Third-Body-Wear as a Risk Factor in Joint Endoprosthetics


Article Preview

It is well known, that wear of the articulation partners of hip joint prostheses affect the long-term durability of the implants in vivo. The wear is dramatically increased if particles in the artificial joint gap act as third body. Those particles can also occur after a fracture of a ceramic component. Until now there are some different guidelines which coupling (metal-polyethylene, ceramic-polyethylene, ceramic-ceramic) should be used for revision. We tested and compared the wear behaviour of a ceramic-PE-pairing and a ceramic-ceramic-pairing under third body wear conditions with alumina-particles in a hip joint simulator.



Key Engineering Materials (Volumes 284-286)

Main Theme:

Edited by:

Panjian Li, Kai Zhang and Clifford W. Colwell, Jr.




T. Oberbach et al., "Third-Body-Wear as a Risk Factor in Joint Endoprosthetics", Key Engineering Materials, Vols. 284-286, pp. 995-998, 2005

Online since:

April 2005




[1] Christi J. Sychterz, MSE; C. Anderson Engh, Jr., MD; Steven W. Swope; Donald E. McNulty, MS; Charles A. Engh, MD: Analysis of prosthetic femoral heads retrieved at autopsy; Clinical orthopaedics and related research, Number 358, pp.223-234.


[2] Matziolis, G., Perka, C.: Metallose nach Ersatz eines frakturierten Keramikkopfes durch einen Metallkopf; Fallbericht und Literaturübersicht; 52. Jahrestagung der Vereinigung Süddeutscher Orthopäden e. V., 29. 04. - 02. 05. 2004, Baden-Baden.

[3] J. R. Cooper, D. Dowson, J. Fisher, B. Jobbins: Ceramic bearing surfaces in total artificial joints: resistance to third body wear damage from bone cement particles; Journal of Medial Engineering & Technology, Volume 15, Number 2, (March/April 1991), 63 - 67.


[4] A. Wang, G. Schmidig: Case study: Ceramic femoral heads prevent runaway wear for highly cross linked polyethylene acetabular cups by third-body bone cement particles; Wear 255 (2003) 1057 - 1063.


[5] Charles R. Bragdon, BS, Murali Jasty, MD, Orhun K. Muratoglu, PhD, Daniel O. O'Connor, AS, William H. Harris, MD: Third-body wear of highly cross-linked polyethylene in a hip simulator; The Journal of Arthroplasty Vol. 18 No 5 2003, 553 - 561.


[6] ISO 14242 1/2: Implants for surgery - Wear of total hip joint prostheses.

[7] ISO 6474: Implants for surgery - Ceramic materials based on high purity alumina, (1994).