title: Comparative study of material loss at the taper interface in retrieved metal-on-polyethylene and metal-on-metal femoral components from a single manufacturer.
abstract: There have been a number of reports on the occurrence of taper corrosion and/or fretting and some have speculated on a link to the occurrence of adverse local tissue reaction specifically in relation to total hip replacement which have a metal-on-metal bearing. As such a study was carried out to compare the magnitude of material loss at the taper in a series of retrieved femoral heads used in metal-on-polyethylene bearings with that in a series of retrieved heads used in metal-on-metal bearings. A total of 36 metal-on-polyethylene and 21 metal-on-metal femoral components were included in the study all of which were received from a customer complaint database. Furthermore, a total of nine as-manufactured femoral components were included to provide a baseline for characterisation. All taper surfaces were assessed using an established corrosion scoring method and measurements were taken of the female taper surface using a contact profilometry. In the case of metal-on-metal components, the bearing wear was also assessed using coordinate metrology to determine whether or not there was a relationship between bearing and taper material loss in these cases. The study found that in this cohort the median value of metal-on-polyethylene taper loss was 1.25 mm3with the consequent median value for metal-on-metal taper loss being 1.75 mm3. This study also suggests that manufacturing form can result in an apparent loss of material from the taper surface determined to have a median value of 0.59 mm3. Therefore, it is clear that form variability is a significant confounding factor in the measurement of material loss from the tapers of femoral heads retrieved following revision surgery.
authors.affiliation: 1 Centre for Precision Technologies, University of Huddersfield, Huddersfield, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Bills
authors.affiliation: 1 Centre for Precision Technologies, University of Huddersfield, Huddersfield, UK.
authors.forename: Radu
authors.initials: R
authors.lastname: Racasan
authors.affiliation: 2 DePuy Synthes, Leeds, UK.
authors.forename: Saugatta
authors.initials: S
authors.lastname: Bhattacharya
authors.affiliation: 1 Centre for Precision Technologies, University of Huddersfield, Huddersfield, UK.
authors.forename: Liam
authors.initials: L
authors.lastname: Blunt
authors.affiliation: 2 DePuy Synthes, Leeds, UK.|3 Institute of Medical and Biological Engineering, University of Leeds, Leeds, UK.
authors.forename: Graham
authors.initials: G
authors.lastname: Isaac
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D003343:Corrosion; D005260:Female; D005270:Femur Head; D006801:Humans; D008297:Male; D008422:Materials Testing; D061825:Metal-on-Metal Joint Prostheses; D008875:Middle Aged; D020959:Polyethylene / Q000737:chemistry*; D013499:Surface Properties
chemical_list: D020959:Polyethylene
keywords: Wear analysis/testing (biomechanics); biomedical devices; hip prostheses; metallic materials; surfaces