title: Oxidized Zirconium Bearing Surfaces in Total Knee Arthroplasty: Lessons Learned.
abstract: Polyethylene wear in total knee arthroplasty is a still unsolved problem resulting in osteolysis and long-term failure of knee joint replacement. To address the problem of polyethylene wear, research aimed for an optimal implant design and for an optimal combination of bearing surfaces. Oxidized zirconium was introduced to minimize surface wear and thus potentially increase long-term implant survival. This review comprises the current literature related to in vitro and in vivo studies evaluating performance of oxidized zirconium total knee arthroplasty and results from retrieval analyses.
authors.affiliation: Department of Orthopedics and Rheumatology, University Hospital Marburg, Marburg, Germany.
authors.forename: Karl Friedrich
authors.initials: KF
authors.lastname: Schüttler
authors.affiliation: Department of Orthopedics and Rheumatology, University Hospital Marburg, Marburg, Germany.
authors.forename: Turgay
authors.initials: T
authors.lastname: Efe
authors.affiliation: Department of Orthopedics and Rheumatology, University Hospital Marburg, Marburg, Germany.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Heyse
authors.affiliation: Adult Reconstruction Service, Hospital for Special Surgery, New York, New York.
authors.forename: Steven B
authors.initials: SB
authors.lastname: Haas
mesh_terms: D019645:Arthroplasty, Replacement, Knee; D006801:Humans; D007720:Knee Prosthesis; D011474:Prosthesis Design; D011475:Prosthesis Failure; D013499:Surface Properties; D015040:Zirconium
chemical_list: D015040:Zirconium; C028541:zirconium oxide