Milošev I, Levašič V, Kovač S, Sillat T, Virtanen S, Tiainen VM, Trebše R (2021)
Publication Type: Book chapter / Article in edited volumes
Publication year: 2021
Publisher: Elsevier
Edited Volumes: Joint Replacement Technology (Third Edition)
ISBN: 9780128210826
DOI: 10.1016/B978-0-12-821082-6.00020-0
In this chapter the properties and surgical use of steel, titanium and cobalt-based alloys and tantalum are overviewed. The design of total hip replacements (THRs) is described briefly followed by a detailed description of failure modes of THRs, including material and nonmaterial-related modes. Of special interest are several serious failure modes, including the roles of impingement/contrecoup edge loading and wear in the trunnion leading to the widely publicised failures of the metal-on-metal hip resurfacing and large-diameter head arthroplasties. These deleterious features went unnoticed in cyclic loading simulations but led to serious failures in clinical practice. Nanoparticles and metal ions released cause adverse reactions to metal debris: pain, fluid collection, pseudotumours, tissue necrosis, ‘particle disease’ and hypersensitivity reactions.
APA:
Milošev, I., Levašič, V., Kovač, S., Sillat, T., Virtanen, S., Tiainen, V.M., & Trebše, R. (2021). Metals for joint replacement. In Joint Replacement Technology (Third Edition). Elsevier.
MLA:
Milošev, Ingrid, et al. "Metals for joint replacement." Joint Replacement Technology (Third Edition). Elsevier, 2021.
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