Lecture 14 - Wear/Wear Debris Flashcards
Synovial Joints
- Subject to 10^8 cycles during 70 years
- Synovial fluid between articulating surfaces
- Low coefficient of friction
- Low wear
- Deteriorate with time
- Bearing material roughens, fissures, and exposes underlying bone
Synovial Fluid
- Aqueous fluid containing hyaluronic acid
- Buffer between surfaces (lubricant)
Excision Arthroplasty
- Removal of damaged material, resurfacing (wear down cartilage, bone-to-bone)
- Can result in fusion of bone
Interposition Arthroplasty
- Interpose foreign material between both ends of the bone
- Smooth inert surfaces
- Started as a film, more towards shaping into cup
Arthroplasty
Surgical replacement of reconstruction of joint
Replacement Arthroplasty
- Fixation of acetabular surface (good integration)
- Metal on polymer systems that are self-lubricating (low coefficient of friction)
Metal-on-Polymer Systems
Stainless Steel-Teflon: - 0.02-0.04 coefficient of friction - Poor wear - Penetration of head into wall of cup within 2-3 years Stainless Steel-UHMWPE: - 0.05-0.1 coefficient of friction - Superior wear properties - UHMWPE has long chains not able to slide past, doesn't allow for easy deformation
Modern Implants
- Wear of articulating surfaces no longer limiting factor in life of joint replacements (lower wear)
- Joint loosening is current limiting factor (linked to wear debris)
Wear
- Motion of one part against another
- Erosion or displacement of material from original position (deform implant shape, produce wear particles)
Wear of Implants
Within articulating surface:
- Long distance, sliding of components
Between implant and tissue:
- Short distance, cyclic rubbing between surfaces (fretting)
Abrasive Wear
- Two surfaces in contact with one having higher hardness
- Two body: particle/protuberances on surface that deforms coupled surface
- Three body: particles not constrained and free to roll across coupled surface
Adhesive Wear
- Two surfaces in direct contact
- Pressure between two articulating surfaces
- Transfer of material from one surface to another (displacement of wear debris from one surface, adhesion of debris to adjacent surface)
Fretting wear
- Cyclic rubbing of two surfaces
- Often metal-metal
- Removal of metal (oxidation, increase hardness of particle, increase wear rate)
Tribological Tests
- Field test, bench test, sub-system test, component test, simplified component test, model test
Sliding Test
- Standard pressure, sliding rate/distance
- Quantify mass loss (dry vs. wet conditions) and change in surface roughness (difficult to translate roughness into wear rate)
- Interactions may change as test progresses (assess multiple times)
Joint Simulators
- Knee/Hip
- Different environments (air, fluid, open-corrosion, closed)
- Assessed by weight loss (complicated by coatings, fluid uptake in material) and visual/microscopic (OM/SEM, optical profilometry) examination and volume measurements
Radiography
- In vivo analysis of metal ions in serum
- Metals show up, polymer/ceramic doped to make visible
Granuloma
- Foreign body giant cell surrounding wear particle
- Cluster of macrophages around particle, attempt to wall off particle when cannot phagocytose
- Impact amount of healthy tissue interacting with implant
- Take up space for bone to grow in and blood vessels that supply nutrients to bone
- Puts added pressure onto bone (changes resorption vs. deposition cycle)
Osteolysis
- Resorption of bone around where incorporated (decreases bone density, increase failure)
- Occurs as result of lots of macrophages (increases cytokines and releases enzymes that trigger inflammation and lead to bone resorption)
Case Study: Wear of Hip Implant
Backside of Acetabular Cup:
- Want no movement on backside of acetabular cup (make more rigid)
- Use single component instead of 2 separate components (more integrated)
Bearing Surface of Acetabular Cup:
- Self-lubricating surface
- Use metal-on-metal instead of metal-on-plastic
Surface Structure Alterations
Lead to altered mechanical surface properties
Plastic Deformation
May initiate fatigue or cracking
Surface Cracking
No wear, but may lead to catastrophic failures
Corrosion
May accelerate mechanical wear
Wear
Continuous material loss from surface
Gain of Material
Resulting from transfer