Unipolar hip prosthesis with nanocomposite ceramic coated femoral head

Authors

  • Anna Zykova
  • Vladimir Safonov
  • Volodimir Lukyanchenko
  • Olexsandr Samoilenko
  • Renata Rogowska
  • Jerzy Smolik
  • Nikolai Donkov

DOI:

https://doi.org/10.15674/0030-59872015260-66

Keywords:

hemiarthroplasty, artificial joints, multilayer coatings, tribology, wettability

Abstract

Hip arthroplasty in elderly patients is the most progressive method of medical treatment. The method provides rapid recovery and reha­bilitation of musculoskeletal systems at an earlier period. The aim of the present study was to analyze the structural and mechanical properties of unipolar prosthesis head surfaces made of titanium and stainless steel and coated by oxide and oxynitride nanocom­posite for hemiarthroplastic hip replacement as well as clinical approbation of prostheses «BES-T Manufacturing» (Ukraine), for possibility of applying this technology in traumatology. The struc­ture of Al2O3 (MS) and AlN/ Al2O3 (MS) magnetron sputtered films was investigated by means of XPS and XRD methods. The surface topography and roughness was estimated by profilometer Hommel T-2000 measurements and by AFM method. ElvaX spectrometer is modern analytical equipment for high-line non-destructive el­emental analysis. The analysis of the results of treatment patient’s with fractures of the femoral neck under observation period from 12 months to 3 years was presented. The unipolar hip replacement operations were made in urban trauma hospital during the period from 2012 to 2014. The age of patients was in the range from 72 to 86 years. All patients had a history of intra-articular fractures of the femoral neck. The joint femoral head surfaces with nano­composite oxide and oxinitride coatings demonstrate improved biocompatibility due to wettability increasing and fluid friction characteristics advancing. The deep understanding of the tribology of artificial joints is essential for reducing wear and corrosion of modern prostheses. Deposition of ceramic coatings on a surface of metal artificial joint’s head is an effective way to advance the functional characteristics of unipolar and bipolar prosthesis for joint arthroplasty.

