Surface oxidized zirconium total hip arthroplasty head damage due to closed reduction effects on polyethylene wear
Recent case studies of surface oxidized zirconium THA heads removed after attempted, closed reduction have shown significant surface damage that has been suggested as potentially deleterious to polyethylene wear. We obtained 4 clinically retrieved specimens, produced well-characterized surface damag...
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| Veröffentlicht in: | The Journal of arthroplasty 2009-09, Vol.24 (6), p.898-902 |
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| container_title | The Journal of arthroplasty |
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| creator | Jaffe, William L Strauss, Eric J Cardinale, M Herrera, Lizeth Kummer, Fred J |
| description | Recent case studies of surface oxidized zirconium THA heads removed after attempted, closed reduction have shown significant surface damage that has been suggested as potentially deleterious to polyethylene wear. We obtained 4 clinically retrieved specimens, produced well-characterized surface damage on additional heads, and tested them on a hip simulator. After 1 million cycles, the amount of polyethylene wear was related to the extent of surface damage, the most damaged clinical specimen showing more than 50 times more wear than a new head. Although all heads after failed attempted closed reduction(s) should be replaced, surface oxidized zirconium heads are of particular concern; those patients with a successful, simple closed reduction should be monitored for excessive wear. |
| doi_str_mv | 10.1016/j.arth.2008.07.009 |
| format | Article |
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We obtained 4 clinically retrieved specimens, produced well-characterized surface damage on additional heads, and tested them on a hip simulator. After 1 million cycles, the amount of polyethylene wear was related to the extent of surface damage, the most damaged clinical specimen showing more than 50 times more wear than a new head. Although all heads after failed attempted closed reduction(s) should be replaced, surface oxidized zirconium heads are of particular concern; those patients with a successful, simple closed reduction should be monitored for excessive wear.</abstract><cop>United States</cop><pmid>18848427</pmid><doi>10.1016/j.arth.2008.07.009</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2009-09, Vol.24 (6), p.898-902 |
| issn | 0883-5403 1532-8406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733971794 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Arthroplasty, Replacement, Hip - instrumentation Biomechanical Phenomena Device Removal Equipment Failure Analysis - methods Hip Prosthesis - adverse effects Humans Materials Testing Polyethylene Prosthesis Design Prosthesis Failure Retrospective Studies Zirconium |
| title | Surface oxidized zirconium total hip arthroplasty head damage due to closed reduction effects on polyethylene wear |
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