We analysed tissues harvested during 24 retrievals of hip joint prosth
eses, with one or both articular components made of alumina. We descri
be the morphology of wear particles, measure their size and analyse th
eir chemical composition. We relate histopathological aspects to the p
arameters that characterize ceramic wear particles, and notice that ti
ssue reaction relates to the physical aspect and amount of wear debris
and does not necessarily depend on their chemical composition.