Oxidized Zirconium Components Maintain a Smooth Articular Surface Except Following Hip Dislocation

Bonnheim, Noah B.; Citters, Douglas W. Van; Ries, Michael D.; Pruitt, Lisa A.

doi:10.1016/j.arth.2020.10.054

Cited by 6 publications

(5 citation statements)

References 60 publications

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“…OFH surface damage, catastrophic wear, and/or failure has been reported in several studies, [6][7][8][9][10][11][12][13][14][15][16] with most of them were case reports (►Table 1). Soft tissue reaction, metallosis, and Fig.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 It has been proven in midterm in vivo studies that OFHs showed less linear and volumetric wear of polyethylene liners as compared with all other femoral heads. [3][4][5] OFHs, though seem to be less forgiving in cases of instability, have shown an accelerated pattern of implant wear and failure, as reported in several studies, [6][7][8][9][10][11][12][13][14][15][16] with fewer studies reported on the occurrence of metallosis with OFH. 11,14,15 In this case study, we present a case of failed OFH with metallosis and soft tissue reaction after recurrent hip instability incidents that necessitated revision.…”

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confidence: 99%

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Hip Instability Leading to Metallosis, Polyethylene Wear, and Failure of an Oxinium Femoral Head: A Case Report and Review of Literature

Mahmoud

El-Husseini

Osman

et al. 2021

The Journal of Hip Surgery

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Oxinium is a zirconium metal alloy with an oxidized (ceramicized) surface that aims to mimic the superior wear properties of a ceramic femoral head while maintaining the high strength of metal-bearing surfaces. There are several reports that illustrate the wear and/or failure of Oxinium femoral heads following abnormal head contact with metal cup, with only a few studies reporting on the occurrence of metallosis. We present a case of metallosis and failure of Oxinium femoral head following two incidents of hip instability and one closed reduction. Successful revision was performed with cemented cup and metal femoral head, with 68 months of follow-up. We aimed to highlight the importance of achieving stable and well-oriented hip components when using Oxinium-bearing surfaces and to present a short literature review regarding the wear of oxidized zirconium-bearing surfaces in hip arthroplasty.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Hip Instability Leading to Metallosis, Polyethylene Wear, and Failure of an Oxinium Femoral Head: A Case Report and Review of Literature

Mahmoud

El-Husseini

Osman

et al. 2021

The Journal of Hip Surgery

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“…Metallic biomaterials such as tantalum (Ta), zirconium (Zr), titanium (Ti) and Ti alloys have been extensively used in clinical applications [1][2][3][4][5][6]. Especially in orthopedics and stomatology, advanced material preparation technology of the metal implants used in hard tissues keep reaching new efficacies for skeletal reconstructive surgery, recently referred to as "the operation of the century" [2].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, since the 1940s, Ta has been used both in vitro and in vivo in various forms of medical instruments such as rods, wires, artificial joints, spinal fusion cages, dental implants, micro-or nano-particles, and radio markers [11]. Because of its high melting point (3017 • C), high density (16.6 g/cm 3 ) and the low reserves of Ta [12], it is impractical to manufacture large-scale Ta implants in the same way as Ti implants. Thus, the application of the bulk Ta implants in orthopedics and dentistry is limited by a too high specific gravity as well as the high prices of raw materials and fabrication.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study on Wear Behaviors of Monolayer and Heterogeneous Multilayer Ta Coatings in Atmospheric and SBF Environments

et al. 2023

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Monolayer Ta and multilayer Ti/Zr/Ta and Zr/Ti/Ta coatings were prepared by magnetron sputtering on TC4 substrates to improve the surface friction and wear properties in a simulated body fluid (SBF) environment and an atmospheric environment. Optical microscopy, scanning electron microscopy, laser scanning confocal microscopy and nano scratch testing were employed to establish the structure-property-environment relationships. By controlling the preparation parameters, the outermost layer of all three samples was Ta coating, and the total coating thickness of each sample was about 3 μm. Friction and wear testing revealed that, compared to bare TC4 substrate, and multilayer Ti/Zr/Ta and Zr/Ti/Ta coatings, the monolayer Ta possessed the lowest friction coefficient as well as the minimum wear rate (i.e., calculation result of the wear track width and wear depth). This was mainly attributed to excellent adhesion strength, a particular structure and solid lubrication of the monolayer coating. The same coating sample exhibited a stronger wear resistance in the SBF environment than in the atmospheric environment. Furthermore, the wear behaviors and mechanisms of various coatings under different experimental environments are also discussed.

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“…This material offers a superior advantage because it combines metallic alloy durability with ceramic material biocompatibility, exhibiting a high corrosion resistance [ 16 , 17 ]. The implants made from OXINIUM are characterized by a 15 years life expectancy and a very low revision intervention rate [ 18 , 19 ]. In the case of patients that exhibit nickel allergies, the femoral component can be manufactured from ceramic materials such as alumina (Al 2 O 3 ) [ 20 , 21 ], yttria-stabilized zirconia (Y-TZP) [ 22 , 23 ], and zirconia toughened alumina (ZTA) [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Failure Analysis of Ultra-High Molecular Weight Polyethylene Tibial Insert in Total Knee Arthroplasty

Paltanea

Antoniac

et al. 2022

Materials

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Knee osteoarthritis is treated based on total knee arthroplasty (TKA) interventions. The most frequent failure cause identified in surgical practice is due to wear and oxidation processes of the prothesis’ tibial insert. This component is usually manufactured from ultra-high molecular weight polyethylene (UHMWPE). To estimate the clinical complications related to a specific prosthesis design, we investigated four UHMWPE tibial inserts retrieved from patients from Clinical Hospital Colentina, Bucharest, Romania. For the initial analysis of the polyethylene degradation modes, macrophotography was chosen. A light stereomicroscope was used to estimate the structural performance and the implant surface degradation. Scanning electron microscopy confirmed the optical results and fulfilled the computation of the Hood index. The oxidation process in UHMWPE was analyzed based on Fourier-transform infrared spectroscopy (FTIR). The crystallinity degree and the oxidation index were computed in good agreement with the existing standards. Mechanical characterization was conducted based on the small punch test. The elastic modulus, initial peak load, ultimate load, and ultimate displacement were estimated. Based on the aforementioned experimental tests, a variation between 9 and 32 was found in the case of the Hood score. The oxidation index has a value of 1.33 for the reference sample and a maximum of 9.78 for a retrieved sample.

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Oxidized Zirconium Components Maintain a Smooth Articular Surface Except Following Hip Dislocation

Cited by 6 publications

References 60 publications

Hip Instability Leading to Metallosis, Polyethylene Wear, and Failure of an Oxinium Femoral Head: A Case Report and Review of Literature

Hip Instability Leading to Metallosis, Polyethylene Wear, and Failure of an Oxinium Femoral Head: A Case Report and Review of Literature

Comparative Study on Wear Behaviors of Monolayer and Heterogeneous Multilayer Ta Coatings in Atmospheric and SBF Environments

Failure Analysis of Ultra-High Molecular Weight Polyethylene Tibial Insert in Total Knee Arthroplasty

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