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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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articulating sphere maintains <strong>the</strong> standard BHR clearance. The aim <strong>of</strong> this study was toevaluate <strong>the</strong> wear performance <strong>of</strong> <strong>the</strong> novel DefCom hip joint using a hip wear simulator.Materials and MethodsFive pairs <strong>of</strong> 50 mm DefCom devices were tested in a ProSim hip wear Simulator for 5 millioncycles (MC) at a frequency <strong>of</strong> 1 Hz. The lubricant was new born calf serum with 0.2% sodiumazide diluted with de-ionised water to achieve protein concentration <strong>of</strong> 20 mg/ml. Theflexion/extension was 30° and 15° and <strong>the</strong> internal/external rotation was 10°. The force wasPaul-type stance phase loading with a maximum load <strong>of</strong> 3 kN and a standard ISO swing phaseload <strong>of</strong> 0.3 kN. Five standard 50 mm BHR devices were tested <strong>under</strong> <strong>the</strong> same testingconditions for comparison. Statistical analyses were performed at a 95% confidence level (CL)using <strong>the</strong> statistics function in Excel (Micros<strong>of</strong>t® Excel 2003).ResultsFig. 1 shows <strong>the</strong> cumulative volume loss against number <strong>of</strong> wear cycles for <strong>the</strong> DefCom and <strong>the</strong>BHR devices. Similar to <strong>the</strong> BHR device, <strong>the</strong> DefCom joints experienced relatively higheramount <strong>of</strong> material loss during <strong>the</strong> running-in phase from 0 to 1.0 Mc. However, <strong>the</strong> running-inwear rate for <strong>the</strong> DefCom device (0.23 ± 0.06 mm 3 /MC) was much lower than that for <strong>the</strong> BHRdevice (0.72 ± 0.15 mm 3 /MC). Steady state wear was achieved for all <strong>the</strong> joints from 1.0 to 5.0MC. The steady state wear rate was 0.11 ± 0.03 mm 3 /MC for DefCom and 0.18 ± 0.01mm 3 /MC for <strong>the</strong> BHR joints.DiscussionThis study has shown that <strong>the</strong> DefCom acetabular cup has <strong>the</strong> potential to reduce <strong>the</strong> initialrunning-in wear by reducing <strong>the</strong> clearance at <strong>the</strong> contact area between <strong>the</strong> head and cup. Thedevice also has <strong>the</strong> potential to avoid deformation induced head seizure and high frictionaltorque by maintaining a larger clearance at <strong>the</strong> periphery <strong>of</strong> <strong>the</strong> cup.REFERENCE:[1] D. Dowson, Proc IMeche Part H: J. Eng Med, Vol. 220 H2, pp 161.[2] Kamali, et al, Transactions Vol.34, Las Vegas, NV, 2009, poster 2219,[3] Morlock et al, Med Eng & Phys 31, 2009, pp160-164.Fig. 1. Total volume loss <strong>of</strong> DefCom and BHR devices (Error bar represents ± 95% ConfidenceLimit)Figuresfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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