Materiały ceramiczne w węzłach ciernych protez stawów biodrowych i kolanowych

• Autorzy: Neyman A.

Warianty tytułu

EN

Ceramic materials in friction elements of hip and knee prostheses

• Języki publikacji: PL

Abstrakty

PL

Prace zmierzające do zwiększenia trwałości protez stawów biodrowych i kolanowych prowadzone są w trzech kierunkach: optymalizacji konstrukcji ich elementów, optymalizacji sposobu mocowania protez w kościach kończyn oraz doboru najlepszych skojarzeń materiałowych. Cztery typy skojarzeń są obecnie uważane za najlepsze: panewka z wysokocząsteczkowego polietylenu z główką ze stali nierdzewnej, stopu tytanu lub tlenku aluminium oraz zarówno panewka jak główka stawu z tlenku aluminium. W wielu ośrodkach prowadzone są obecnie badania nad zastosowaniem powłok ceramicznych w protezach. Najbardziej obiecujące wyniki uzyskiwane są w przypadku DLC i CNx.

EN

To day used hip and knee prostheses are not sufficiently durable. Efforts to increase durability of the prostheses are undertaken in three areas: optimization of prostheses construction, optimization of prosthesis elements fixation to bones, looking for the best choice of materials for prostheses elements. Investigations to choose the best materials available are being performed from 1890. Four types of articulated materials are considered to day as the optimal choice: ultra high molecular weight polyethylene (UHMWPE) cup with stainless steel head, UHMWPE cup with titanium alloy head, UHMWPE cup with aluminum oxide head or aluminum oxide cup with aluminum oxide head. All ceramic friction elements of prostheses are of much higher costs due to expensive machining of ceramic elements. Big advantage of "all ceramic" prostheses is much lower amount of wear particles. The presence of wear particles is serious problem in prostheses with polyethylene cup as loosening of prostheses elements joints is caused by the tissue response to polyethylene wear particles. Many investigations are performed in plain tribometers and prostheses simulators to develop bulk ceramics for prostheses elements and to look for possibility to use ceramic coatings in prostheses elements. Among many investigated materials modified aluminum oxide, silicon carbide and two coatings DLC and CNx are now considered as he most promising.

Słowa kluczowe

PL

protezy stawów biodrowych; protezy stawów kolanowych; ceramika

EN

hip prostheses; knee prostheses; ceramics

• Wydawca: Stowarzyszenie Inżynierów i Techników Mechaników Polskich
• Czasopismo: Tribologia
• Rocznik: 2004
• Tom: nr 3
• Strony: 283--292
• Opis fizyczny: Bibliogr. 16 poz., rys.

Twórcy

autor

Neyman A.

• Wydział Mechaniczny Politechniki Gdańskiej, ul. Narutowicza 11/12, 80-952 Gdańsk

Bibliografia

• 1. Zhou Y.S., Ikeuchi K., Ohashi M.: Comparison of the friction properties of four materials for joint replacement, Wear 210 (1997) 171-177.
• 2. Scholes S.C., Unsworth A., Hall R.M., Scott R.: The effects of material combination and lubricant on the friction of total hip prostheses, Wear 241 (2000)209-213.
• 3. Hall R. M., Unsworth A.: Rewiew, Friction in hip prostheses, Biomaterials 18(1997) 1017-1028.
• 4. Zhou Y.S., Ohashi M., Tomita N., Ikeuchi K., Takashima K.: Study on the possibility of silicon nitride - silicon nitride as material for hip prostheses, Material Science and Engineering C5 (1997) 125-129.
• 5. Shi B., Ajayi O.O., Fenske G., Erdemir A., Liang H.: Tribological performance of some alternative bearing materials for artificial joints, Wear 255 (2003)1015-1021.
• 6. Platon E., Fournier P., Rouxel S.: Tribological behaviour of DLC coatings compared to different materials used in hip joint prostheses: Wear 250 (2001)227-236.
• 7. Morita Y., Nakata K., Ikeuchi K.: Wear properties of zirconia/alumina combination for joint prostheses, Wear 254 (2003) 147-153.
• 8. Früh H.J., Willmann G., Pfaff H.G.: Wear characteristics of ceramic- on -ceramic for hip endoprostheses, Biomaterials 18 (1997) 873-876.
• 9. Kusaka J., Takashima K., Yamane D., Ikeuchi K.: Fundamental study for all-ceramic artificial hip joint, Wear 225-229 (1999) 734-742.
• 10. Heinke G., Leyen St., Willmann G.: Knee arthoplasty: recently developed ceramics offer new solutions, Biomatarials 23 (2003) 1539-1551.
• 11. Broitman E., Macdonald W., Hellegren N., Radnóczi G., Czigany Zs., Wennerberg A., Jacobsson M., Hultma J.: Carbon nitrade films on orthope-dic substrates, Diamond and Related Materials 9 (2000) 1984-1991.
• 12. Met C., Vandenbulcke L., Saint Catherine M.C.: Friction and wear characteristics of varius prosthetic materials sliding against smooth diamond-coated titanium alloy: Wear 255 (2003) 1022-1029.
• 13. Raimondi M.T., Pietrabissa R.: The in vivo wear performance of prosthetic femoral heads with titanium nitride coating, Biomaterials 21 (2000) 907-913.
• 14. Senhar A., Gotman I., Radin S., Ducheyene P., Gutmans E.Y.: Titanium nitride coatings on surgical titanium alloys produced by a powder immersion reaction assisted coating method: residual stresses and fretting behavior, Surface and Coating Technology 126 (2000) 210-218.
• 15. Saikko V., Ahlroos T., Calonius O., Keränen J.: Wear simulation of total hip prostheses with polyethylene against CoCr, alumina and diamond-like-carbon, Biomaterials 22 (2001) 1507-1514.
• 16. Oñate J.I., Comin M., Braceras I., Garcia A., Viviente J.L., Brizuela M., Garagorri N., Alava J.I.: Wear reduction effect on ultra-high-molecular-weight polyethylene by application of hard coating and ion implantation on cobalt chromium alloy, as measured in a knee wear simulation machine, Surface & Coating Technology 142-144 (2001) 1056-1062.