A Meta-Analysis of Design- and Manufacturing-Related Parameters Influencing the Wear Behavior of Metal-on-Metal Hip Joint Replacements

被引：16
|
作者：
Kretzer, Jan Philippe [2 ]
Kleinhans, Jennifer A. [3 ]
Jakubowitz, Eike [2 ]
Thomsen, Marc [4 ]
Heisel, Christian [1 ]
机构：
[1] ARCUS Sportklin, D-75179 Pforzheim, Germany
[2] Heidelberg Univ, Biomech Lab, Dept Orthopaed, Heidelberg, Germany
[3] Univ Connecticut, Biomed Engn Program, Sch Engn, Storrs, CT USA
[4] German Red Cross Hosp, Baden, Switzerland
来源：
JOURNAL OF ORTHOPAEDIC RESEARCH | 2009年 / 27卷 / 11期
关键词：
metal-on-metal; wear; heat treatment; simulator; hip; QUANTITATIVE-ANALYSIS; COBALT-CHROMIUM; RUNNING-IN; SIMULATOR; DEBRIS; LUBRICATION; PERFORMANCE; DIAMETER; SURFACES; VITRO;
D O I：
10.1002/jor.20921
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
This article aims to clarify the influence of design- and manufacturing-related parameters on wear of metal-on-metal (MoM) joint bearings. A database search for publications on wear simulator studies of MoM bearings was performed. The results of published studies were normalized; groups with individual parameters were defined and analyzed statistically. Fifty-six investigations studying a total of 200 implants were included in the analysis. Clearance, head size, carbon content, and manufacturing method were analyzed as parameters influencing MoM wear. This meta-analysis revealed a strong influence of clearance on running-in wear for implants of 36-mm diameter and an increase in steady-state wear of heat treated components. (C) 2009 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 27:1473-1480, 2009
引用
收藏
页码：1473 / 1480
页数：8
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