Aseptic loosening of femoral components - A review of current and future trends in materials used

被引:68
作者
Bahraminasab, Marjan [1 ]
Sahari, B. B. [1 ,2 ,3 ]
Edwards, K. L. [4 ]
Farahmand, Farzam [5 ,6 ]
Arumugam, Manohar [7 ]
Hong, Tang Sai [1 ]
机构
[1] Univ Putra Malaysia, Dept Mech & Mfg Engn, Serdang, Malaysia
[2] Islamic Azad Univ, Fac Engn, Semnan Branch, Semnan, Iran
[3] Univ Putra Malaysia, ITMA, Inst Adv Technol, Serdang, Malaysia
[4] Aston Univ, Sch Engn & Appl Sci, Birmingham B4 7ET, W Midlands, England
[5] Sharif Univ Technol, Dept Mech Engn, Tehran, Iran
[6] Univ Tehran Med Sci, RCSTIM, Tehran, Iran
[7] Univ Putra Malaysia, Fac Med & Hlth Sci, Dept Orthoped Surg, Serdang, Malaysia
关键词
Biomaterialsl; Knee prosthesis; Failure analysis; Wear; TOTAL KNEE REPLACEMENT; NITI SHAPE-MEMORY; CERAMIC BALL HEADS; BONE-MINERAL DENSITY; 1-YEAR FOLLOW-UP; IN-VITRO; OXIDIZED ZIRCONIUM; STAINLESS-STEEL; ZRO2; FRACTION; DISTAL FEMUR;
D O I
10.1016/j.matdes.2012.05.046
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
The variety of new biomaterials and different surface treatments being applied to existing materials all intended for total knee replacement (TKR) are self-evident of the demand for longer lasting knee prostheses. Aseptic loosening is one of the main reasons for the revision of TKR components including the femoral component, which has more challenging problems because of the different causes of failure. This paper therefore, focuses on aseptic loosening of femoral components and materials options available. Several current and promising new metallic, ceramic and polymeric biomaterials are discussed to highlight their advantages and their shortcomings. It is concluded that current materials have their limitations and there is a need for more sophisticated multi-functional materials to be developed in order to match the biological and mechanical complexity of the prosthetic femur. (c) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:459 / 470
页数:12
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