Clinical and Tribological Perspectives of Wear in Alumina-Alumina THR


Article Preview



Key Engineering Materials (Volumes 240-242)

Main Theme:

Edited by:

Besim Ben-Nissan, Doron Sher, William Walsh




I. C. Clarke, "Clinical and Tribological Perspectives of Wear in Alumina-Alumina THR", Key Engineering Materials, Vols. 240-242, pp. 755-764, 2003

Online since:

May 2003





[1] Boehler, M., Plenk, H. Jr., Salzer, M. Alumina Ceramic Bearings for Hip Endoprostheses. Clin. Orthop. Rel. Res. 379: 85-93, (2000).


[2] Boutin, P. Arthroplastie totale de la hanche par prothese en alumine frittee. Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur. 58(3): 229-246, (1972).


[3] Boutin, P., Christel, Dorlot, J-M., Meuneir, A., de Raquancourt, D. Blanquaert, D., Herman, S., Sedel, L., and Witvoet,J.: The use of dense alumina-alumina ceramic combination in total hip replacement. J. Biomed. Mat. Res. 22: 1203-1232, (1988).


[4] Butterfield, M., Stewart, T., Williams, S. Ingham, E., Stone, M. and Fisher, J: Wear of metal-metal and ceramic-ceramic hip prosthesis with swing phase microseparation. In 48 th ORS, (2002).

[5] Charnley J and Halley DK: Rate of Wear in Total Hip Replacement. Clin. Orthop. Rel. Res 112: 170-179, (1975).

[6] Clarke, I. C., Schroeder, D., Williams, P.A., Good, V., Anissian, L., Stark, A., Oonishi, H., Schuldies, J. and Gustafson, A. Ultra-low wear rates for rigid-on-rigid bearings in total hip replacements. Proc. Inst. Mech. Engrs. 214: 333-347, 2000a.


[7] Clarke, IC. Zirconia simulated wear performance in serum lubricant. In Trans AustCeram-2000, p.47, Sydney, 2000b.

[8] Clarke IC., Chan, W., Essner, A., Good, V., Kaddick, C., Lappalainen, R., Laurent, M., McKellop, H., McGarry, W., Schroeder, D., Selenius, M., Shen, MC., Ueno, MC., Wang, A. and Yao, J. Multi-laboratory simulator studies on effects of serum proteins on PTFE cup wear. Wear 250: 188- 198, (2001).


[9] Clarke IC., Williams, PA., Shishido, T., Good, V., Oonishi, H. and Gustafson, G. Hip simulation validation of alumina THR wear rates for run-in and steady-state wear phases. In Bioceramics in Hip Joint Replacement, 7th Int. CeramTec Symposium, pp.23-29.


[10] Clarke; IC., Ben-Nissan, B., Swain, M., Oonishi H. and Gustafson, A. Confounding in-vitro wear performances with polyethylene, metal and ceramic total hips - water versus serum lubrication in hip simulation studies. In 48th ORS, 2002b.

[11] D' Antonio, J., Capello, W., Manley, M. and Bierbaum, B. New experience with alumina-alumina bearings for total hip arthroplasty. J. Arthrop. 17: 390-397, (2002).


[12] Dorlot, JM. Long-Term Effects of Alumina Components in Total Hip Prostheses. Clin. Orthop. Rel. Res. 282: 47-52, (1992).


[13] Frankel VH, Stuchin S, Newport ML, Shapiro I, Brinker MR, and Rice JC. The Autophor NonCemented Ceramic Hip System. In Non-Cemented Total Hip Arthroplasty, pp.381-391, ed. R. Fitzgerald, Jr., Raven Press, Ltd., New York, (1988).

[14] Griss, P. Four to eight year postoperative results of the partially uncemented Lindenhof-type ceramic hip endoprosthesis. In The Cementless Fixation of Hip Endoprostheses, pp.220-224, eds: E. Morscher, Springer-Verlag, (1984).


[15] Griss, P. and Heimke, G: Five years experience with a ceramic-metal-composite hip endoprosthesis. Arch. Orthop. Traumatol. Surg. 98: 165-171, (1981).


[16] Huo MH., Martin RP., Zatorski, LE., Keggi, K.J. Total hip replacements using the ceramic Mittelmeier prosthesis. Clin Orthop. 332: 143-150, 1996a.


[17] Huo MH., Martin RP., Zatorski, LE., and Keggi KJ. Cementless Total Hip Arthroplasties Using Ceramic-on-Ceramic Articulation in Young Patients. J. Arthrop. 11: 673-678, 1996b.


[18] Hyder N., Nevelos, AB., and Barabas, TG. Cementless Ceramic Hip Arthroplasties in Patients Less Than 30 Years Old. J. Arthroplasty, 11: 679-686, (1996).


[19] Ivory, JP., Kershaw, C.J., Choudhry, R., Parmar, H. and Stoyle T.F. Autophor cemetless total hip arthroplasty for osteoarthrosis secondary to congenital hip dysplasia. J. Arthrop. 9: 427-433, (1994).


[20] Kaddich C. and Pfaff, HG. Wear study in the alumina-zirconia system. In Reliability and Longterm Results of Ceramics in Orthopaedics, eds: L. Sedel and G. Willmann, Proc 4 th International CeramTec Symp, 96-101, (1999).

[21] Kaddich C. and Pfaff, HG. Wear study in the alumina-zirconia system. In Bioceramics in Hip Joint Replacement, eds: G. Willmann and K. Zweymuller, Proc 5th International CeramTec Symp, pp.146-150, (2000).

[22] Kummer , F., Stuchin, J., Steven A., and Frankel VH. Analysis of Removed Authophor Ceramicon-Ceramic Components. J. Arthrop. 5: 29-33, (1990).

