2002
DOI: 10.1002/jbm.10090
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The contribution of coating microstructure to degradation and particle release in hydroxyapatite coated prostheses

Abstract: Plasma-sprayed coatings of hydroxyapatite powder are widely used on hip replacements. Commercially, they are supplied by a large number of companies and thus offer different coating design philosophies. This study focuses on a retrieved prosthetic stem that exhibited coating loss on the femoral stem occurring concurrently with third-body wear. The purpose of the research was to establish possible links between the coating microstructure and the clinical findings. A coated stem and cup were sectioned and the cr… Show more

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Cited by 41 publications
(18 citation statements)
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“…Based on the observation of animal studies and human retrievals, Bauer172 hypothesized and described four mechanisms whereby HA coating can be lost from the implant surface: (a) dissolution at neutral pH, (b) osteoclastic resorption of the coating as part of normal bone remodeling, (c) delamination due to bond failure, and (d) abrasion from lack of primary fixation. This has been supplemented by Gross, Ray, and Røkkum173 with two more mechanisms: (e) lamellae cracking from the release of residual stress on the coating surface; and (f) preferential amorphous phase dissolution producing free crystalline debris.…”
Section: Clinical Performance Of Ha Coatingsmentioning
confidence: 99%
“…Based on the observation of animal studies and human retrievals, Bauer172 hypothesized and described four mechanisms whereby HA coating can be lost from the implant surface: (a) dissolution at neutral pH, (b) osteoclastic resorption of the coating as part of normal bone remodeling, (c) delamination due to bond failure, and (d) abrasion from lack of primary fixation. This has been supplemented by Gross, Ray, and Røkkum173 with two more mechanisms: (e) lamellae cracking from the release of residual stress on the coating surface; and (f) preferential amorphous phase dissolution producing free crystalline debris.…”
Section: Clinical Performance Of Ha Coatingsmentioning
confidence: 99%
“…Indeed, HA is well known to form intimate attachments with both hard and soft tissues-a feature that has been exploited to enhance the attachment of metallic prostheses. 26,27 Even though HA is the calcium phosphate ceramic most frequently used as a coating and synthetic bone replacement, it is virtually insoluble under physiological conditions, meaning that degradation of the ceramic and replacement by native tissue is slow (*5 vol % per year). Complete mechanical incorporation of tissueengineered ligaments will only occur when the ceramic material is replaced with endogenous bone.…”
Section: Introductionmentioning
confidence: 99%
“…The HA coating benefits to coating longevity, while the ACP coating may be in favor of the osteoconducive property of calcium phosphate coating for initial fixation of porous materials. The ratio of crystalline and amorphous contents also has an effect on the degradation (Gross et al, 2002). A high amorphous content provides fast resorption, while the amount of crystalline particles increased at the distal location of the stem and the threads of the acetabular shell.…”
Section: Degradation Mechanism Of Calcium-based Inorganic Biodegradabmentioning
confidence: 99%