There is increasing interest in using surface modification technology
to improve the wear properties of titanium alloy and limit articular s
urface wear of metal and polyethylene components. This report details
the in vivo wear performance of titanium nitride coating on a retrieve
d hip implant obtained postmortem from a low demand patient 1 year aft
er total hip arthroplasty. Analysis of the well-functioning implant re
vealed that wear debris can originate from a titanium nitride coated f
emoral head, as delaminated surface asperities, and manifest as adhesi
ve wear on the articular surface. The wear observed on this implant in
dicates that rigorous testing and evaluation of titanium nitride coati
ng technology should be conducted prior to widespread use on total joi
nt implants.