Alternative bearing surfaces in total hip arthroplasty

Abstract

Total hip arthroplasty continues to be one of the most effective surgical procedures currently available. The longevity of this otherwise very successful procedure is compromised by the wear of the bearing surface. In recent years, great advances have been made in the design of bearing surfaces that poise to offer extended performance to these artificial joints. The purpose of this review is to discuss the recent technologic advances in bearing surfaces and offer an insight to the potential benefits and concerns with the alternative bearing surfaces.

Keywords::

• alumina
• cobalt-chromium-molybdenum
• osteoarthritis
• osteolysis
• polyethylene
• total hip arthroplasty
• tribology
• ultrahigh-molecular-weight polyethylene (UHMWPE)
• zirconia