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Polyethylene Wear in Total Hip Arthroplasty for Suboptimal Acetabular Cup Positions and for Different Polyethylene Types: Experimental Evaluation of Wear Simulation by Finite Element Analysis Using Clinical Radiostereometric Measurements

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Tribology in Total Hip Arthroplasty

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Abstract

We have examined the effects of optimal and sub-optimal cup position and different types of polyethylene on the simulated polyethylene wear. Finite Element (FE) Analysis was used, and ultra high molecular weight (UHMWPE), highly cross-linked (HCL), and E vitamin stabilized (E-poly) polyethylene were examined. We found structural stress parameters to be three times higher for a steep cup compared with a cup in optimal position. There were no differences in predicted polyethylene wear for the three examined polyethylene liners.

We further evaluated the in vivo polyethylene wear of total hip arthroplasties in 14 young patients with UHMWPE liners at mean follow-up of 5 years using model-based radiostereometric analysis (RSA). A three-dimensional estimation of polyethylene wear (femoral head penetration into the liner) located the main portion of wear in the posterior-superior part of the liner. The measured clinical wear was correlated to structural stress and strain parameters in an extended FE model of the metal-on-UHMWPE bearing coupling. All structural parameters with the extended simulation model were located in the posterior-superior part of the liner and measures were within 1 standard deviation of the clinically measured RSA wear. Stain parameters gave the best correlation.

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Abbreviations

2D:

two-dimensional

3D:

three-dimensional

CoCr:

cobalt-chromium

DSS:

directional shear stress

EGS models:

elementary geometric shape models

E-poly:

E-vitamin stabilized

FE:

finite element

HCL:

highly cross-linked

PE:

polyethylene

RMSE:

root mean square error

RSA:

radiostereometric analysis

SD:

standard deviation

SI:

stress intensity

THA:

total hip arthroplasty

UHMWPE:

ultra high molecular weight polyethylene

VMS:

Von Mises stress

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Authors and Affiliations

  1. Department of Orthopaedics, Hvidovre Hospital, Kettegårds Allé 30, 2650, Hvidovre, Denmark

    Christian Wong

  2. Orthopaedic Research Unit, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark

    Maiken Stilling

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  1. Christian Wong
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  2. Maiken Stilling
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Correspondence to Christian Wong .

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Editors and Affiliations

  1. , 2nd Orthopaedic Department, Orthopaedic Hospital Vienna-Speising, Speisinger Straße 109, Vienna, 1130, Austria

    Karl Knahr

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Wong, C., Stilling, M. (2011). Polyethylene Wear in Total Hip Arthroplasty for Suboptimal Acetabular Cup Positions and for Different Polyethylene Types: Experimental Evaluation of Wear Simulation by Finite Element Analysis Using Clinical Radiostereometric Measurements. In: Knahr, K. (eds) Tribology in Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19429-0_12

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  • DOI: https://doi.org/10.1007/978-3-642-19429-0_12

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