Development and validation of an acoustic emission device to measure wear in total hip replacements in-vitro and in-vivo

2017 ◽  
Vol 33 ◽  
pp. 281-288 ◽  
Author(s):  
Anthony J. FitzPatrick ◽  
Geoffrey W. Rodgers ◽  
Gary J. Hooper ◽  
Tim B.F. Woodfield
2002 ◽  
Vol 12 (3) ◽  
pp. 274-280
Author(s):  
J.A. Wimhurst ◽  
J.L. Hobby ◽  
C.P. Roberts ◽  
A.N. Gibbs ◽  
L.J. Deliss ◽  
...  

Radio-opacifiers in bone cements are an accepted part of every-day practice. They have, however, been shown to be a potential cause of an increase in third body wear and to excite bone resorption in in vitro and in vivo studies. We reviewed the results of 228 consecutive Stanmore total hip replacements performed between 1981 and 1985 in 211 patients. All were inserted with radiolucent bone cement. Information regarding whether the prosthesis had been revised was available for all patients. Seventy-three patients (83 hips) were still alive and 41 patients (44 hips) were sufficiently healthy to attend clinic. Information regarding pain level was obtained from the remaining 32 patients. When revision of the implant was taken as the end-point, there was 95% ten-year survival, 91% fifteen-year survival and 75% eighteen-year survival. These long-term results of Stanmore THRs, performed in a district general hospital, with radiolucent bone cement, compare favourably with the other published series for this implant. We did not find the inability to see the bone cement a particular disadvantage when reviewing radiographs for signs of loosening.


2020 ◽  
Vol 10 (24) ◽  
pp. 8919
Author(s):  
Saverio Affatato ◽  
Alessandro Ruggiero

Ceramic-on-ceramic bearings for total hip replacement are considered the best choice to avoid problems such as osteolysis and wear, mainly related to soft bearings. The aim of this work was to investigate in a comparative way different kinds of ceramic femoral heads for total hip replacements from a biotribological point of view, discussing the results obtained in terms of topographies, presence of metal transfer (MT) phenomena, and wettability on their worn surfaces in a tribological framework. Different ceramic femoral heads derived from in vitro wear tests, retrieved form patients, and brand new total hip replacements were investigated. The patients group had an average age of 60 years (ranging from 27 to 83). In most cases, the cause of failure was aseptic loosening of the acetabular component. Roughness analyses were performed to measure the tribological surface evolution of the material; an SEM and EDS investigation on the explanted heads proves and quantified MT, while the wettability was measured through a novel optical laboratory set-up with the aim to furnish useful data in the framework of synovial lubrication phenomena acting in the tribosystem. For the average roughness measurements on explanted specimens were considered three parameters (Ra = the average area between the roughness profile and its mean line; Rt = the vertical distance from the deepest valley to the highest peak of the roughness profile; and Rsk = it is the skewness and it is a measure of the asymmetry of the amplitude distribution function. In other words, the skewness indicates whether a surface is dominated by peaks or by valleys) and their values were: Ra 0.22 ± 0.12 μm, Rt 34.5 ± 13.5 μm and Rsk −0.01 ± 11.3; on the new specimens we measured Ra 0.01 ± 0.001 μm, Rt 0.12 ± 0.09 μm, and Rsk = 5.67 ± 8.7; for the in vitro specimens they were Ra 0.05 ± 0.12 μm, Rt 0.71 ± 1.4 μm and Rsk 7.73 ± 20.6. The wettability angle measurements showed hydrophilic surfaces for all femoral heads considered in this study with small differences between the three investigated categories, allowing to discuss their effects on the biobearings’ lubrication phenomena.


2011 ◽  
Vol 44 (5) ◽  
pp. 513-516 ◽  
Author(s):  
Thomas J. Joyce ◽  
Harry Grigg ◽  
David J. Langton ◽  
Antoni V.F. Nargol

2005 ◽  
Vol 125 (8) ◽  
pp. 555-557 ◽  
Author(s):  
Christian Heisel ◽  
Mauricio Silva ◽  
Thomas P. Schmalzried

2010 ◽  
Vol 20 (4) ◽  
pp. 447-452 ◽  
Author(s):  
Rebecca J. Kampa ◽  
Andrew Hacker ◽  
Emmett Griffiths ◽  
John W. Rosson

Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3480
Author(s):  
Hans-E. Lange ◽  
Rainer Bader ◽  
Daniel Kluess

Energy harvesting is a promising approach to power novel instrumented implants that have passive sensory functions or actuators for therapeutic measures. We recently proposed a new piezoelectric concept for energy harvesting in total hip replacements. The mechanical implant safety and the feasibility of power generation were numerically demonstrated. However, the power output for the chosen piezoelectric element was low. Therefore, we investigated in the present study different geometry variants for an increased power output for in vivo applications. Using the same finite element model, we focused on new, customised piezoelectric element geometries to optimally exploit the available space for integration of the energy harvesting system, while maintaining the mechanical safety of the implant. The result of our iterative design study was an increased power output from 29.8 to 729.9 µW. This amount is sufficient for low-power electronics.


Author(s):  
Christine Lee ◽  
Lu Zhang ◽  
Dalton Morris ◽  
Kai Yuan Cheng ◽  
Remya Ampadi Ramachandran ◽  
...  

1996 ◽  
Vol 14 (5) ◽  
pp. 769-777 ◽  
Author(s):  
Daniel O. O'Connor ◽  
Dennis W. Burke ◽  
Murali Jasty ◽  
Ronald C. Sedlacek ◽  
William H. Harris

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