Durability of Zirconia-Based Ceramics and Composites for Total Hip Replacement


Article Preview

Ceramics have been increasingly used in orthopaedics during the last 30 years. Their biological inertness, high hardness and good mechanical strength make them excellent candidates for components such as femoral heads and acetabular cup in Total Hip Replacement prostheses. Currently used bio-inert ceramics – alumina and zirconia – give good clinical results, especially compared to metal – polymer couplings. However, they are subjected to severe biological, tribological and mechanical solicitations during more than fifteen years for the most successful prostheses. They answer these solicitations by presenting specific degradation mechanisms. We will thus examine the phenomena that can account for the long-term behaviour of zirconia components (heads and cups) in THR prostheses.



Key Engineering Materials (Volumes 361-363)

Main Theme:

Edited by:

Guy Daculsi and Pierre Layrolle




L. Gremillard and J. Chevalier, "Durability of Zirconia-Based Ceramics and Composites for Total Hip Replacement", Key Engineering Materials, Vols. 361-363, pp. 791-794, 2008

Online since:

November 2007





[1] R.C. Garvie, R.H. Hanninck and R.T. Pascoe: Nature Vol. 258 (1975), pp.703-04.

[2] P.S. Christel: Bulletin of the Hospital for Joint Diseases Orthopaedic Institute Vol. 49 (1989), pp.170-77.

[3] K. Kobayashi, H. Kuwajima and T. Masaki: Solid State Ionics Vol. 3/4 (1980), pp.489-93.

[4] US Food and Drug Administration. Recall of zirconia ceramic femoral heads for hip implants. http: /www. fda. gov/cdrh/recalls/zirconiahip. html (2001).

[5] I.C. Clarke, M. Manaka, D.D. Green, P. Williams, G. Pezzotti, Y.H. Kim, M. Ries, N. Sugano , L. Sedel, C. Delauney, B.B. Nissan, T. Donaldson and G.A. Gustafson: Journal of Bone and Joint Surgery - series A, vol. 85 (2003), pp.73-84.

DOI: https://doi.org/10.2106/00004623-200300004-00009

[6] J. Chevalier, L. Gremillard and S. Deville: Ann. Rev. Mater. Res. Vol. 37 (2007) in press.

[7] H. Schubert and F. Frey: J. Europ. Ceram. Soc. Vol. 25 (2005), pp.1597-602.

[8] S. Deville, G. Guenin and J. Chevalier: Acta Mater. Vol. 52 (2004), pp.5697-707.

[9] Y.S. Liao, H. McKellop, Z. Lu, P. Campbell and P. Benya, Biomaterials Vol. 24 (2003), pp.3047-3059.

[10] J. Li, L. Zheng, Q. Shen and T. Ashida: Mater. Sci. Eng. A Vol. 297 (2001), pp.26-30.

[11] C. Pecharroman, J.F. Bartolome, J. Requena, J.S. Moya, S. Deville, J. Chevalier, G. Fantozzi and R. Torrecillas Adv. Mater. Vol. 15 (2003), pp.507-11.

DOI: https://doi.org/10.1002/adma.200390117