Bioceramics and Alternative Bearings in Joint Arthroplasty: 12th BIOLOX® Symposium Seoul, Republic of Korea September 7 – 8, 2007 Proceedings

Cover\r......Page 1
Preface......Page 5
List of contents......Page 7
SESSION 1A Tribology......Page 18
1A.1 Differences and Opportunities of THA in the USA, Asia and Europe......Page 19
1A.2 Influence of the Wear-Couple and Patient Activity on Linear Wear in Total Hip Replacement......Page 25
1A.3 Roles of Cellular and Molecular Targets of Wear Debris in Periprosthetic Osteolysis......Page 34
SESSION 1B Tribology......Page 46
1B.1 Wear Performance of 36mm Biolox® forte/delta Hip Combinations Compared in Simulated ‘Severe’ Micro-Separation Test Mode......Page 47
1B.2 In-Vitro and In-Vivo Ceramic Debris with Ceramic Prosthesis......Page 58
1B.3 Surface Roughness of Ceramic Femoral Heads after In-Vivo Transfer of Metal Correlation to Polyethylene Wear......Page 61
1B.4 Hydrothermal Stability of Ceramic Femoral Heads......Page 70
SESSION 2 Ceramic/Polyethylene......Page 76
2.1 Ceramic on highly cross-linked Polyethylene in cementless Total Hip Arthroplasty......Page 77
2.2 Comparative Analysis of Ceramic to Ceramic Bearing with Metal to Electron Beam-Irradiated highly cross-linked UHMWPE Bearing......Page 81
2.3 Comparison of Uncemented Total Hip Arthroplasty between Metal on Metal and Ceramic on Polyethylene Bearing Surfaces in Young Patients......Page 83
2.4 Comparison of Polyethylene Wear against Alumina and Zirconia Heads in Cemented Total Hip Arthroplasty......Page 92
SESSION 3 Large Diameter Wear Couples......Page 97
3.1 Wear of large Ceramic Bearings......Page 98
3.2 Evolution for Diameters Features and Results......Page 105
3.3 Design Rationale for Acetabular Cups with alternative Bearings and large Diameter Heads......Page 112
3.4 Use of Modular Femoral Stem combined with large Diameter Femoral Head in Alumina-on-Alumina Total Hip Arthroplasty......Page 121
SESSION 4 Ceramic Knee Implants......Page 125
4.1 Ceramic Femoral Prosthesis in TKA — Present and Future......Page 126
4.2 Finite-Element-Analysis of a Cemented Ceramic Femoral Component in Total Knee Arthroplasty......Page 136
4.3 Advanced Testing of Ceramic Femoral Knee Components......Page 140
4.4 Reasons using a Ceramic Femoral Component and First Clinical Experience......Page 147
4.5 Comparison of In-Vivo Wear between Polyethylene Inserts articulating against Ceramic and Cobalt-Chrome Femoral Components in Total Knee Prostheses......Page 151
SESSION 5A Hard on Hard Bearings......Page 162
5A.1 Toughening vs. Environmental Aging in BIOLOX® delta: A micromechanics study......Page 163
5A.2 Clinical Experience with Ceramic on Ceramic in the USA......Page 169
5A.3 Why use an all Ceramic Tripolar THR ? – clinical and experimental data......Page 172
5A.4 Lessons from 1st generation Ceramic on Ceramic THA......Page 178
5A.5 Nine-Year Experience with a Contemporary Alumina-on-alumina THA Implant......Page 179
5A.6 Ceramic on Ceramic Bearing in Coren® Hip System......Page 184
SESSION 5B Hard on Hard Bearings......Page 188
5B.1 Metallosis in Metal-on-Metal PPF Total Hip Arthroplasties......Page 189
5B.2 Results of 10 Years’ Follow-Up of Ceramic-Ceramic Couples in Total Hip Replacement......Page 200
5B.3 Mid-Term Results of Ceramic-on-Ceramic Bearing Extensively Porous Coated AML® Total Hip Arthroplasty......Page 206
5B.4 Alumina-on-Alumina Total Hip Arthroplasty in Patients with Osteonecrosis less than 50 Years Old......Page 214
5B.5 Total Hip Arthroplasty using third Generation Alumina-on-Alumina Articulation......Page 215
5B.6 Ceramic on Ceramic in Hybrid THR (Cemented Femoral Stem) – A five to seven year evalution......Page 217
5B.7 Mechanical Effect of the Articulating Materials on the Proximal Femur and the Femoral Stem in Total Hip Arthroplasty......Page 222
SESSION 6 Market Trends and Future Applications......Page 230
6.1 Surface Characteristics and Biocompatibility of Micro Arc Oxidized (MAO) Titanium Alloy......Page 231
6.2 Reasons for our Preference for Ceramic over Metal Bearing — clinical, radiological and biological evidences......Page 241
6.3 Spine - Ceramic Disc — what you should know......Page 252
6.4 Trend: Bigger Ball Heads: Is Bigger Really Better?......Page 259
SESSION 7 Hip Revision......Page 262
7.1 Strategies for Head and Inlay Exchange in Revision Hip Arthroplasty......Page 263
7.2 Live-Time Prediction of BIOLOX® delta......Page 269
7.3 Revision Total Hip Arthroplasty with Sandwich-type Ceramic on Ceramic Liner......Page 277
7.4 Revision Surgery of Acetabular Polyethylene Wear......Page 282
SESSION 8 Tips and Tricks......Page 284
8.1 Tragedy of Polyethylene Back Ceramic on Ceramic Articulation......Page 285
8.2 Breakage of Alumina Ceramic Head and Clinical Failure after Minor Modification of Tapered Junction......Page 288
8.3 Tips and Tricks - Fracture of a Ceramic Insert with modern Ceramic Total Hip Replacement\r......Page 295
8.4 Minimally Invasive Two-Incision Total Hip Replacement using large Diameter Ceramic-on-Ceramic Articulation......Page 303
8.5 MIS and the Demands on Bearing Couples......Page 313
8.6 Computer Navigation - Improving Outcomes with Hard on Hard Bearings......Page 325