Combining ageing and wear to assess the durability of zirconia-based ceramic heads for total hip arthroplasty.

Abstract:

:The degradation of zirconia-based ceramic components for total hip arthroplasty (head and cup) has been the topic of many works. However, the correlation between what is measured in vivo and what is expected from in vitro simulations on hip simulators may be sometimes feeble, especially where zirconia component are concerned, mainly due to a lack of representativeness of in vitro experiments. The present study seeks to explore the combined effects of hydrothermal ageing and wear on zirconia components. It shows that hydrothermal ageing increases the roughness of zirconia components, which in turn might increase the wear rate of the polyethylene counterparts. Moreover, the friction during hip simulation increases the ageing rate of the zirconia components. This auto-accelerating degradation may explain some of the poor long-term in vivo results of zirconia hip prostheses reported in the literature. Finally, it is shown that zirconia-toughened alumina components may be free from this combined degradation.

journal_name

Acta Biomater

journal_title

Acta biomaterialia

authors

Gremillard L,Martin L,Zych L,Crosnier E,Chevalier J,Charbouillot A,Sainsot P,Espinouse J,Aurelle JL

doi

10.1016/j.actbio.2013.03.030

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

7545-55

issue

7

eissn

1742-7061

issn

1878-7568

pii

S1742-7061(13)00157-8

journal_volume

9

pub_type

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