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HSS Journal ®

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01-02-2018 | Original Article

No Difference in Conventional Polyethylene Wear Between Yttria-stabilized Zirconia and Cobalt-chromium-molybdenum Femoral Heads at 10 Years

Authors: Todd A. Morrison, MD, Rebecca D. Moore, MS, Jia Meng, BS, Clare M. Rimnac, PhD, Matthew J. Kraay, MD, MS

Published in: HSS Journal ® | Issue 1/2018

Abstract

Background

Concerns have arisen regarding deterioration of wear properties of yttria-stabilized zirconia (YSZ) femoral head on conventional polyethylene (PE) bearings due to YSZ phase transformation.

Questions/Purposes

The purpose of this study was to determine if there is a difference in long-term PE wear properties between YSZ and cobalt-chromium-molybdenum (Co-Cr-Mo) femoral heads.

Methods

Ten-year radiographic wear assessment was performed on a cohort of patients enrolled in a prospective randomized clinical trial comparing total hip arthroplasty with YSZ or Co-Cr-Mo femoral heads on conventional, non-cross-linked PE.

Results

PE linear wear, annualized wear, and steady-state wear rates remained low and similar between groups. No cases of osteolysis were observed.

Conclusions

Measured conventional PE wear was similar between YSZ and Co-Cr-Mo femoral heads with the steady-state wear rates for both remaining below the generally accepted threshold at which osteolysis typically occurs. Whether clinically relevant phase transformation with YSZ femoral heads occurs is uncertain; however, the use of YSZ femoral heads in this study was not associated with increased PE wear, osteolysis, or deterioration of wear properties.

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Allain J, Le Mouel S, Goutallier D, Voisin MC. Poor eight-year survival of cemented zirconia-polyethylene total hip replacements. J Bone Joint Surg Br. 1999;81:835–842.

Cohn RM, González Della Valle A, Peterson M, Cornell CN. Similar wear in total hip arthroplasties with metallic or zirconia femoral heads. HSS Jrnl. 2008;4:107–111. https://doi.org/10.1007/s11420-008-9084-5

DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976:20–32.

Fukatsu K, Pezzotti G, Hayaishi Y, Sugano N. Evaluation of phase stability in Zirconia femoral heads from different manufacturers after in vitro testing or in vivo retrieval. J Arthroplast. 2009;24:1225–1230. https://doi.org/10.1016/j.arth.2009.06.026

Fukui K, Kaneuji A, Sugimori T, Ichiseki T, Matsumoto T. Retrieval analysis of new-generation yttria-stabilized Zirconia femoral heads after total hip arthroplasty. Eur J Orthop Surg Traumatol. 2014;24:1197–1202. https://doi.org/10.1007/s00590-013-1397-5

Geerdink CH, Grimm B, Vencken W, Heyligers IC, Tonino AJ. The determination of linear and angular penetration of the femoral head into the acetabular component as an assessment of wear in total hip replacement: A comparison of four computer-assisted methods. J Bone Joint Surg Br. 2008;90:839–846.CrossRefPubMed

Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem-type femoral components: A radiographic analysis of loosening. Clin Orthop Relat Res. 1979:17–27.

Hernigou P, Bahrami T. Zirconia and alumina ceramics in comparison with stainless-steel heads. Polyethylene wear after a minimum ten-year follow-up. J Bone Joint Surg Br. 2003;85:504–509.

Kadar T, Dybvik E, Hallan G, Furnes O, Havelin LI. Head material influences survival of a cemented total hip prosthesis in the Norwegian arthroplasty register. Clin Orthop Relat Res. 2012;470:3007–3013. https://doi.org/10.1007/s11999-012-2396-2

10.

Kim Y-H. Comparison of polyethylene wear associated with cobalt-chromium and zirconia heads after total hip replacement. A prospective, randomized study. J Bone Joint Surg Am. 2005;87:1769–1776.

11.

