High cup angle and microseparation increase the wear of hip surface replacements.

Abstract:

:High wear rates and high patient ion levels have been associated with high (> 55 degrees) cup inclination angles for metal-on-metal surface replacements. Wear rates and patterns have been simulated for ceramic-on-ceramic bearings by applying microseparation to replicate head offset deficiency. We tested 39-mm metal-on-metal surface replacements (n = 5) in a hip simulator with (A) an increased cup inclination angle of 60 degrees and (B) an increased cup inclination angle and microseparation over 2 million cycles. (A) resulted in a ninefold increase in wear rate and (B) resulted in a 17-fold increase in wear rate compared to a standard gait condition study. Wear particles produced under microseparation conditions were larger than those produced under standard conditions but of similar shape (round to oval). The data suggest both head and cup position influence the wear of surface replacements; we believe it likely bearings with high wear either have a high cup inclination angle, an offset deficient head, or a combination of both.

journal_name

Clin Orthop Relat Res

authors

Leslie IJ,Williams S,Isaac G,Ingham E,Fisher J

doi

10.1007/s11999-009-0830-x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

2259-65

issue

9

eissn

0009-921X

issn

1528-1132

journal_volume

467

pub_type

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