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Composition and morphology of wear debris in failed uncemented total hip replacement
Abstract
Interfacial membranes collected at revision from 11 failed uncemented Ti-alloy total hip replacements were examined. Particles in the membranes were characterised by electron microscopy, microchemical spectroscopy and particle size analysis. Most were polyethylene and had a mean size of 0.53 micron +/- 0.3. They were similar to the particles seen in the base resin used in the manufacture of the acetabular implants. Relatively few titanium particles were seen. Fragments of bone, stainless steel and silicate were found in small amounts. Most of the polyethylene particles were too small to be seen by light microscopy. Electron microscopy and spectroscopic techniques are required to provide an accurate description of this debris.
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“The byproducts of wear include particulate polymeric, ceramic and metallic debris (mostly in the nano, submicron, and micron size range) and in the case of metal-on-metal implants, metallic ions [143]. These byproducts are well known to cause pro-inflammatory responses which can persist for the life of the implant [144,145].”
From Macrophage polarization: an opportunity for improved outcomes in biomaterials and regenerative medicine (2012) · cites this paper as [143]
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Keyak, J. H., Lee, I. Y., Nath, D. S., & Skinner, H. B. (1996) · Journal of Biomedical Materials Research · doi:10.1002/(sici)1097-4636(199607)31:3 · Cited by 37
Submicron–sized UHMWPE wear particle analysis from revised SB Charité III total disc replacements
Punt, I., Baxter, R. M., van Ooij, A., Willems, P., van Rhijn, L. V., Kurtz, S., & Steinbeck, M. (2011) · Acta Biomaterialia · doi:10.1016/j.actbio.2011.05.010 · Cited by 21
“53 μm) were comparable to previous studies [14, 17, 24, 42].”
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Versagensanalyse von Knieendoprothesen
Bader, R., Mittelmeier, W., & Steinhauser, E. (2006) · Der Orthopade · doi:10.1007/s00132-006-0976-0 · Cited by 21
“Abriebpartikel können hinsichtlich Form, Größe, Verteilung, intra- oder extrazellulärem Vorkommen und Gewebereaktionen auch mittels REM, Spektroskopie und speziellen Partikelanalysegeräten untersucht werden [20].”
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Biocompatibility: a biomechanical and biological concept in total hip replacement.
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Metadata
- Authors
- Shanbhag, A., Jacobs, J., Glant, T., Gilbert, J., Black, J., & Galante, J.
- Affiliations
- Rush University (US)
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 1994-01
- Volume
- 76-B
- Issue
- 1
- Pages
- 60-67
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W1914858881
- Cited by
- 387
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 9 · 2020: 3 · 2019: 3 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 12 · 2013: 11 · 2012: 9
- FWCI
- 26.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Bone and Joint Surgery - British Volume (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Orthopaedic implants and arthroplasty
- Health Sciences › Medicine › Surgery › Orthopedic Infections and Treatments
- Physical Sciences › Materials Science › Materials Chemistry › Titanium Alloys Microstructure and Properties
- Keywords
- wear debris, cementless total hip arthroplasty, revision hip arthroplasty, polyethylene wear particles, titanium alloys, interfacial membrane, particle size, implant failure, bone fragments, stainless steel particles, silicate particles
- MeSH terms
- Aged, Cementation, Female, Hip Joint, Hip Prosthesis, Humans, Male, Microscopy, Electron, Scanning, Middle Aged, Particle Size, Polyethylenes, Prosthesis Failure, Reoperation, Titanium, Spectroscopy, Fourier Transform Infrared
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