The Experts below are selected from a list of 13833 Experts worldwide ranked by ideXlab platform
J I Alava - One of the best experts on this subject based on the ideXlab platform.
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wear reduction effect on ultra high molecular weight polyethylene by application of hard coatings and ion implantation on cobalt Chromium Alloy as measured in a knee wear simulation machine
Surface & Coatings Technology, 2001Co-Authors: J I Onate, M Comin, I Braceras, A Garcia, J L Viviente, Marta Brizuela, N Garagorri, J L Peris, J I AlavaAbstract:Abstract The most important factor affecting performance and longevity of hip joint and knee implants is the wear rate of the ultra-high-molecular-weight polyethylene (UHMWPE) component. UHMWPE wear debris has been linked to complications including tissue inflammation, bone loss (osteolysis) and implant loosening. Reduction of debris has been addressed by investigating new polyethylene formulations, manufacturing and finishing processes, including surface treatments and coatings both on plastic and metallic components. There have been many studies on the effect of surface treatments and hard coatings on cobalt Chromium and titanium Alloys for prosthetic applications. However, most of them have used laboratory tribo-testers without much correlation to articulating movements in human joints. In this work, hard coatings (TiN and DLC) and surface treatments (nitrogen ion implantation) have been investigated as potential candidates to reduce wear of UHMWPE, when applied on the counter face cobalt Chromium Alloy. Also the effect of applying nitrogen ion implantation on the UHMWPE surface itself has been investigated. To evaluate wear performance a special knee wear simulator has been used with a combined rolling-sliding movement that corresponds to the most unfavourable situation in the knee. As testing materials, conventional coated and uncoated Co–Cr as well as Al 2 O 3 femoral heads were used against UHMWPE plates to obtain comparative data. Testing was carried out at 50 MPa using distilled water at 37±2°C as a lubricant. Wear measurements on UHMWPE were made following ASTM F732 standard by weight loss measurements and also by laser profilometry. The results, up to 5 million wear cycles that represent approximately 3 years of implant life, clearly have demonstrated the beneficial effects of diamond-like carbon (DLC) and ion implantation (both on Co–Cr and UHMWPE) in reducing wear of UHMWPE. Similar values were also obtained for Al 2 O 3 ceramic material. A wear reduction up to approximately five times was obtained by the former materials, in comparison with the uncoated control specimen. However, the ion plated TiN coating increased significantly wear on the UHMWPE. Transference of UHMWPE to the ball was very evident with the uncoated control and TiN coated Co–Cr, as observed by SEM, but with DLC and the ceramic material this occurred to a much lesser extent. Some micro-delamination at the worn surface of the UHMWPE was observed when wearing against uncoated Co–Cr, but was not clear in the rest options. Ion implantation and DLC can thus be two good candidate treatments to reduce wear of UHMWPE in cobalt Chromium knee and hip joint implants in substitution of a more expensive ceramic material. This DLC has passed all biocompatible tests in accordance with FDA regulations and ISO 10993 standards for implantable devices. An example of a uniformly DLC coated femoral head and knee implant is shown.
Arthur A Graziano - One of the best experts on this subject based on the ideXlab platform.
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surface finishing of cobalt Chromium Alloy femoral knee components
Cirp Annals-manufacturing Technology, 2014Co-Authors: Hitomi Yamaguchi, Arthur A GrazianoAbstract:Abstract This paper describes the modification of surface roughness and lay of cobalt Chromium Alloy femoral knee components by magnetic abrasive finishing (MAF), including clarification of the MAF surface-processing mechanisms. The MAF process creates characteristic surfaces by micro-cutting of abrasive pressed by magnetic particles that nearly conform to the surface, removing large asperities and creating microasperities compared to hand-buffed surfaces. The process enables smoothing the surface on the nanometer scale with critical control of surface lay (e.g., crosshatch angle), altering the contact angle of water by a combination of kinematic behavior of magnetic particles over the freeform condyle surface.
Kenneth L Urish - One of the best experts on this subject based on the ideXlab platform.
