Determining material loss from the femoral stem trunnion in hip arthroplasty using a coordinate measuring machine
In contrast to the articulating and taper surfaces of failed total hip replacements, volumetric wear analysis of trunnions is not routinely performed. Metal wear particles from the trunnion may contribute not only to the failures of metal-on-metal total hip replacements but also to all hip replaceme...
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| Veröffentlicht in: | Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine Journal of engineering in medicine, 2015-01, Vol.229 (1), p.69-76 |
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| creator | Bone, Martin C Sidaginamale, Raghavendra P Lord, James K Scholes, Susan C Joyce, Thomas J Nargol, Anthony VF Langton, David J |
| description | In contrast to the articulating and taper surfaces of failed total hip replacements, volumetric wear analysis of trunnions is not routinely performed. Metal wear particles from the trunnion may contribute not only to the failures of metal-on-metal total hip replacements but also to all hip replacements utilising metal trunnions. A validation study was performed with the material removed in stages from the trunnions of an Exeter V40 stem, a Corail stem and an Accolade stem to simulate different magnitudes of wear. The material loss from the trunnions was measured both volumetrically with a coordinate measuring machine and gravimetrically with a high-precision balance. A cohort of 28 ex vivo trunnions was also measured using the coordinate measuring machine. The maximum error between the two methods was found to be 0.13 mm3. This result was comparable with the coordinate measuring machine method for the taper surface (0.2 mm3). The ex vivo trunnions had a median wear volume of 0.14mm3 (range: 0.04–0.28 mm3). This is the first study to determine the accuracy of volumetric wear measurements of trunnions by comparing against gravimetric measurements. Volumetric wear analysis of trunnions may provide additional insights into failures of modular total hip prostheses and will be performed routinely at our centre. |
| doi_str_mv | 10.1177/0954411914567552 |
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Metal wear particles from the trunnion may contribute not only to the failures of metal-on-metal total hip replacements but also to all hip replacements utilising metal trunnions. A validation study was performed with the material removed in stages from the trunnions of an Exeter V40 stem, a Corail stem and an Accolade stem to simulate different magnitudes of wear. The material loss from the trunnions was measured both volumetrically with a coordinate measuring machine and gravimetrically with a high-precision balance. A cohort of 28 ex vivo trunnions was also measured using the coordinate measuring machine. The maximum error between the two methods was found to be 0.13 mm3. This result was comparable with the coordinate measuring machine method for the taper surface (0.2 mm3). The ex vivo trunnions had a median wear volume of 0.14mm3 (range: 0.04–0.28 mm3). This is the first study to determine the accuracy of volumetric wear measurements of trunnions by comparing against gravimetric measurements. Volumetric wear analysis of trunnions may provide additional insights into failures of modular total hip prostheses and will be performed routinely at our centre.</description><identifier>ISSN: 0954-4119</identifier><identifier>EISSN: 2041-3033</identifier><identifier>DOI: 10.1177/0954411914567552</identifier><identifier>PMID: 25655956</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Axles ; Biomedical materials ; Coordinate measuring machines ; Equipment Failure Analysis - instrumentation ; Equipment Failure Analysis - methods ; Failure ; Femur Neck - physiology ; Femur Neck - surgery ; Gravimeters ; Hip Prosthesis ; Humans ; Joint replacement surgery ; Joint surgery ; Particle Size ; Prostheses ; Prosthesis Design ; Reproducibility of Results ; Sensitivity and Specificity ; Surgical implants ; Thermogravimetric analysis ; Trunnions ; Validation studies ; Wear ; Wear resistance</subject><ispartof>Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine, 2015-01, Vol.229 (1), p.69-76</ispartof><rights>IMechE 2015</rights><rights>IMechE 2015.</rights><rights>Copyright SAGE PUBLICATIONS, INC. 