We performed 114 consecutive primary total hip arthroplasties with a cementless expansion acetabular component in 101 patients for advanced osteonecrosis of the femoral head. The mean age of the patients at surgery was 51 years (36 to 62) and the mean length of follow-up was 110 months (84 to 129). The mean pre-operative Harris hip score of 47 points improved to 93 points at final follow-up. Th...

This study assessed the results of 90 one-component revisions for failed hip resurfacing due to adverse reaction to metal wear debris (76 acetabular, 14 femoral). Patients with a femoral head size 40-45 mm (n=33) received a two-piece titanium meshed shell with a cross-linked polyethylene liner and patients with femoral head size 46-54 mm (n=43) received metal-on-metal components. Patients with ...

We evaluated the use of a stemmed acetabular component in the treatment of severe acetabular deficiency during revision and complex primary total hip arthroplasty. There were 31 hips of which 24 were revisions (20 for aseptic loosening, four for infection) and the remainder were complex primary arthroplasties. At a mean follow-up of 10.7 years (6 to 12.8), no component had been revised for asep...

Novel structures with functional gradation in composition and structure were successfully made in Ti-TiO(2) combination using laser engineered net shaping. The addition of fully dense, compositionally graded TiO(2) ceramic on porous Ti significantly increased the surface wettability and hardness. The graded structures with varying concentrations of TiO(2) on the top surface were found to be non...

INTRODUCTION Basic daily activities, such as walking and climbing stairs produce forces on the acetabular cup that results in shear forces throughout the contacting surface producing acetabular cup micromotion. Minimizing micromotion of the acetabular component is critical to the long term survival of total hip arthroplasty. A typical cementless acetabular component is coated with a porous surf...

The occurrence of audible squeaking in some patients with ceramic-on-ceramic (CoC) hip prostheses is a cause for concern. Great effort has been dedicated to understand the mechanics of the hip squeaking to gain a deeper insight into factors contributing to sound emission from CoC hip articulation. Disruption of fluid-film lubrication and friction were reported as the main potential cause, while...

BACKGROUND AND AIM Thermal discomfort often affects prosthesis wearers and could be addressed by increasing liner thermal conductivity. This note explores a liner made from thermally conductive silicone and two additional alternative liner designs. TECHNIQUE Thermally conductive silicone was used to create a conductive liner and a hybrid liner. Additionally, one with open elements was made. T...

We describe our technique and rationale using hybrid fixation for primary total hip arthroplasty (THA) at the Hospital for Special Surgery. Modern uncemented acetabular components have few screw holes, or no holes, polished inner surfaces, improved locking mechanisms, and maximised thickness and shell-liner conformity. Uncemented sockets can be combined with highly cross-linked polyethylene lin...

A dual-mobility acetabular component consists of a large, fixed, porous-coated acetabular component and a bipolar femoral component. These components are often called tripolar components. This configuration provides a stable, well-fixed implant platform against bone and 2 articular interfaces, a large polyethylene surface directly apposed to a highly polished metal implant, and a standard-sized...

Additive manufacturing is extensively used in the medical field due to its flexibility implants based on patient’s requirements. This research study aims investigate additively manufactured plastic liner part, which one of parts an artificial hip joint. In this study, fused deposition modeling (FDM) for fabricating from polylactic acid (PLA). The investigation was carried out understand manufac...