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trunnion failure of the recalled low friction ion treatment cobalt Chromium Alloy femoral head
Journal of Arthroplasty, 2017Co-Authors: Kenneth L Urish, Brian R Hamlin, Anton Y Plakseychuk, Timothy J Levison, Genymphas B Higgs, Steven M Kurtz, Anthony M DigioiaAbstract:Abstract Background Gross trunnion failure (GTF) is a rare complication in total hip arthroplasty (THA) reported across a range of manufacturers. Specific lots of the Stryker low friction ion treatment (LFIT) anatomic cobalt Chromium Alloy (CoCr) V40 femoral head were recalled in August 2016. In part, the recall was based out of concerns for disassociation of the femoral head from the stem and GTF. Methods We report on 28 patients (30 implants) with either GTF (n = 18) or head-neck taper corrosion (n = 12) of the LFIT CoCr femoral head and the Accolade titanium-molybdenum-zirconium-iron Alloy femoral stems. All these cases were associated with adverse local tissue reactions requiring revision of the THA. Results In our series, a conservative estimate of the incidence of failure was 4.7% (n = 636 total implanted) at 8.0 ± 1.4 years from the index procedure. Failures were associated with a high-offset 127° femoral stem neck angle and increased neck lengths; 43.3% (13 of 30) of the observed failures included implant sizes outside the voluntary recall (27.8% [5 of 18] of the GTF and 75.0% [8 of 12] of the taper corrosion cases). Serum cobalt and Chromium levels were elevated (cobalt: 8.4 ± 7.0 μg/mL; Chromium: 3.4 ± 3.3 μ/L; cobalt/Chromium ratio: 3.7). The metal artifact reduction sequence magnetic resonance imaging demonstrated large cystic fluid collections typical with adverse local tissue reactions. During revision, a pseudotumor was observed in all cases. Pathology suggested a chronic inflammatory response. Impending GTF could be diagnosed based on aspiration of black synovial fluid and an oblique femoral head as compared with the neck taper on radiographs. Conclusion In our series of the recalled LFIT CoCr femoral head, the risk of impending GTF or head-neck taper corrosion should be considered as a potential diagnosis in a painful LFIT femoral head and Accolade titanium-molybdenum-zirconium-iron Alloy THA with unknown etiology. Almost half of the failures we observed included sizes outside of the voluntary recall.
J I Onate - One of the best experts on this subject based on the ideXlab platform.
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wear reduction effect on ultra high molecular weight polyethylene by application of hard coatings and ion implantation on cobalt Chromium Alloy as measured in a knee wear simulation machine
Surface & Coatings Technology, 2001Co-Authors: J I Onate, M Comin, I Braceras, A Garcia, J L Viviente, Marta Brizuela, N Garagorri, J L Peris, J I AlavaAbstract:Abstract The most important factor affecting performance and longevity of hip joint and knee implants is the wear rate of the ultra-high-molecular-weight polyethylene (UHMWPE) component. UHMWPE wear debris has been linked to complications including tissue inflammation, bone loss (osteolysis) and implant loosening. Reduction of debris has been addressed by investigating new polyethylene formulations, manufacturing and finishing processes, including surface treatments and coatings both on plastic and metallic components. There have been many studies on the effect of surface treatments and hard coatings on cobalt Chromium and titanium Alloys for prosthetic applications. However, most of them have used laboratory tribo-testers without much correlation to articulating movements in human joints. In this work, hard coatings (TiN and DLC) and surface treatments (nitrogen ion implantation) have been investigated as potential candidates to reduce wear of UHMWPE, when applied on the counter face cobalt Chromium Alloy. Also the effect of applying nitrogen ion implantation on the UHMWPE surface itself has been investigated. To evaluate wear performance a special knee wear simulator has been used with a combined rolling-sliding movement that corresponds to the most unfavourable situation in the knee. As testing materials, conventional coated and uncoated Co–Cr as well as Al 2 O 3 femoral heads were used against UHMWPE plates to obtain comparative data. Testing was carried out at 50 MPa using distilled water at 37±2°C as a lubricant. Wear measurements on UHMWPE were made following ASTM F732 standard by weight loss measurements and also by laser profilometry. The results, up to 5 million wear cycles that represent approximately 3 years of implant life, clearly have demonstrated the beneficial effects of diamond-like carbon (DLC) and ion implantation (both on Co–Cr and UHMWPE) in reducing wear of UHMWPE. Similar values were also obtained for Al 2 O 3 ceramic material. A wear reduction up to approximately five times was obtained by the former materials, in comparison with the uncoated control specimen. However, the ion plated TiN coating increased significantly wear on the UHMWPE. Transference of UHMWPE to the ball was very evident with the uncoated control and TiN coated Co–Cr, as observed by SEM, but with DLC and the ceramic material this occurred to a much lesser extent. Some micro-delamination at the worn surface of the UHMWPE was observed when wearing against uncoated Co–Cr, but was not clear in the rest options. Ion implantation and DLC can thus be two good candidate treatments to reduce wear of UHMWPE in cobalt Chromium knee and hip joint implants in substitution of a more expensive ceramic material. This DLC has passed all biocompatible tests in accordance with FDA regulations and ISO 10993 standards for implantable devices. An example of a uniformly DLC coated femoral head and knee implant is shown.
Hitomi Yamaguchi - One of the best experts on this subject based on the ideXlab platform.
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surface finishing of cobalt Chromium Alloy femoral knee components
Cirp Annals-manufacturing Technology, 2014Co-Authors: Hitomi Yamaguchi, Arthur A GrazianoAbstract:Abstract This paper describes the modification of surface roughness and lay of cobalt Chromium Alloy femoral knee components by magnetic abrasive finishing (MAF), including clarification of the MAF surface-processing mechanisms. The MAF process creates characteristic surfaces by micro-cutting of abrasive pressed by magnetic particles that nearly conform to the surface, removing large asperities and creating microasperities compared to hand-buffed surfaces. The process enables smoothing the surface on the nanometer scale with critical control of surface lay (e.g., crosshatch angle), altering the contact angle of water by a combination of kinematic behavior of magnetic particles over the freeform condyle surface.