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Part H, Journal of engineering in medicine</title><addtitle>Proc Inst Mech Eng H</addtitle><description>In contrast to the articulating and taper surfaces of failed total hip replacements, volumetric wear analysis of trunnions is not routinely performed. Metal wear particles from the trunnion may contribute not only to the failures of metal-on-metal total hip replacements but also to all hip replacements utilising metal trunnions. A validation study was performed with the material removed in stages from the trunnions of an Exeter V40 stem, a Corail stem and an Accolade stem to simulate different magnitudes of wear. The material loss from the trunnions was measured both volumetrically with a coordinate measuring machine and gravimetrically with a high-precision balance. A cohort of 28 ex vivo trunnions was also measured using the coordinate measuring machine. The maximum error between the two methods was found to be 0.13 mm3. This result was comparable with the coordinate measuring machine method for the taper surface (0.2 mm3). The ex vivo trunnions had a median wear volume of 0.14mm3 (range: 0.04–0.28 mm3). This is the first study to determine the accuracy of volumetric wear measurements of trunnions by comparing against gravimetric measurements. Volumetric wear analysis of trunnions may provide additional insights into failures of modular total hip prostheses and will be performed routinely at our centre.</description><subject>Axles</subject><subject>Biomedical materials</subject><subject>Coordinate measuring machines</subject><subject>Equipment Failure Analysis - instrumentation</subject><subject>Equipment Failure Analysis - methods</subject><subject>Failure</subject><subject>Femur Neck - physiology</subject><subject>Femur Neck - surgery</subject><subject>Gravimeters</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Joint replacement surgery</subject><subject>Joint surgery</subject><subject>Particle Size</subject><subject>Prostheses</subject><subject>Prosthesis Design</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Surgical implants</subject><subject>Thermogravimetric analysis</subject><subject>Trunnions</subject><subject>Validation studies</subject><subject>Wear</subject><subject>Wear resistance</subject><issn>0954-4119</issn><issn>2041-3033</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu3CAQQFHVqNkkvfcUIfXSixsGGIOPUdKklVbKJTlbLMa7rGzYgH3I3xdr0yqKVKknYObNG2AI-QLsO4BSV6xBKQEakFgrRP6BrDiTUAkmxEeyWtLVkj8lZznvGWMArP5ETjnWiA3WK_J86yaXRh982NLRlL03Ax1izrRPcaTTztHejTGVaJ5cCaQ5BB8D9YHu_IGaNO1SPAwmTy90zovGUBtj6nwoOjo6k-d0tNudD-6CnPRmyO7z63pOnu5-PN78rNYP979urteVlZJNlXIdYM-0tthZIWvOsZGCS7AGFVrBbF1O0hiLsOHcacPURtgOGoVCgBbn5NvRe0jxeXZ5akefrRsGE1yccwt13WgNQqv_QJGXG2jZFPTrO3Qf5xTKQxYKUStoFoodKZvKTybXt4fkR5NeWmDtMrn2_eRKyeWreN6Mrvtb8GdUBaiOQDZb96brv4S_ARKan7g</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Bone, Martin C</creator><creator>Sidaginamale, Raghavendra P</creator><creator>Lord, James K</creator><creator>Scholes, Susan C</creator><creator>Joyce, Thomas J</creator><creator>Nargol, Anthony VF</creator><creator>Langton, David J</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>H8G</scope><scope>JG9</scope><scope>JQ2</scope><scope>K9.</scope><scope>KR7</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Determining material loss from the femoral stem trunnion in hip arthroplasty using a coordinate measuring machine</title><author>Bone, Martin C ; 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| ispartof | Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine, 2015-01, Vol.229 (1), p.69-76 |
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| subjects | Axles Biomedical materials Coordinate measuring machines Equipment Failure Analysis - instrumentation Equipment Failure Analysis - methods Failure Femur Neck - physiology Femur Neck - surgery Gravimeters Hip Prosthesis Humans Joint replacement surgery Joint surgery Particle Size Prostheses Prosthesis Design Reproducibility of Results Sensitivity and Specificity Surgical implants Thermogravimetric analysis Trunnions Validation studies Wear Wear resistance |
| title | Determining material loss from the femoral stem trunnion in hip arthroplasty using a coordinate measuring machine |
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