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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 107 - 107
1 Sep 2012
Hadley M Hadfield F Hardaker C Isaac G Fisher J Wye J Barnett J
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Introduction

Hip wear simulation is a widely used technique for the pre-clinical evaluation of new bearing designs. However, wear rates seen in vitro can often be significantly different to those seen clinically. This can be attributed to the difference between the optimal conditions in a simulator and wide ranging conditions in real patients.

This study aimed to develop more clinically relevant simulator tests, looking specifically at the effects of cup inclination angle (in vivo) and stop-dwell-start (SDS) protocols on a clinically available product.

Method

Five tests using a Paul type walking cycle (ISO 14242) were carried out on two ProSim hip simulators:

28mm MoM, standard walking, cup inclination 45°, (n = 5)

36mm MoM, standard walking, cup 45°, (n = 4)

36mm MOM, SDS: 10 walking cycles and pause of 5s with stance load of 1250N cup 45°, (n = 5)

36mm MOM, SDS: 10 walking cycles and pause of 30s with stance load of 1250N, (n = 5) cup 45°

36mm MOM, standard walking, cup 55°(n = 5), and 65°(n = 5).

All samples had matched clearances, measured using a CMM (Prismo Navigator, Zeiss, Germany). Wear was measured gravimetrically (Sartorius ME235S: 0.01mg).