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The use of 3D surface analysis techniques to investigate the wear of matt surface finish femoral stems in total hip replacement

Brown, Leigh (2006) The use of 3D surface analysis techniques to investigate the wear of matt surface finish femoral stems in total hip replacement. Doctoral thesis, University of Huddersfield.

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    Abstract

    Total hip replacement is one of the most common surgical procedures carried out both in
    the UK and Worldwide. With an increasing number of younger patients undergoing the
    procedure, there is an emphasis on increasing the longevity of prostheses. The following
    reports on a number of component studies which, when combined give an insight into the
    mechanism of wear behind the loosening and failure of matt surface finish femoral stems.
    By examining stems which have been explanted from patients, a method of wear
    classification has been developed, and also 3D surface measurement techniques have
    been employed to quantify wear through parametric characterisation and also volume
    analysis. Initial findings suggested that the wear of matt finish femoral stems differs to
    that of smoother polished femoral stems.
    Studies also provide information regarding the nature of bone cement, its behaviour and
    the interaction between stem and cement following insertion of the stem. It was found
    that geometric change in bone cement occurred during polymerisation, and following
    curing. This geometric change presented itself in the form of differential shrinkage. This
    shrinkage of cement was observed initially through 3D surface topography analysis and
    later confirmed with geometric measurement techniques.
    The presence of voids between stem and cement give rise to the possibility of debris
    creation and transportation, adding to the evidence for a difference in wear mechanism
    between polished and matt surface finish femoral stems.
    Some progress was made towards replication of wear in vitro which has future
    possibilities for wear screening of materials and designs of future prostheses.
    The overall conclusion of the study suggests that the dominant wear mechanism which
    occurred between the stem and bone cement was abrasive in nature and this is likely to
    explain the accelerated wear of matt stems which has been reported by clinicians and
    researchers.

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    Item Type: Thesis (Doctoral)
    Additional Information: © The Author 2007
    Uncontrolled Keywords: 3D surface analysis techniques matt finish femoral stems hip replacement
    Subjects: Q Science > Q Science (General)
    R Medicine > RD Surgery
    Q Science > QA Mathematics > QA76 Computer software
    Schools: School of Computing and Engineering
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    Depositing User: Sara Taylor
    Date Deposited: 20 Dec 2007
    Last Modified: 16 Oct 2012 12:09
    URI: http://eprints.hud.ac.uk/id/eprint/354

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