Tribology in Total Hip and Knee Arthroplasty

1. Front Matter

   Pages i-ix

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2. Basic Principles and Clinical Data on Metal-Ceramic-Polyethylene Articulations

   1. Front Matter

      Pages 1-1

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   2. Large-Diameter Total Hip Replacement Bearings

      • Michael M. Morlock, Gerd Huber, Nick Bishop

      Pages 3-14

   3. Comparing Large-Diameter Metal-on-Metal and Ceramic-on-Ceramic Total Hip Replacement

      • Tiago Barbosa, Frédéric Ramalho, José Ferreira, Tiago Basto, Carlos Vilela, Fernando Lima et al.

      Pages 15-25

   4. Comparison of Linear Wear Rate According to Femoral Head Sizes in Metal on Conventional UHMWPE Liner

      • Yoon Je Cho, Joo Hyun Lee, Eun Seong Sagong

      Pages 27-33

3. Basics and Current Trends on Tribology of Total Knee Arthroplasty

   1. Front Matter

      Pages 35-35

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   2. Simulator Testing of Total Knee Replacements

      • Christian Kaddick

      Pages 37-40

   3. Total Knee Replacement with Ceramic Components: Evaluation, Material Characteristics and Clinical Performance

      • Philipp Bergschmidt, Rainer Bader, Daniel Kluess, Carmen Zietz, Wolfram Mittelmeier

      Pages 41-50

   4. In Vivo Wear of Highly Crosslinked Polyethylene in Total Knee Arthroplasty

      • Pedro Hinarejos Gomez, Ignasi Pinol Jurado

      Pages 51-61

4. The Hype of Ceramic – Will It Continue?

   1. Front Matter

      Pages 63-63

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   2. Ceramic Articulations: (Much) More Benefits than Concerns

      • Roberto Binazzi

      Pages 65-70

   3. Medium- to Long-Term Results of Ceramic-on-Ceramic Bearings in Total Hip Arthroplasty

      • Alexandra Pokorny-Olsen, Karl Knahr

      Pages 71-83

   4. Wear of Large Ceramic-on-Ceramic Bearings for Total Hip Arthroplasty and the Mechanical and Tribological Properties of Silicon Nitrides

      • Kim Lars Häußler, Roman Preuß, Robert M. Streicher

      Pages 85-94

   5. Ceramic-on-Ceramic Total Hip Replacement: Five Cases of Early Delta Ceramic Liner Fracture

      • Ellen McCourt, M. Mawdsley, J. M. Loughead

      Pages 95-106

5. Metal-on-Metal: Still an Option?

   1. Front Matter

      Pages 107-107

      PDF

   2. Current Concepts in Metal-on-Metal Articulations

      • K.-P. Günther, J. Schmitt, F. Hannemann, J. Lützner, A. Seidler, C. Kopkow et al.

      Pages 109-122

   3. Why Is There a Continuing Role for Metal-on-Metal in Hip Replacement?

      • Julien Girard, Henri Migaud

      Pages 123-129

   4. Long-Term Results of Metal-on-Metal Total Hip Replacement After a Minimum of Seventeen Years’ Follow-Up

      • Richard Lass, Alexander Grübl, Alexander Kolb, Stephan Domayer, Claudia Csuk, Bernd Kubista et al.

      Pages 131-143

   5. Results of the Long-Term Follow-Up Study After the Metasul Metal-on-Metal Cementless Total Hip Arthroplasty

      • Keiji Haraguchi, Junichirou Koyanagi, Kosuke Tsuda, Keiju Fujiwara

      Pages 145-151

   6. Clinical and Radiological Results Following Revision Surgery of Metal-on-Metal Articulation in Total Hip Arthroplasty

      • Peter Radakovits, Karl Knahr

      Pages 153-161

Wear and osteolysis are still the most important potential problems in total hip and knee arthroplasty. Although technology in arthroplasty has been improved dramatically during the past decade, the clinical data relating to some implants reveal that many concerns remain. During the “Tribology Day” within the scientific programme of the 2013 EFORT Congress in Istanbul, the main topics included these concerns as well as the benefits of the materials most commonly used in total hip and knee arthroplasty. This book includes the presentations delivered on the day and covers a range of interesting issues regarding metal, ceramic, and polyethylene articulations. It provides information on the current concepts relating to tribology in total hip arthroplasty and offers a critical outlook on possible improvements in total knee arthroplasty.

• Basics in tribology
• Ceramic-ceramic articulation
• Metal-metal articulation
• Poly-metal/ceramic articulation
• Wear and joint interfaces
• Trauma Surgery

• Orthopaedic Department, Orthopaedic Hospital Vienna-Speising, Vienna, Austria

  Karl Knahr

Karl Knahr completed his medical studies at the University of Vienna in 1971 and subsequently trained as an orthopaedic surgeon at the Orthopaedic University Clinic of Vienna. In 1988 he became Head of the 2nd Orthopaedic Department at the Orthopaedic Hospital, Vienna-Speising and in the following year he was appointed Professor of Orthopaedic Surgery at the University of Vienna. For more than a decade, Professor Knahr has been the Austrian National Delegate to SICOT (Société Internationale de Chirurgie Orthopédique et de Traumatologie),President and current Treasurer of the Austrian Society for Orthopaedic Surgery, and Austrian National Delegate to EFORT. Since 2005 he has been a member of the EFORT Executive Committee. He is currently a member of the editorial boards of International Orthopaedics and the Archives of Orthopaedic and Trauma Surgery and previously served as an editorial board member for the Journal of Arthroplasty. Professor Knahr has published widely on the subjects of tribology and hip arthroplasty.

Policies and ethics