparatrice Appar Mot 81:106–113
Petit A, Catelas I, Antoniou J, Zukor DJ, Huk OL (2002) Differential apoptotic response of J774 macrophages to alumina and ultra-high-molecular-weight polyethylene particles. J Orthop Res 20:9–15
Piatelli A, Manzon L, Scarano A, Paolantonio M, Piattelli M (1998) Histologic and histomorphometric analysis of the bone response to machined and sandblasted titanium implants. An experimental study in rabbits. Int J Oral Maxillofac Implants 13:805–810
Ricci JL, Kummer FJ, Alexander H, Casar RS (1992) Technical note: embedded particulate contaminants in textured metal implant surfaces. J Appl Biomater 3:225–230
Schmidt PF (1994) Praxis der Rasterelektronenmikroskopie und Mikrobereichsanalyse. Expert-Verlag, Renningen- Malsheim
Schuh A, Uter W, Holzwarth U, Kachler W, Göske J, Raab B, Knetsch T. (2005) Residual particle free rough surfaces after rough blasting with steel grit in total hip arthroplasty. Biomed Techn (Berlin), (in press)
Witt JD, Swann M (1991) Metal wear and tissue response in failed titanium alloy total hip replacements. J Bone Joint Surg 73-B:559–563
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We are grateful to Centerpulse AG and Peter Brehm Chirurgie Mechanik for the implants which they donated and their support of this study.
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Schuh, A., Uter, W., Kachler, W. et al. Comparative surface examinations on corund blasted titanium implants and explants in total hip arthroplasty. Arch Orthop Trauma Surg 125, 676–682 (2005). https://doi.org/10.1007/s00402-005-0050-0
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DOI: https://doi.org/10.1007/s00402-005-0050-0