A Pictographic Atlas for Classifying Damage Modes on Polyethylene Bearings

Overview

Journal J Mater Sci Mater Med

Publisher Springer

Specialty Biomedical Engineering

Date 2011 Apr 5

PMID 21461698

Citations 3

Authors

Melinda Harman

Luca Cristofolini

Paolo Erani

Susanna Stea

Marco Viceconti

Affiliations

Soon will be listed here.

Abstract

Evaluation of medical devices retrieved after in vivo service provides unique evidence related to the physiological environment in which the biomaterials performed. This study implements a training procedure for evaluating polyethylene bearings of joint prostheses obtained after pre-clinical tests or explanted after in vivo function. A total of 161 damage regions on 45 bearings were evaluated by four observers. An illustrated Damage Mode Atlas was developed as a reference guide, inclusive of both photographs and concise written descriptions of 16 specific damage modes that are typical for polyethylene bearings. Utilizing the Damage Mode Atlas to train new researchers improved the damage pattern analysis, including more accurate identification of damage modes and improved inter-rater reliability. This Damage Mode Atlas is a useful supplementary tool for conducting Stage II non-destructive analysis of explanted polyethylene bearings used for joint replacement, in accordance with international guidelines for evaluating explanted medical devices.

Citing Articles

Peripheral snap-fit locking mechanisms and smooth surface finish of tibial trays reduce backside wear in fixed-bearing total knee arthroplasty.

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PMID: 27781667 PMC: 5251266. DOI: 10.1080/17453674.2016.1248202.

Validation of a model-based measurement of the minimum insert thickness of knee prostheses: a retrieval study.

van IJsseldijk E, Harman M, Luetzner J, Valstar E, Stoel B, Nelissen R Bone Joint Res. 2014; 3(10):289-96.

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A rare case of bilateral large osteolysis following cemented and cementless total knee arthroplasties.

Dexel J, Kirschner S, Harman M, Lutzner J Acta Orthop. 2012; 84(1):112-5.

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