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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1998-7-7
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pubmed:abstractText |
Periprosthetic osteolysis and aseptic loosening are serious problems affecting the outcome of total joint replacement. Polyethylene particulate debris generated from metal-on-polyethylene bearing surfaces and the resulting biologic response to this debris are thought to be largely responsible. As a result, there has been a renewal of interest in hard bearing surfaces for total joint arthroplasty, including both metal-on-metal and ceramic-on-ceramic components. The new-generation all-ceramic and all-metal prostheses have demonstrated, both clinically and in the laboratory, lower friction and wear rates than metal-on-polyethylene bearing surfaces. Theoretically, lower wear rates result in less particulate debris and decreased inflammatory response. Despite excellent tribologic (lubrication, friction, wear) properties, metal-on-metal bearings raise associated issues of metal sensitivity and toxicity. For ceramic-on-ceramic bearing surfaces, issues of ceramic quality and the possibility of brittle fracture must be considered.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
|
pubmed:issn |
1078-4519
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
283-92
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pubmed:dateRevised |
2010-1-5
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pubmed:meshHeading |
pubmed-meshheading:9586727-Biocompatible Materials,
pubmed-meshheading:9586727-Ceramics,
pubmed-meshheading:9586727-Hardness,
pubmed-meshheading:9586727-Hip Prosthesis,
pubmed-meshheading:9586727-Humans,
pubmed-meshheading:9586727-Inflammation,
pubmed-meshheading:9586727-Metals,
pubmed-meshheading:9586727-Osteolysis,
pubmed-meshheading:9586727-Polyethylenes,
pubmed-meshheading:9586727-Prosthesis Design,
pubmed-meshheading:9586727-Prosthesis Failure,
pubmed-meshheading:9586727-Surface Properties,
pubmed-meshheading:9586727-Survival Analysis,
pubmed-meshheading:9586727-Treatment Outcome
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pubmed:year |
1998
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pubmed:articleTitle |
Hard bearing surfaces in total hip arthroplasty.
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pubmed:affiliation |
Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, New York, USA.
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pubmed:publicationType |
Journal Article,
Review
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