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International Orthopaedics
Erschienen in: International Orthopaedics 6/2017

25.10.2016 | Original Paper

Retrieval analysis of ceramic-coated metal-on-polyethylene total hip replacements

verfasst von: Harman Khatkar, Harry Hothi, Danielle de Villiers, Christian Lausmann, Daniel Kendoff, Thorsten Gehrke, John Skinner, Alister Hart

Erschienen in: International Orthopaedics | Ausgabe 6/2017

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Abstract

Purpose

Ceramic coatings have been used in metal-on-polyethylene (MOP) hips to reduce the risk of wear and also infection; the clinical efficacy of this remains unclear. This retrieval study sought to better understand the performance of coated bearing surfaces.

Methods

Forty-three coated MOP components were analysed post-retrieval for evidence of coating loss and gross polyethylene wear. Coating loss was graded using a visual semi-quantitative protocol. Evidence of gross polyethylene wear was determined by radiographic analysis and visual inspection of the retrieved implants.

Results

All components with gross polyethylene wear (n = 10) were revised due to a malfunctioning acetabular component; 35 % (n = 15) of implants exhibited visible coating loss and the incidence of polyethylene wear in samples with coating loss was 54 %, significantly (p = 0.02) elevated compared to samples with intact coatings (14 %).

Conclusions

In this study we found evidence of coating loss on metal femoral heads which was associated with increased wear of the corresponding polyethylene acetabular cups.
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Metadaten
Titel
Retrieval analysis of ceramic-coated metal-on-polyethylene total hip replacements
verfasst von
Harman Khatkar
Harry Hothi
Danielle de Villiers
Christian Lausmann
Daniel Kendoff
Thorsten Gehrke
John Skinner
Alister Hart
Publikationsdatum
25.10.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 6/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3314-0

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