Kim YH, Kim JS. Tribological and material analyses of retrieved alumina and zirconia ceramic heads correlated with polyethylene wear after total hip replacement. J Bone Joint Surg Br. 2008;90:731–737. https://doi.org/10.1302/0301-620X.90B6.20540

12.

Kraay MJ, Moore RD, Martell JM, Rimnac CM. Reassessment of computerized wear measurement for total hip arthroplasty with correction for projectional image distortion: a brief follow-up report. J Bone Joint Surg Am. 2010;92:1858–1867. https://doi.org/10.2106/JBJS.I.00832

13.

Kraay MJ, Thomas RD, Rimnac CM, Fitzgerald SJ, Goldberg VM. Zirconia versus Co-Cr femoral heads in total hip arthroplasty. Clin Orthop Relat Res. 2006;453:86–90.CrossRefPubMed

14.

Kurtz SM, Kocagöz S, Arnholt C, Huet R, Ueno M, Walter WL. Advances in zirconia toughened alumina biomaterials for total joint replacement. J Mech Behav Biomed Mater. 2014;31:107–116. https://doi.org/10.1016/j.jmbbm.2013.03.022 CrossRefPubMed

15.

Masonis JL, Bourne RB, Ries MD, McCalden RW, Salehi A, Kelman DC. Zirconia femoral head fractures: a clinical and retrieval analysis. J Arthroplast. 2004;19:898–905.CrossRef

16.

Roy ME, Whiteside LA, Katerberg BJ. Not all zirconia femoral heads degrade in vivo. Clin Orthop Relat Res. 2007;465:220–226.

17.

Schmalzried TP, Huk OL. Patient factors and wear in total hip arthroplasty. Clin Orthop Relat Res. 2004:94–97.

18.

Stilling M, Nielsen KA, Søballe K, Rahbek O. Clinical comparison of polyethylene wear with zirconia or cobalt-chromium femoral heads. Clin Orthop Relat Res. 2009;467:2644–2650. https://doi.org/10.1007/s11999-009-0799-5

19.

Sychterz CJ, Yang A, Engh CA. Analysis of temporal wear patterns of porous-coated acetabular components: Distinguishing between true wear and so-called bedding-in. J Bone Joint Surg Am. 1999;81:821–830.

20.

Ueno M, Iwamoto M, Ikeda J. Influence of complex frictional heating and mechanical stress effect for surface crystalline structure change of zirconia femoral head. Key Eng Mater. 2006;309-311:1239–1242. https://doi.org/10.4028/www.scientific.net/KEM.309-311.1239 CrossRef

21.

Weber KL, Callaghan JJ, Goetz DD, Johnston RC. Revision of a failed cemented total hip prosthesis with insertion of an acetabular component without cement and a femoral component with cement. A five to eight-year follow-up study. J Bone Joint Surg Am. 1996;78:982–994.

22.

Yoshitomi H, Shikata S, Ito H, Nakayama T, Nakamura T. Manufacturers affect clinical results of THA with zirconia heads: A systematic review. Clin Orthop Relat Res. 2009;467:2349–2355. https://doi.org/10.1007/s11999-009-0709-x CrossRefPubMedPubMedCentral

Title: No Difference in Conventional Polyethylene Wear Between Yttria-stabilized Zirconia and Cobalt-chromium-molybdenum Femoral Heads at 10 Years
Authors: Todd A. Morrison, MD
Rebecca D. Moore, MS
Jia Meng, BS
Clare M. Rimnac, PhD
Matthew J. Kraay, MD, MS
Publication date: 01-02-2018
Publisher: Springer US
Published in: HSS Journal ® / Issue 1/2018
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI: https://doi.org/10.1007/s11420-017-9579-z

At a glance: The STEP trials

Springer Medicine

No Difference in Conventional Polyethylene Wear Between Yttria-stabilized Zirconia and Cobalt-chromium-molybdenum Femoral Heads at 10 Years

Abstract

Background

Questions/Purposes

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Questions/Purposes

Methods

Results

Conclusions

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