title: Does Increased Coefficient of Friction of Highly Porous Metal Increase Initial Stability at the Acetabular Interface?
abstract: BACKGROUND
  Highly porous metal acetabular components illustrate a decreased rate of aseptic loosening in short-term follow-up compared with previous registry data. This study compared the effect of component surface roughness at the bone-implant interface and the quality of the bone on initial pressfit stability. The null hypothesis is that a standard porous coated acetabular cup would show no difference in initial stability as compared with a highly porous acetabular cup when subjected to a bending moment. Second, would bone mineral density (BMD) be a significant variable under these test conditions.
  
  
  METHODS
  In a cadaveric model, acetabular cup micromotion was measured during a 1-time cantilever bending moment applied to 2 generations of pressfit acetabular components. BMD data were also obtained from the femoral necks available for associated specimen.
  
  
  RESULTS
  The mean bending moment at 150 μm was not found to be significantly different for Gription (24.6 ± 14.0 N m) cups vs Porocoat (25 ± 10.2 N m; P > .84). The peak bending moment tolerated by Gription cups (33.9 ± 20.3 N m) was not found to be significantly different from Porocoat (33.5 ± 12.2 N m; P > .92). No correlation between BMD and bending moment at 150 μm of displacement could be identified.
  
  
  CONCLUSIONS
  The coefficient of friction provided by highly porous metal acetabular shells used in this study did not provide better resistance to migration under bending load when compared with a standard porous coated component.
authors.affiliation: Orthopaedic Research Laboratory, Department of Orthopaedic Surgery and Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Ashton H
authors.initials: AH
authors.lastname: Goldman
authors.affiliation: Orthopaedic Research Laboratory, Department of Orthopaedic Surgery and Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Lucas C
authors.initials: LC
authors.lastname: Armstrong
authors.affiliation: Orthopaedic Research Laboratory, Department of Orthopaedic Surgery and Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: John R
authors.initials: JR
authors.lastname: Owen
authors.affiliation: Orthopaedic Research Laboratory, Department of Orthopaedic Surgery and Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Wayne
authors.affiliation: Orthopaedic Research Laboratory, Department of Orthopaedic Surgery and Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
authors.forename: William A
authors.initials: WA
authors.lastname: Jiranek
mesh_terms: D000077:Acetabulum; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D005260:Female; D017276:Friction; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals; D016062:Porosity; D011474:Prosthesis Design; D011475:Prosthesis Failure
chemical_list: D008670:Metals
keywords: highly porous metal; implant fixation; ingrowth; revision hip arthroplasty; underreaming