Failure of a Novel Ceramic-on-Ceramic Hip Resurfacing Prosthesis

Matharu, Gulraj S.; Daniel, Joseph; Ziaee, Hena; McMinn, Derek J. W.

doi:10.1016/j.arth.2014.10.019

Cited by 19 publications

(10 citation statements)

References 8 publications

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“…Ceramic-on-ceramic bearings were introduced by some authors [4,20,30], but rapid failure occurred, and to date, they do not recommend this particular type of ceramic-on-ceramic bearing for hip resurfacing. Matharu et al [20] described very early failure of five ceramic-on-ceramic hip resurfacings. The material incorporated in cup inserts was a ceramic composite with 2/3 polyurethane and 1/3 alumina-ceramic.…”

Section: Discussionmentioning

confidence: 99%

Hip Resurfacing: International Perspectives

Girard

2016

HSS Jrnl

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Background: The hip resurfacing concept was developed for young and active patients, especially for femoral bone stock preservation. However, concerns about metal-onmetal bearings with adverse reactions to metal debris have led to a drop off in hip-resurfacing procedures. Questions/Purposes: The goal of this review is to evaluate our current knowledge of survivorship of second-generation hip resurfacing devices and elaborate international perspectives for product improvement. Methods: A comprehensive literature search provided information on national joint arthroplasty registers worldwide with a minimum of 3000 reported hip resurfacings. It culminated in the analysis of six registers. Results: Long-term data showed that available hip resurfacing device survivorship ranged from 95 to 99.7% with 10 years of follow-up, in selected patient populations. The criteria for success were well known, male gender, good bone quality, head component size greater than 48 mm, and cup inclination less than 45°. On the other hand, the recent recall of some hip-resurfacing devices has resulted in huge medico-legal problems and has discredited all implants. It has brought about the recent evolution of hip resurfacing. Femoral fixation is now available for cemented and cementless surfaces. Bearings are still always metal-onmetal, but new types have come on board. Newer designs suggest that ceramic-on-ceramic, cross-linked polyethylene, and oxinium may be applied in this configuration. Conclusions: In 2015, the evolution of hip resurfacing is ongoing in terms of implant design, alternative bearings, and implant fixation with hopes of improving survivorship.

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Section: Discussionmentioning

confidence: 99%

Hip Resurfacing: International Perspectives

Girard

2016

HSS Jrnl

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“…Furthermore, the possibility of squeaking also exists. An early attempt at a ceramic-on-ceramic resurfacing implant resulted in fracture in all cases [25] and was abandoned. However, the newest generation of delta ceramics are more fracture resistant [4,16] and could potentially be used for a resurfacing head and acetabulum.…”

Section: Methodsmentioning

confidence: 99%

Design Considerations for the Next Generation Hip Resurfacing Implant

2016

HSS Jrnl

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The current generation of hip resurfacing consists of a metal-on-metal ball and monoblock socket of minimal thickness. Although results in certain patient subgroups have been excellent at up to 15 years of follow-up, other subgroups have had poor results. The hard-on-hard bearing is susceptible to edge-loading conditions and may produce excessive metallic debris; furthermore, other patients have had allergic reactions to the metal byproducts. In both situations, there can be clinical failures from adverse local tissue reactions. As such, the role of hip resurfacing has diminished over the last decade because of these issues. Developing the next generation hip resurfacing is essential to address these problems, and there are multiple design considerations in doing so. The choice of materials will be of prime concern, with the decision to use a hard-on-soft or hard-on-hard articulation. The dimensions of the resurfacing implant also pose a challenge, because of the requirement to preserve the bone. Fixation of the implant is another area of interest, in order to maximize implant longevity.

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“…G.S. Matharu (2015) observed as clinical outcomes, high rates of early failure of five hip resurfacing with a new composite ceramic (two-thirds polyurethane and one-third ceramic alumina) used for the acetabular component. Wen Zhang and al.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Analysis of Fatigue Behavior of a Fully Composite-Based Designed Hip Resurfacing Prosthesis

Chergui¹,

Ameddah²,

Mazouz³

2018

JSSCM

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The Hip resurfacing prosthesis is subjected to different stresses resulting from the different positions of the human walk, thereby generating dynamic stresses that vary with time, leading the implant material to fatigue failure. It is important to study the fatigue behavior of the prosthesis material and to ensure its long lifetime. We proposed a new composite material named CF/PA12 composed of carbon fibers with a polyamide 12 resin, whose biocompatibility had been demonstrated in laboratories. In this study, we investigated the static and dynamic behavior at different Gait cycle positions of a Hip resurfacing prosthesis entirely made of new CF/PA12 composite. A fatigue behavior will be deducted by a Finite Element Analysis using the commercial SolidWorks software compatible with the Abaqus finite element code. Static and dynamic analysis were conducted considering normal walking and climbing stairs loading at different Gait cycle percentages of 2, 13, 19, 50 and 63%. The results obtained showed that Hip resurfacing prosthesis fully made of new CF/PA12 composite was very far from fatigue and therefore from failure.

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Failure of a Novel Ceramic-on-Ceramic Hip Resurfacing Prosthesis

Cited by 19 publications

References 8 publications

Hip Resurfacing: International Perspectives

Hip Resurfacing: International Perspectives

Design Considerations for the Next Generation Hip Resurfacing Implant

Biomechanical Analysis of Fatigue Behavior of a Fully Composite-Based Designed Hip Resurfacing Prosthesis

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