O3334 DEGRADATION OF HYDROXYLAPATITE (HA) COATING AROUND PRESS-FITTED POROUS-COATED CUPS. SCANNING ELECTRON MICROSCOPY STUDY (SEM)

Abstract

Aims: Hydroxylapatite (HA) coating is able to enhance bone ingrowth and to reduce early migration of hip prostheses. The optimum coating quality and surface texture is still a matter of debate. Moreover, the signiþ-cance of coating resorption is controversial. In this study the degradation of the coatings HA was evaluated and comparate by SEM. Materials and methods: Four cups with HA coating over a porous-coated surface was iden-tiþed with premature loosening at 2–3 years post-operatively. The HA coating has a thickness of up to 50 μ. The cup was stored in formalin before the SEM analysis. The cup specimens was soaked in 6% sodium hypochlorite to render them anorganic, dehydrated, sputter Ð coated with gold-palladium. Secondary electron images of all specimens were obtained by þeld-emission SEM (Zeiss: DSM.962). Results: Ultrastructural analysis showed that all porous-coated HA coated cups had bridges of bone in direct contact with the implant surface (30% bone on-growth). Different types of coating degradation were observed. Delamination between the coating and implant surface; release of numerous particles or fragments ranging from a few to several dozens of microns. Under high magniþcation resorption of the amorphous phase is shown to be exposing the crystalline phase of the coating grains so that the grain boundaries become fragile and easily to be phagocytosed by osteoclasts. Conclusions: This study suggested that resorption disintegrates the HA Ð coating and reduces the bonding strength between implant and bone and the strength of the coatingÐimplant interface, which might lead to implant loosening, coating delamination and acceleration of third body wear processes.