References

  1. Tribology and total hip joint replacement: Current concepts in mechanical simulation / S. Affatato, M. Spinelli, M. Zavalloni [ et al.] // Med. Eng. Phys. — 2008. — Vol. 30. — P. 1305–1317, doi: 10.1016/j.medengphy.2008.07.006.
  2. Varley J. Stability of hip arthroplasties / J. Varley, M. J. Parker //
  3. Int. Orthop. — 2004. — Vol. 28 (5). — P. 274–277.
  4. Bohm E. R. Employment status and personal characteristics in patients awaiting hip-replacement surgery / E. R. Bohm // Can. J. Surg. — 2009. — Vol. 52 (2). — P. 142–146.
  5. Operative management of displaced femoral neck fractures in elderly patients. An international survey / M. Bhandary, P. J. Devereaux, P. Tometta, [et al.] // J. Bone Joint Surg. Am. — 2005. — Vol. 87 (9). — P. 2122–2130.
  6. Comparison of internal fixation with total hip replacement for displaced femoral neck fractures / R. Blomfeldt, H. Tornkvist, S. Ponzer [et al.] // J. Bone Joint Surg. Am. — 2004. — Vol. 87 (8). — P. 1680–1688.
  7. Unipolar or bipolar prosthesis for displaced intracapsular hip fracture in octegrnarians a randomized prospective study / S. J. Calder, G. H. Anderson, C. Jagger [et al.] // J. Bone Joint Surg. Br. — 1996. — Vol. 78 (3). — Р. 391–394.
  8. Internal fixation for displaced fractures of the femoral neck. Does bone density affect clinical outcome? / M. J. Heetveld, E. L. Raaymakers, B. L. van Eck-Smit, J. S. K. Luitse // J. Bone Joint Surg. Br. — 2005. — Vol. 87 (3). — P. 367–373.
  9. Loo W. L. Is there a significant difference in surgery and outcomes between unipolar and bipolar hip hemiarthroplasty? A Retrospective study of a single institution in Singapore / W. L. Loo, S. Y. Loh, H. C. Lee // Malaysian Orthopaedic Journal. — 2011. — Vol. 5 (1). — P. 3–7, doi: 10.57704/MOJ.1103.001.
  10. Unipolar versus bipolar hemiarthroplasty: functional outcome after femoral neck fracture at a minimum of thirty six months of follow up / B. C. Ong, S. G. Maurer, G. B. Aharonoff [et al.] // J. Orthop. Trauma. — 2002. — Vol. 16 (5) — P. 317–322.
  11. Unipolar or bipolar hemiarthroplasty for femoral neck fractures in the elderly? / F. J. Raia, C. B. Chapman, M. F. Herrera [et al.] // Clin. Orthop. Relat. Res. — 2003. — Vol. 414 — P. 259–265.
  12. Histological features of pseudotumor-like tissues from metal-on-metal hips / P. Campbell, E. Ebramzadeh, S. Nelson // Clinic. Orthop. — 2010. — Vol. 468 (9) — P. 2321–2327, doi: 10.1007/s11999-010-1372-y.
  13. Comparison of the cytotoxicity of clinically relevant cobalt-chromium and alumina ceramic wear particles in vitro / M. A. Germain, A. Hatton, S. Williams [et al.] // Biomaterials — 2003. — Vol. 24 (3). — P. 469–479.
  14. Ceramic acetabular linear fracture in total hip arthroplasty with a ceramic sandwich cup / M. Hasegawa, A. Sudo, H. Hirata, A. Uchida // J. Arthroplasty. — 2003. — Vol. 18 (5). — P. 658–661.
  15. Long-term results of total hip arthroplasty for femoral neck fracture nonunion / T. M. Mabry, B. Prpa, G. J. Haidukevych [et al.] // J. Bone Joint Surg. Am. — 2004. — Vol. 86-A (10). — P. 2263–2267.
  16. The influence of design, materials and kinematics on the in vitro wear of total knee replacements / H. M. J. McEwen, P. I. Barnett, C. J. Bell [et al.] // J. Biomech. — 2005. — Vol. 38 (2). — P. 357–365.
  17. Treatment of displaced femoral neck fracture, as reflected in Acta Orthopaedica Scandinavica / R. Onnerfalt // Acta Orthop Scand. — 2010. — Vol. 81 (1). — P. 15–20, doi: 10.3109/17453671003635801.
  18. Bhatt H. Implant wear mechanisms — basic approach / H. Bhatt, T. Goswami // Biomed. Mater. — 2008. — Vol. 3 (4). — Article 042001, doi: 10.1088/1748-6041/3/4/042001.
  19. Friction of total hip replacements with different bearings and loading conditions / C. Brockett, S. Williams, Z. Jin [et al.] // J. Biomed. Mater. Res. B Appl. Biomater. — 2007. — Vol. 81B. — P. 508–515.
  20. Examination of surface and material properties of nano structural oxide coatings for joint total and module replacement arthroplasty / A. Zykova, V. Safonov, J. Smolik [et al.] // Orthopaedics, Traumatology and Prosthetics. — 2013. — № 2 (591). — Р. 51–57, doi: http://dx.doi.org/10.15674/0030-59872013251-57.
  21. The improvement of tribological parameters of nano structural mulyilayer coatings for unipolar modular joint applications / A. Zykova, V. Safonov, V. Lukyanchenko [et al.] // Orthopaedics, Traumatology and Prosthetics. — 2014. — № 1 (594). — P. 28–33, doi: http://dx.doi.org/10.15674/0030-59872014128-33.
  22. Modification of implant material surface properties by means of oxide nanostructructural coating deposition / V. Safonov, A. Zykova, J. Smolik [et al.] // J. Appl. Surf. Sci. — 2014. — Vol. 310. — P. 174–179, doi: http://dx.doi.org/10.1016/j.apsusc.2014.04.110.
  23. Leyland A. Design criteria for wear resistant nano structured and glassy-metal coatings / A. Leyland, A. Mathews // Surf. Coat Technol. — 2004. — Vol. 177–178. — P. 317–321.
  24. Musil J. Two-phase single layer Al-O-N nanocomposite films with enhanced resistance to cracking / J. Musil, R. Jilek, M. Meissner [et al.] // Surf. Coat. Technol. — 2012 — Vol. 206 (19–20) — P. 4230–4234.
  25. Formation of modern bearing surfaces by ceramic coating deposition for micro-bearing and biomedical applications / N. Donkov, A. Zykova, V. Safonov [et al.] // Romanian Reports in Physics. — 2014. — Vol. 66 (4). — P. 1180–1188.
  26. Tribological performance of ceramic coatings deposited on metal surfaces for micro-bearing and biomedical applications / V. Safonov, A. Zykova, N. Donkov [et al.] // J. Phys. Conf. Series. — 2014. — Vol. 514. — Article 012017, doi: 10.1088/1742-6596/514/1/012016.
  27. Kusano Y. Methods of data analysis for the micro-scale abrasion test on coated substrates / Y. Kusano, K. van Acker, I. M. Hutchings // Surf. Coat. Technol. — 2004. — Vol. 183 (2–3). — P. 312–327, doi: 10.1016/j.surfcoat.2003.10.010.
  28. Cozza R. C. A study on friction coefficient and wear coefficient of coated systems submitted to micro-scale abrasion tests / R. C. Cozza // Surf. Coat. Technol. — 2013 — Vol. 215 — P. 224–233, doi: 10.1016/j.surfcoat.2012.06.088.

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How to Cite

Zykova, A., Safonov, V., Lukyanchenko, V., Samoilenko, O., Rogowska, R., Smolik, J., & Donkov, N. (2015). Unipolar hip prosthesis with nanocomposite ceramic coated femoral head. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 60–66. https://doi.org/10.15674/0030-59872015260-66

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ORIGINAL ARTICLES