Larger diameter bearings reduce wear in metal-on-metal hip implants

• Metal-on-metal hip arthroplasty has the longest clinical history of all total arthroplasties. We asked whether large diameter femoral heads would result in less wear than those with small diameters. We also asked if there is a threshold diameter that ensures good wear behavior. We tested three batches of cast high-carbon cobalt-chromium-molybdenum hip implants (28 mm, 36 min, and 54 min diameters) in a hip simulator for 5 million cycles. We used bovine serum as lubricant and weighed the samples at regular intervals during testing. The 28-mm configuration had almost twice the wear of the 54-mm configuration, but we observed no difference between the 36-mm and the 54-mm configurations. The similarity in the wear performances of the larger configurations supports the presence of a threshold diameter that ensures good wear behavior.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

TEKNIK OCH TEKNOLOGIER  -- Materialteknik (hsv//swe)

ENGINEERING AND TECHNOLOGY  -- Materials Engineering (hsv//eng)

Nyckelord

TOTAL HIP-ARTHROPLASTY

TOTAL KNEE ARTHROPLASTY

CERAMIC BALL HEADS

JOINT SIMULATOR

POLYETHYLENE WEAR

ACETABULAR COMPONENTS

WALKING ACTIVITY

ZRO2 FRACTION

FEMORAL-HEAD

REPLACEMENT

Orthopaedics

Ortopedi

Materials science

Teknisk materialvetenskap

Publikations- och innehållstyp

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