Conclusion
Revision of a total hip arthroplasty needs comprehensive knowledge of the characteristics of the articulating materials. A wrong re-implanted wear couple can lead to early re-failure.
Selection of articulation in primary THA can be influenced by possible revision scenarios. Today the new XL-PE, metal-on-metal and ceramic-on-ceramic articulations offer excellent wear behaviors. Concerning the amount of wear, ceramic-on-ceramic seems to be the favourite. Nevertheless, a certain amount of risk for fractures has to be considered.
Access provided by Autonomous University of Puebla. Download to read the full chapter text
Chapter PDF
Similar content being viewed by others
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
References
Pospischill, M. and K. Knahr, Cementless total hip arthroplasty using a threaded cup and a rectangular tapered stem. Follow-up for ten to 17 years. J Bone Joint Surg Br, 2005. 87(9): p. 1210–5.
Zichner, L. and T. Lindenfeld, [In-vivo wear of the slide combinations ceramics-polyethylene as opposed to metal-polyethylene]. Orthopade, 1997. 26(2): p. 129–34.
Rieker, C., M. Windler, and U. Wyss, Metasul-A Metal-on-Metal Bearing. 1999, Bern: Hans Huber.
Park, Y.S., et al., Early osteolysis following second-generation metal-on-metal hip replacement. J Bone Joint Surg Am, 2005. 87(7): p. 1515–21.
Willert, H.G., et al., Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am, 2005. 87(1): p. 28–36.
Baur, W., et al., [Pathological findings in tissue surrounding revised metal/metal articulations]. Orthopade, 2005. 34(3): p. 225–6, 228–33.
Skinner, H.B., Ceramic bearing surfaces. Clin Orthop Relat Res, 1999(369): p. 83–91.
Mittelmeier, H. and J. Heisel, Sixteen-years’ experience with ceramic hip prostheses. Clin Orthop Relat Res, 1992(282): p. 64–72.
Kempf, I. and M. Semlitsch, Massive wear of a steel ball head by ceramic fragments in the polyethylene acetabular cup after revision of a total hip prosthesis with fractured ceramic ball. Arch Orthop Trauma Surg, 1990. 109(5): p. 284–7.
Knahr, K. and R. Beck, An Instrument for the Insertion of Ceramic Liners, in Bioceramics in Joint Arthroplasty-Proceedings 7th international BIOLOX Symposium, J.P. Garino and G. Willmann, Editors. 2002, Thieme: Stuttgart. p. 71–75.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Steinkopff Verlag, Darmstadt
About this paper
Cite this paper
Knahr, K., Pospischill, M. (2006). Revision strategies in total hip arthroplasty with respect to articulation materials. In: Benazzo, F., Falez, F., Dietrich, M. (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/978-3-7985-1635-9_26
Download citation
DOI: https://doi.org/10.1007/978-3-7985-1635-9_26
Publisher Name: Steinkopff
Print ISBN: 978-3-7985-1634-2
Online ISBN: 978-3-7985-1635-9
eBook Packages: MedicineMedicine (R0)