The Divergence of Wear Propagation and Stress at Steep Acetabular Cup Positions Using Ceramic Heads and Sequentially Cross-Linked Polyethylene Liners

The Journal of Arthroplasty
Carmen ZietzDaniel Kluess

Abstract

The aim of the present wear simulator study was to assess the effect of steep acetabular cup positions on the wear propagation of highly cross-linked-PE (HX-PE) liners. Furthermore, a finite element analysis (FEA) was performed in order to calculate the stress within the HX-PE material in case of steep cup positions under physiological loadings. The higher stress in the HX-PE at a steep acetabular cup position did not result in increased wear in the present wear simulator study. The gravimetrical wear rates at normal (45°) and steep cup inclinations (75°) showed wear amounts of 3.15±0.27mg and 2.18±0.31mg per million cycles (p=0.028), respectively. However, FEA revealed clear increase in stress at the HX-PE liners with respect to steep cup positions.

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Citations

Jun 7, 2015·Expert Review of Medical Devices·Carmen ZietzRobert Sonntag
Nov 3, 2017·Medical & Biological Engineering & Computing·R NithyaprakashM S Uddin
Feb 16, 2019·Materials·Massimiliano Merola, Saverio Affatato

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