Wear performance of cobalt chromium, ceramic, and oxidized zirconium on highly crosslinked polyethylene at mid-term follow-up

Abstract

Patients with THA using a ceramic head and using an OxZr head were each matched to patients with a CoCr head. Mean implantation time was 5 years. There was no difference in steady state wear rate between the ceramic (0.066 ± 0.050 mm/year) and CoCr match groups (0.052 ± 0.041 mm/year), or between the OxZr (0.022 ± 0.029 mm/year) and CoCr match groups (0.048 ± 0.071 mm/year). Follow-up into the second decade will be necessary before any changes in THA wear rate from using ceramic or OxZr bearings may be appreciated clinically with available imaging techniques.

Wear Risk Prevention and Reduction in Total Hip Arthroplasty. A Personalized Study Comparing Cement and Cementless Fixation Techniques Employing Finite Element Analysis

“…With regard to the head material we find values close to 5% in the statistical significance, although prior studies such as Sato with p = 0.45 [ 42 ], Garvin with p = 0.58 [ 43 ], or Teeter with p = 0.32 [ 44 ] do not suggest a relationship between this variable and wear risk. Our results seem to suggest that there is less wear risk in ceramic head material than in metallic.…”

Five-year polyethylene cup migration and PE wear of the Anatomic Dual Mobility acetabular construct

“…Ceramic femoral heads have been used for decades to decrease PE wear in articulation with ultra-high molecular weight polyethylene (UHMWPE) [ 25 ]. However, different femoral head materials in articulation with HXLPE have not yet been shown to affect the wear rate [ 26 , 27 ]. The results of the present study are in line with these findings.…”

A Preliminary Analysis of the Wear Pathways of Sliding Contacts on Temporomandibular Joint Total Joint Replacement Prostheses

“…In fact, veneering metallic surfaces with DLC or TiN could provide a protective barrier against corrosion and wear, increasing the long-term performance of the contacting TMJ TJR surfaces. Also, the high-strength ceramic condyles could be an alternative to avoid the corrosion issue [78]. However, the microstructure integrity (i.e., absence of defects) and low roughness of the modified surfaces should be controlled to promote such low friction effect.…”

“…This has subsequently been shown to cause oxidative degradation of the polymer both in vitro and in vivo leading to an increased wear rate and release of polymeric debris [79,80]. Some studies have reported a lower friction when a highly cross-linked polyethylene (XLPE) counter-body was used instead of UHMWPE against CoCr-based surfaces [78,81]. Contrarily to hip and knee prostheses, only a few studies are available that describe the tribocorrosion behavior and biological response of novel advancements in TMJ TJR prostheses [4,19,45,82].…”