Erschienen in:
07.12.2016 | Original Paper
Understanding wear in dual mobility total hip replacement: first generation explant wear patterns
verfasst von:
Bertrand Boyer, Thomas Neri, Jean Geringer, Alexandre Di Iorio, Remi Philippot, Frederic Farizon
Erschienen in:
International Orthopaedics
|
Ausgabe 3/2017
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Abstract
Purpose
Dual mobility was introduced by Pr. G. Bousquet to improve the dislocation risk of total hip arthroplasty (THR). The wear mechanisms of this implant remain to be understood. Could enhanced explant wear analysis explain liner wear behaviour?
Methods
Sixty-six explanted liners were selected. Non-destructive 3D scanning and heat colour treatment allowed reporting wear patterns on both convex and concave sides of the liners.
Results
For many liners, liner convexity wear was found to be homogeneous, and linked to a longer implantation time. A few liners had signs of blocking of the convexity, leading to excessive internal damage. Intra prosthetic dislocations were found to only have internal circular wear without liner penetration.
Conclusion
Heat colour treatment showed its effectiveness for highlighting wear patterns. Optimal convexity mobility seemed to be leading to a longer implantation time, with decreased contact stresses on concavity. The retentive rim should have a distinct wear analysis.