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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_34 | Pages 281 - 281
1 Dec 2013
De Villiers D Kinbrum A Traynor A Collins S Banfield S Housden J Shelton J
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Introduction

Vitamin-E has been introduced into highly-crosslinked polyethylene liners to reduce the oxidation potential of the material while maintaining low wear rates. However, little has been reported on adverse testing of the material with one test on diffused vitamin-E polyethylene [1] and no adverse tests of vitamin-E blended polyethylene reported. Adverse testing of crosslinked polyethylene has focused on the use of large diameters, the incorporation of third body particles, roughening of the counterface or severe activity [2–4]. This investigation considers the wear of vitamin-E blended highly-crosslinked polyethylene under standard and adverse conditions articulating against uncoated and chromium nitride (CrN) coated metal heads.

Methods

Seven metal heads were tested against prototype ϕ52 mm 0.1 wt% vitamin-E blended highly-crosslinked polyethylene liners (Corin, UK). Three heads remained as cast double heat treated metal (MoP) while four, of similar metallurgy, were coated with CrN via electron beam physical vapour deposition (CrNoP) (Tecvac, UK) and polished to a similar surface finish. Tests were conducted for 5 million cycles (mc) under conditions described in ISO 14242–3: 2009. Alumina particles (mean size 2.4 μm) at concentrations of 0.15 mg/mL were added to the lubricant for 1 mc to consider the effect of severe head damage. Testing continued for a further 1 mc without the presence of the particles and then 3 jogging intervals (14,400 cycles each) were conducted at slow, medium and fast speeds [3]. Wear volume was determined gravimetrically for the heads and liners and fluid collected throughout the testing was analysed for cobalt concentration using graphite furnace atomic absorption spectroscopy.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_34 | Pages 270 - 270
1 Dec 2013
Traynor A Kinbrum A Housden J Collins S
Full Access

Introduction

Bearing surfaces of metal-on-metal (MoM) hip resurfacing devices and total hip replacements (THRs) are a known source of metallic debris. Further, large diameter heads and the high friction of a MoM joint are thought to lead to fretting and corrosion at the taper interface between modular components1. The metal debris generated can cause significant problems on the joint area2. This paper investigated fretting and corrosion of femoral head-neck junctions. Variables of the head-neck junction which may have an effect on fretting and corrosion were identified with the aim of determining the key drivers so that their risk on fretting and corrosion could be reduced through design. Additionally, a Chromium Nitride (CrN) coating was assessed to determine the effect on fretting and corrosion of coating the stem (male), head (female) or both trunnion interfaces. As there is currently no standard specification for a head-neck trunnion interface and trunnion designs vary significantly across the market, this work may lead to a positive change in the design and materials used in head-neck taper interfaces for all THR devices.

Methods

Suitable head and stem combinations were identified to enable individual variables such as; coating, medial-lateral (M-L) offset, head offset and taper angle to be isolated (Figure 1 and Figure 2). For the coated components a 3 μm CrN coating was applied to trunnion using electron beam physical vapour deposition (Tecvac, Cambridge, UK). Fretting and corrosion testing was carried out in accordance with ASTM F1875-98 (2009) method II procedure B3 following assembly of the components under a 2 kN load.