Comparison of Different Locking Mechanisms in Total Hip Arthroplasty: Relative Motion between Cup and Inlay.

Jaeger, Sebastian; Uhler, Maximilian; Schroeder, Stefan; Beckmann, Nicholas A.; Braun, Steffen (2020). Comparison of Different Locking Mechanisms in Total Hip Arthroplasty: Relative Motion between Cup and Inlay. Materials, 13(6) Molecular Diversity Preservation International MDPI 10.3390/ma13061392

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The resulting inflammatory reaction to polyethylene (PE) wear debris, which may result in osteolysis, is still considered to be a main reason for aseptic loosening. In addition to the primary wear in hip joint replacements caused by head-insert articulation, relative motions between the PE liner and the metal cup may cause additional wear. In order to limit this motion, various locking mechanisms were used. We investigated three different locking mechanisms (Aesculap, DePuy, and Zimmer Biomet) to address the resulting relative motion between the acetabular cup and PE liner and the maximum disassembly force. A standardized setting with increasing load levels was used in combination with optically based three-dimensional measurements. In addition the maximum disassembly forces were evaluated according to the ASTM F1820-13 standard. Our data showed significant differences between the groups, with a maximum relative motion at the maximum load level (3.5 kN) of 86.5 ± 32.7 µm. The maximum axial disassembly force was 473.8 ± 94.6 N. The in vitro study showed that various locking mechanisms may influence cup-inlay stability.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Beckmann, Nicholas Andreas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1996-1944

Publisher:

Molecular Diversity Preservation International MDPI

Language:

English

Submitter:

Kathrin Aeschlimann

Date Deposited:

30 Dec 2020 10:44

Last Modified:

05 Dec 2022 15:42

Publisher DOI:

10.3390/ma13061392

PubMed ID:

32204382

Uncontrolled Keywords:

cup-inlay stability disassembly forces relative motion total hip arthroplasty

BORIS DOI:

10.48350/149024

URI:

https://boris.unibe.ch/id/eprint/149024

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