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Convened under the auspicious of esteemed endorsers - ISTA

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Friday, October 8, 2010, 8:00-8:30Session A10: Bearings and TribologyOxinium*Seyedesmaeil Shafiei - Mazandaran - Sari, IRAN*Email: dr.e.shafiei@gmail.comOXINIUMS.E.ShafieiTotal joint arthroplasty is a safe and effective procedure as an end-stage treatment for arthritis.In <strong>the</strong> case <strong>of</strong> hip replacement mean patient age has decreased from sixty-eight to sixty-fiveyears over <strong>the</strong> past eight years, raising concerns over implant longevity and <strong>the</strong> complicationsthat occur in association with revision surgery.The dominant mode <strong>of</strong> failure <strong>of</strong> total joint replacements is aseptic loosening, which in manycases is caused by <strong>the</strong> reaction <strong>of</strong> bone to <strong>the</strong> presence <strong>of</strong> implant debris .In an attempt toincrease implant longevity ,bearing surfaces that minimize <strong>the</strong> volume <strong>of</strong> debris generated from<strong>the</strong> articular surface are being developed .Ultra- high molecular weight polyethylene , which hasbeen <strong>the</strong> mainstay <strong>of</strong> arthroplasty , changing <strong>the</strong> material with which <strong>the</strong> polyethylenearticulates has also been addressed in an effort to fur<strong>the</strong>r improve wear characteristics .Oxinium is <strong>the</strong> brand family name <strong>of</strong> a material used for replacement joints manufactured by<strong>the</strong> reconstructive orthopedic surgery division <strong>of</strong> medical devices company Smith& nephew .Itconsists <strong>of</strong> a Zirconium alley metal substrate that transitions into a ceramic Zirconium oxideouter surface. The ceramic surface is extremely abrasion resistant compared to traditional metalimplants such as cobalt chromium .It also has a lower coefficient <strong>of</strong> friction against ultra-highmolecular weight polyethylene(UHMWPE) ,The typical counter face material used in total jointreplacements.These two factors likely contribute to <strong>the</strong> significantly lower UHMWPE wear rates observed insimulator testing.Reducing UHMWPE wear is thought to decrease <strong>the</strong> risk <strong>of</strong> implant failure due to osteolysis.All ceramic material can have a similar effect in reducing wear, but are brittle and difficult tomanufacture .The metal substrate <strong>of</strong> oxinium implants makes component easier to manufactureand gives <strong>the</strong>m greater toughness(a combination <strong>of</strong> strength and ductility).In essence, thistechnology combines <strong>the</strong> abrasion resistance and low friction <strong>of</strong> a ceramic with <strong>the</strong> workabilityand toughness <strong>of</strong> a metal.MATERIAL:The oxinium(OxZr) component are produced from a wrought zirconium alley(Zr-2.5%Nb) byprocessing that oxygen naturally diffuses into <strong>the</strong> Zirconium alley, Oxygen is absorbed into <strong>the</strong>metal, actually transforming <strong>the</strong> surface to ceramic that is about um thick while <strong>the</strong> rest <strong>of</strong> <strong>the</strong>material remain metal to retain its strength .The result is in a superior bearing surface. Theceramic is an enhanced surface that is part <strong>of</strong> metal substrate ra<strong>the</strong>r than an external coating ,making it very durable with unusual damage tolerance.file:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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