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International Orthopaedics
Published in: International Orthopaedics 6/2017

01-06-2017 | Original Paper

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

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

Published in: International Orthopaedics | Issue 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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Metadata
Title
Retrieval analysis of ceramic-coated metal-on-polyethylene total hip replacements
Authors
Harman Khatkar
Harry Hothi
Danielle de Villiers
Christian Lausmann
Daniel Kendoff
Thorsten Gehrke
John Skinner
Alister Hart
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 6/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3314-0

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