Wear of the Christiansen hip prosthesis

Abstract

The wear was examined in 39 Christiansen total hip prostheses, which were removed because of mechanical loosening after being used 5 (3–11) years. In the polyacetal acetabular cups, the head had made an eccentric defect, the mean volume of which was 680 (180–3310) mm³. The mean penetration of the head into the wall of the cup was 0.8 (0.1–3.2) mm. In two additional cups the head had penetrated right through the wall of the cup. In three prostheses the polyacetal sleeve of the trunnion was so worn that the head bore directly on the stem. There was a positive correlation between wear and the time the prostheses had been used before symptoms of loosening presented.