title: Improved mechanical long-term reliability of hip resurfacing prostheses by using silicon nitride.
abstract: Although ceramic prostheses have been successfully used in conventional total hip arthroplasty (THA) for many decades, ceramic materials have not yet been applied for hip resurfacing (HR) surgeries. The objective of this study is to investigate the mechanical reliability of silicon nitride as a new ceramic material in HR prostheses. A finite element analysis (FEA) was performed to study the effects of two different designs of prostheses on the stress distribution in the femur-neck area. A metallic (cobalt-chromium-alloy) Birmingham hip resurfacing (BHR) prosthesis and our newly designed ceramic (silicon nitride) HR prosthesis were hereby compared. The stresses induced by physiologically loading the femur bone with an implant were calculated and compared with the corresponding stresses for the healthy, intact femur bone. Here, we found stress distributions in the femur bone with the implanted silicon nitride HR prosthesis which were similar to those of healthy, intact femur bone. The lifetime predictions showed that silicon nitride is indeed mechanically reliable and, thus, is ideal for HR prostheses. Moreover, we conclude that the FEA and corresponded post-processing can help us to evaluate a new ceramic material and a specific new implant design with respect to the mechanical reliability before clinical application.
authors: Department of Ceramics and Refractory Materials, RWTH Aachen University, Mauerstrasse 5, 52064 Aachen, Germany. zhangwen@ghi.rwth-aachen.de
authors: Wen
authors: W
authors: Zhang
authors: M
authors: M
authors: Titze
authors: B
authors: B
authors: Cappi
authors: D C
authors: DC
authors: Wirtz
authors: R
authors: R
authors: Telle
authors: H
authors: H
authors: Fischer
mesh_terms: D001696:Biomechanical Phenomena / Q000502:physiology; D020099:Coated Materials, Biocompatible / Q000138:chemical synthesis* / Q000737:chemistry / Q000494:pharmacology; D003198:Computer Simulation; D005269:Femur / Q000502:physiology; D020342:Finite Element Analysis; D006622:Hip Prosthesis; D006801:Humans; D008422:Materials Testing; D011474:Prosthesis Design / Q000379:methods*; D017655:Silicon Compounds / Q000737:chemistry* / Q000494:pharmacology; D013314:Stress, Mechanical; D013499:Surface Properties; D013997:Time Factors
chemical_list: D020099:Coated Materials, Biocompatible; D017655:Silicon Compounds; C032734:silicon nitride