Bm. Willie et al., Elemental and morphological identification of third-body particulate and calcium stearate inclusions in polyethylene components, J BIOMED MR, 53(2), 2000, pp. 137-142
Third-body particulate such as human bone chips, hydroxyapatite, and bone c
ement are considered contributing factors in accelerated wear in total join
t replacement. Particulate wear debris is now considered the major contribu
ting factor in aseptic loosening of total joint replacements. The ability t
o distinguish between different third-body particulate is necessary to bett
er understand wear mechanisms when conducting implant retrieval analysis. T
he objective of this investigation is to demonstrate that backscattered ele
ctron imaging with correlated energy dispersive S-ray analysis can accurate
ly identify third-body particulate in retrieved polyethylene components. It
is important that this technique can also distinguish between third-body p
articulate and normal inclusions in the polyethylene such as calcium steara
te, based on the distinct morphology and elemental composition of each mate
rial. Therefore, the ability to distinguish third-body particulate from cal
cium stearate inclusions is essential in gaining a better understanding of
the contributing factors associated with coating separation and accelerated
wear observed in clinically retrieved polyethylene components. (C) 2000 Jo
hn Wiley & Sons, Inc.