Analysis of particles in acetabular components from patients with osteolysis.
Acetabular polyethylene components were quantitatively analyzed for the presence of third body particles from 38 consecutively retrieved components. Backscattered electron imaging and correlated energy dispersive x-ray analysis were used for the assessments. Retrievals were divided into 4 groups based on methods of fixation and metal alloy types: 8 hydroxyapatite coated, 6 cobalt chrome porous coated, 17 titanium porous coated, and 7 cemented implants were evaluated. The backscattered electron imaging data showed that the components from the hydroxyapatite coated implants had larger particles than did the components from the cemented group. The hydroxyapatite group had 51 +/- 52 particles per mm2. The cobalt chrome alloy group had 10 +/- 9 particles per mm2, and the titanium alloy group had 9 +/- 16 particles per mm2. The cemented group had 5 +/- 4 particles per mm2. The difference between the cement group and the hydroxyapatite group was statistically significant. The elemental analysis showed that 70% of the particles in the hydroxyapatite group had calcium and phosphorus elements. Third body particles likely contribute to particulate generation. The results suggest that the hydroxyapatite coated components have the potential for producing greater amounts of particulate debris. Continued analysis of retrieved components for the presence of the third body particles is required.
Bloebaum
R D
RD
Bone and Joint Research Laboratory, VA Medical Center, Salt Lake City, UT 84148, USA.
Zou
L
L
Bachus
K N
KN
Shea
K G
KG
Hofmann
A A
AA
Dunn
H K
HK
D000077:Acetabulum / Q000473:pathology; D000368:Aged; D004577:Electron Probe Microanalysis; D005260:Female; D005547:Foreign Bodies / Q000209:etiology / Q000473:pathology*; D006622:Hip Prosthesis; D006801:Humans; D006882:Hydroxyapatites; D007091:Image Processing, Computer-Assisted; D008297:Male; D008855:Microscopy, Electron, Scanning; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology / Q000473:pathology*; D011095:Polyethylenes / Q000032:analysis*; D011183:Postoperative Complications; D012086:Reoperation
D006882:Hydroxyapatites; D011095:Polyethylenes