Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads
Metallic deposition is a commonly observed phenomenon on the surface of revised femoral heads in total hip arthroplasty and can lead to increased wear due to third bodies. In order to find out the origin and composition of the transfer material, 98 retrieved femoral heads of different materials were...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/14/3946 |
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| author | Jessica Hembus Lisa Rößler Armin Springer Marcus Frank Annett Klinder Rainer Bader Carmen Zietz Andreas Enz |
| author_facet | Jessica Hembus Lisa Rößler Armin Springer Marcus Frank Annett Klinder Rainer Bader Carmen Zietz Andreas Enz |
| author_sort | Jessica Hembus |
| collection | DOAJ |
| description | Metallic deposition is a commonly observed phenomenon on the surface of revised femoral heads in total hip arthroplasty and can lead to increased wear due to third bodies. In order to find out the origin and composition of the transfer material, 98 retrieved femoral heads of different materials were examined with regard to the cause of revision, localization, pattern and composition of the transfer material by energy dispersive X-ray spectroscopy. We found that in 53.1%, the deposition was mostly in the region of the equator and the adjacent pole of the femoral heads. The most common cause for revision of heads with metallic deposition was polyethylene wear (43.9%). Random stripes (44.9%), random patches (41.8%) and solid patches (35.7%) were most prevalent on retrieved femoral heads. Random patches were a typical pattern in ceramic-on-ceramic bearing couples. The solid patch frequently occurred in association with dislocation of the femoral head (55%). The elemental analysis of the depositions showed a variety of different materials. In most cases, titanium was an element of the transferred material (76.5%). In addition to metallic components, several non-metallic components were also detected, such as carbon (49%) or sulfur (4.1%). Many of the determined elements could be assigned with regard to their origin with the help of the associated revision cause. Since the depositions lead to an introduction of third-body particles and thus to increased wear, the depositions on the bearing surfaces should be avoided in any case. |
| first_indexed | 2024-03-09T03:19:12Z |
| format | Article |
| id | doaj.art-b9e6fa68351c46de92cf3b1d1af0ed6f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T03:19:12Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b9e6fa68351c46de92cf3b1d1af0ed6f2023-12-03T15:12:23ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011114394610.3390/jcm11143946Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral HeadsJessica Hembus0Lisa Rößler1Armin Springer2Marcus Frank3Annett Klinder4Rainer Bader5Carmen Zietz6Andreas Enz7Biomechanics and Implant Technology Research Laboratory, Department of Orthopedics, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyBiomechanics and Implant Technology Research Laboratory, Department of Orthopedics, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyMedical Biology and Electron Microscopy Center, Rostock University Medical Center, Strempelstrasse 14, 18057 Rostock, GermanyMedical Biology and Electron Microscopy Center, Rostock University Medical Center, Strempelstrasse 14, 18057 Rostock, GermanyBiomechanics and Implant Technology Research Laboratory, Department of Orthopedics, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyBiomechanics and Implant Technology Research Laboratory, Department of Orthopedics, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyBiomechanics and Implant Technology Research Laboratory, Department of Orthopedics, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyOrthopedic Clinic and Policlinic, Rostock University Medical Center, Doberaner Str. 142, 18057 Rostock, GermanyMetallic deposition is a commonly observed phenomenon on the surface of revised femoral heads in total hip arthroplasty and can lead to increased wear due to third bodies. In order to find out the origin and composition of the transfer material, 98 retrieved femoral heads of different materials were examined with regard to the cause of revision, localization, pattern and composition of the transfer material by energy dispersive X-ray spectroscopy. We found that in 53.1%, the deposition was mostly in the region of the equator and the adjacent pole of the femoral heads. The most common cause for revision of heads with metallic deposition was polyethylene wear (43.9%). Random stripes (44.9%), random patches (41.8%) and solid patches (35.7%) were most prevalent on retrieved femoral heads. Random patches were a typical pattern in ceramic-on-ceramic bearing couples. The solid patch frequently occurred in association with dislocation of the femoral head (55%). The elemental analysis of the depositions showed a variety of different materials. In most cases, titanium was an element of the transferred material (76.5%). In addition to metallic components, several non-metallic components were also detected, such as carbon (49%) or sulfur (4.1%). Many of the determined elements could be assigned with regard to their origin with the help of the associated revision cause. Since the depositions lead to an introduction of third-body particles and thus to increased wear, the depositions on the bearing surfaces should be avoided in any case.https://www.mdpi.com/2077-0383/11/14/3946material transfertotal hip arthroplastydeposition patternfemoral head |
| spellingShingle | Jessica Hembus Lisa Rößler Armin Springer Marcus Frank Annett Klinder Rainer Bader Carmen Zietz Andreas Enz Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads Journal of Clinical Medicine material transfer total hip arthroplasty deposition pattern femoral head |
| title | Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads |
| title_full | Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads |
| title_fullStr | Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads |
| title_full_unstemmed | Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads |
| title_short | Experimental Investigation of Material Transfer on Bearings for Total Hip Arthroplasty—A Retrieval Study on Ceramic and Metallic Femoral Heads |
| title_sort | experimental investigation of material transfer on bearings for total hip arthroplasty a retrieval study on ceramic and metallic femoral heads |
| topic | material transfer total hip arthroplasty deposition pattern femoral head |
| url | https://www.mdpi.com/2077-0383/11/14/3946 |
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