Hj. Fruh et al., TRIBOLOGICAL PROPERTIES OF CARBON-FIBER-R EINFORCED PLASTIC (CFRP) - EXPERIMENTAL AND CLINICAL-RESULTS, Der Orthopade, 26(2), 1997, pp. 152-159
Wear of the articulating components (especially PE-UHMW) of total hip
endoprostheses is the most important technical factor limiting the fun
ctional lifetime. To minimize wear debris, ceramic heads, according to
ISO 6474 (Al2O3), have been used, from 1969 paired with Al2O3 and sin
ce 1975 paired with PE-UHMW. Al2O3 balls articulating with cups made f
rom CFRP have been in clinical use since 1988. Laboratory experiments
and in-vivo testing showed minimized wear debris and mild biological r
esponse to wear products using CFRP (carbon fiber reinforced plastic)
instead of PE-UHMW as the cup material. The articulating surfaces of r
etrieved ceramic heads (Al2O3 - Biolox(R)) and cementless CFRP cups (c
arbon fiber reinforced plastic, Caproman(R)) were compared using spher
icity measurement techniques, scanning electron microscopy (SEM) and r
oughness measurements (including advanced roughness parameters R(vk) o
r R(pk) according to ISO 4287). Altogether, the first results of the c
linical study showed that the combination Al2O3-ball/CFRP-cup came up
to the expected lower wear rates compared with the conventional combin
ations. The wear rates are comparable with the combination Al2O3/Al2O3
without the material-related problems of ceramic components in all ce
ramic combinations.