[23] Mahoney, OM. and Dimon, J.H. Unsatisfactory Results with a Ceramic Total Prosthesis. J. Bone Jt. Surg 72A, 5: 663-671, (1990).


[24] Manaka, M., Clarke, IC., Gustafson, A. and Imakiire, A. Impingement in ceramic hip patient - a retrieval and wear-scar analysis of the femoral head. In Bioceramics 15, Sydney, (2002).


[25] McKellop, H., Amstutz, HC., Lu, B., Timmerman, I. and Carroll, M. A hip simulator study of the wear of large diameter, metal-on-metal, hip surface replacements. In Biomat Soc., p.339, (2001).

[26] Mittelmeier H, and Heisel J: Sixteen Years Experience with Ceramic Hip Prostheses. Clin. Orthop. Rel. Res., 282: 64-72, (1992).


[27] Murakami T., Higaki H., and Doi, S. Friction and Wear Characteristics of Sliding Pairs of Bioceramics and Polyethylene: Influence of Aging and Lubricants on Tribological Behavior of Tetragonal Zirconia Polycrystals. Bioceramics 9: 499-502, (1996).

[28] Nevelos, J., Ingham, E., Doyle, C and Fisher, J. Influence of acetabular cup angle on the wear of Biolox Forte, alumina/alumina hip joints in a physiological simulator. In 45 th ORS, p.857, (1999).


[29] Nevelos, J., Ingham, E., Doyle, C., Streicher, R., Nevelos, AB. and Fisher, J. Micro-separation of the centers of ceramic-ceramic artificial hip joints during simulator testing produces clinically relevant wear rates and patterns. J. Arthrop. 15: 793-795, (2000).


[30] Nevelos, J., Prudhommeaux, F., Hamadouche, M. Doyle, C. Ingham, E, Meunier, A., Nevelos, AB., Sedel, L. and Fisher J. Comparative analysis of two different types of alumina-alumina hip prosthesis retrieved for aseptic loosening. J. Bone Joint Surg. 83B: 598-603, (2001).


[31] O' Leary, J. F. M., Mallory, T.H., Kraus, T. J., Lombardi, A.V. Jr., and Lye, C. L. Mittelmeier ceramic total hip arthroplasty - A retrospective study. J. Arthrop, 3: 87-96, (1988).


[32] Oparaugo, PC., Clarke, IC., Malchau, H. and Herberts. P. Correlation of wear debris-induced osteolysis and revision with volumetric wear-rates of polyethylene. A survey of 8 reports in the literature. Acta Orthop Scand. 72: 22-28, (2001).


[33] Pitto RP., Schmidt, R., Meller, S., Petzold, R., and Willmann, G. The effect of the orientation of the acetabular and femoral component on the range of motion and impingement in total hip arthroplasty. In Bioceramics in Hip Joint Replacement, Proc. 6 th Int. CeramTec Symposium, pp.34-38, (2001).

[34] Plitz, W. and Griss, P. Clinical, histo-morphological and material related observations on removed alumina ceramic hip joint components. In Implant Retrieval: Material and Biological Analysis, eds: A. Weinstein, D. Gibbons, S. Brown and W. Ruff, U.S. Dept. Commerce, Washington, (1981).

[35] Plitz, W. and Hoss, HV.: Wear of alumina- ceramic hip joint: Some clinical and tribological aspects. In Biomaterials, eds: G.D. Winter, D.F. Gibbons and H. Plenk, Jr., pp.187-196, (1982).

[36] Prudhommeaux, F., Hamadouche, M., Nevelos, J., Doyle, C., Meunier, A. and Sedel, L. Wear of alumina-on-alumina total hip arthroplasties at a mean 11-year follow-up Clin. Orthop. Rel. Res. 379: 113-122, (2000).


[37] Rack R. and Pfaff, H. -G. A new ceramic material for orthopaedics. In Bioceramics in Hip Joint Replacement, eds: G. Willmann and K. Zweymuller, Proc 5th International CeramTec Symp, pp.141-145, (2000).

[38] Refior HJ, Plitz W, and Walter A. Ex Vivo and In Vitro Analysis of the Alumina/Alumina Bearing System for Hip Joint Prostheses. In Bioceramics 10: 127-130, (1997).


[39] Schmalzried TP., Clarke IC. and McKellop H. Bearing Surfaces. In The Adult Hip, pp.247-265, (1998).

[40] Sedel, L. Evolution of Alumina-on-Alumina Implants. Clin. Orthop. Rel. Res. 379: 48-54, (2000).

[41] Shishido, T., Clarke, IC., Gustafson, A., Shoji, H., Boehler, M., Keggi, K. and Imakiire, A. Clinical wear and simulator study of ceramic THA to 20 years and beyond. In ORS, p.1019, (2002).


[42] Smith SL. and Unsworth, A. An in-vitro wear study of alumina-alumina total hip prostheses. Proc Inst. Mech. Eng. 215: 443-446, (2001).


[43] Stewart T, Williams S, Ingham E Stone M and Fisher, J. Wear of metal-metal and ceramicceramic hip prostheses with swing-phase micro-separation. In 48 th ORS, p.128, (2002).

[44] Taylor, SK. In-vitro wear performance of a contemporary alumina: alumina bearing couple under anatomically-relevent hip joint simulation. In Reliability and Long-term Results of Ceramics in Orthopaedics, Eds: L. Sedel and G. Willmann, Proc. 5 th Int. CeramTec Symposium, pp.85-90, (1999).

[45] Willmann G, Fruh HJ, and Pfaff HG. Wear characteristics of sliding pairs of zirconia (Y-TZP) for hip endoprostheses. Biomaterials, 17: 2157-2162, (1996).