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Wear ranking of hard on hard bearings for prosthetic hip joints

Blunt, Liam and Thomas, T.R. (2004) Wear ranking of hard on hard bearings for prosthetic hip joints. Wear, 257. pp. 1208-1212. ISSN 0043-1648

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With the increasingly ageing population across the developed world the numbers of people requiring surgical procedures to replace damaged, worn and arthritic joints is hugely increasing. In fact these operations are now the most common surgical procedure carried out in hospitals with 250,000 total hip replacement (THR) procedures carried out in the EU annually.

The standard design of the THR comprises of a metal or sometimes ceramic head running against an ultra high molecular weight polyethylene (UHMWPE) acetabular cup (Fig. 1). THR can be successful for in excess of 20 years however up to 10% of prostheses fail prematurely. The 75% early failure results from the process of aseptic loosening. This is classified as mechanical failure of the joint through loosening of one or more of the prosthetic components. General loosening of the prosthesis has been widely attributed to generation of wear debris resulting from the relative movement of the femoral head and acetabular cup. The debris generated at the tribological interface accumulates in the surrounding tissue. The debris initiates the body's immune system into producing macrophages which aggressively attacks the debris and also the immediate surrounding bone tissue. This causes bone resorption and consequent loosening (Fig. 2). For standard THR systems the primary wear debris generated form the UHMWPE component and takes the form of micro- and submicro-scale polymeric particles [1].

Item Type: Article
Additional Information: UoA 25 (General Engineering) Copyright © 2007 Elsevier B.V. All rights reserved. ScienceDirect® is a registered trademark of Elsevier B.V.
Subjects: R Medicine > RD Surgery
T Technology > TA Engineering (General). Civil engineering (General)
Schools: School of Computing and Engineering
School of Computing and Engineering > Centre for Precision Technologies
School of Computing and Engineering > Centre for Precision Technologies > Surface Metrology Group
Related URLs:
References: 1] D.W. Murray and N. Rushton, Macrophages stimulate bone resorption when they phagocytose particles, J. Bone Surg. 205H (1990), pp. 73–79. [2] M. Semlitsch and H.G. Willert, Clinical wear behaviour of ultra-high molecular weight polyethylene cups paired with metal and ceramic ball heads in comparison to metal on metal, Proc. Inst. Mech. Eng. 211 (1997) (H1), pp. 73–88. Full Text via CrossRef | View Record in Scopus | Cited By in Scopus [3] J.A. Greenwood and J.B.P. Williamson, Contact of nominally flat rough surfaces, Proc. R. Soc. London A 295 (1966), pp. 300–319. Full Text via CrossRef [4] B.B. Mikic, Thermal contact conductance: theoretical considerations, Int. J. Heat Mass Trans. 17 (1974), pp. 205–224. [5] B.-G. Rosén, R. Ohlsson and T.R. Thomas, Nano-metrology of cylinder bore wear, Int. J. Mach. Tools Manufact. 38 (1998), pp. 519–527. [6] J.A. Greenwood and J.H. Tripp, The contact of two nominally flat rough surfaces, Proc. Inst. Mech. Eng. 186 (1970/1971), pp. 625–633. [7] D.J. Whitehouse, Handbook of Surface Metrology, Institute of Physics, Bristol (1994). [8] In: L. Blunt and X. Jiang, Editors, Advanced Techniques for Assessment of Surface Topography, Development of a Basis for 3D Surface Texture Standards SURFSTAND, Kogan Page Science, London (2003).
Depositing User: Briony Heyhoe
Date Deposited: 13 Jul 2007
Last Modified: 28 Aug 2021 23:33


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