Metal release from total hip articulations in vitro - Substantial from CoCr/CoCr, negligible from CoCr/PE and alumina/PE

We used a hip joint simulator to compare the metal release from CoCr/CoCr, CoCr/PE, and alumina/PE total hip articulations. The metal release was quan tified by analyzing the Co, Cr, and Ni contents of the bovine serum lubrica nt used with atomic absorption spectroscopy. CoCr/CoCr articulations releas ed substantial amounts of metal, whereas CoCr/PE was equal to the control, alumina/PE, in that metal release was negligible. The metal release was in accordance with the known clinical wear rates of CoCr/CoCr articulations. T he largest dimensional changes occurred in polyethylene cups, the penetrati ons of CoCr heads to the polyethylene cups being twice that of the alumina head, which is consistent with clinical experience. The research on the wea r behavior of different materials, aiming to find a prosthesis with negligi ble wear, needs to be continued. Due to the substantial metal release, the CoCr/CoCr articulation is hardly the final solution of the wear problem in total hip arthroplasty.