Bioceramics and Alternative Bearings in Joint Arthroplasty: 12th BIOLOX® Symposium Seoul, Republic of Korea September 7 – 8, 2007 Proceedings PDF
Preview Bioceramics and Alternative Bearings in Joint Arthroplasty: 12th BIOLOX® Symposium Seoul, Republic of Korea September 7 – 8, 2007 Proceedings
Ceramics in Orthopaedics 12thBIOLOX®Symposium Proceedings Edited by JUN-DONG CHANG KARL BILLAU s JUN-DONG CHANG c n KARL BILLAU i id Editors e s ca ip m o ah rt er CO Bioceramics and Alternative Bearings in Joint Arthroplasty 12th BIOLOX® Symposium Seoul, Republic of Korea September 7 - 8, 2007 Proceedings with 146 Figures in 259 separate Illustrations and 47 Tables JUN-DONG CHANG,M.D. Department of Orthopaedic Surgery Hangang Sacred Heart Hospital, Hallym University College of Medicine Youngdungpo-dong 2-ga, Youngdungpo-gu 150-719 Seoul, Korea KARL BILLAU CeramTec AG Medical Products Division Fabrikstrasse 23-29 73207 Plochingen, Germany ISBN 978-3-7985-1782-0 Steinkopff Verlag Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress. Bibliographic information published by Die Deutsche Bibliothek Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie, detailed bibliographic data is available in the Internet at <http://dnb.ddb.de>. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Steinkopff Verlag. Violations are liable for prosecution under the German Copyright Law. Steinkopff Verlag a member of Springer Science+Business Media http://www.steinkopff.springer.de © Steinkopff Verlag, 2007 © Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: the publishers cannot guarantee the accuracy of any information about the application of operative techniques and medication contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover Design: TOP DESIGN, Thomas Schuster, Waiblingen Production and Typesetting: druckerei justus kuch GmbH, Nürnberg SPIN 12119837 105/7231-5 4 3 2 1 0 - Printed on acid-free paper. Preface Dear Colleague and Participant of the 12thInternational BIOLOX®Symposium It is an honor for CeramTec to have the BIOLOX®Symposium in Asia. The selection of Seoul, Korea as the site was a difficult one due to the fact that there are many wonderful location options in this dynamic and fast growing region of the world. The selection was made easier by the outstanding support of our Symposium Chairman, Prof. Chang, as well as the excellent airline service and meeting facilities present in Seoul. We hope that conducting the Symposium in this region will serve as a foundation for the increased recognition of the potential patient benefits to be derived from the use of ceramics and other alternative bearing technologies in Korea, China, India, Japan and the rest of the countries of the region. We are convinced that the high quality of the program organized by the scientific committee, the prestigious faculty assembled and your contributions as participants will serve as a catalyst in order to make this Symposium a very enlightening and worthwhile personal experience for all. In order to enhance the value of the experience we are pleased to include this proceedings book as an integral part of your registration materials. We hope that this written more complete version of the scientific program will allow you to carry home a more concise view of the Symposium presentations. Beginning in 2008, we have decided to modify our past practice by holding the meeting bi-annually instead of on an annual basis. We have elected to do this for two reasons. The most important reason is to allow both clinical and scientific knowledge to evolve further and secondly because the global leaders who form our speakers platform are simply confronted with so many meetings and Symposiums that their availability is very limited at times. This year, we are very pleased to honor the lifelong contributions of Professor Heinz Mittelmeier by renaming the BIOLOX®Awardnormally granted to young clinicians and scientists in his honor. The Heinz Mittelmeier BIOLOX®Award will be granted in recognition of outstanding research work in the field of orthopaedics. We welcome you to our Symposium in this wonderful country. We hope that you find the program we have put together to be of high value to you. Best Regards, Karl Billau President, CeramTec Medical Products Preface I am very pleased to open the 12thInternational BIOLOX®Symposium in Seoul, Korea as a symposium president of this honorable meeting. International BIOLOX®Symposium is a meeting for Bioceramics and alternative bearings in joint arthroplasty, which is carried out every year by CeramTec Company. I would like to express my deep gratitude to the CeramTec Company for its great support. This symposium has been prestigious for its informative and productive contents. From the beginning, the 11 previous meetings have been held in very attractive cities, including Rome last year. Symposium in Seoul marks the first time that this international ceramics forum for scientist and surgeons has ever been held in Asia. September is one of the best seasons in Korea, and just after our meeting, the 15th Triennial Congress of Asia Pacific Orthopaedic Association will be consecutively held here in Seoul. Asia is the most populated continent consisting of nearly half of the world population living here in Asia. With its growing economical power and changing pattern of life, arthroplasty is increasingly performed at a phenomenal rate. Asian researchers are also very sensitive to adopt the recent technical and qualitative issues. Among the recent developments in the arthroplasty field, bearing surface occupies one of the most important positions. In Asian culture, sitting with crossed legs and squatting positions are more common compared to the Western culture. Because of such a different cultural background, in arthroplasty, impingement and wearing of liner are more important problems. With this point of view, the interest about bioceramic and alternative bearing is increasing. The symposium is composed of 10 sessions and plenary lectures of the most current knowledge available in the use of Bioceramics and alternative bearings. We have invited more than 50 speakers with world-famous reputations from 12 countries. They joyfully accepted our invitation in spite of their busy schedule. A total of 52 topics on recent developments in Bioceramic and alternative bearings in arthroplasty will be presented in this meeting. The scientific committee paid a lot of attention to make an academic and well-balanced scientific program. At a plenary lecture session, we will have three memorable lectures: ‘Tribute to Heinz Mittelmeier’, a respectable pioneer of bioceramic, by Professor K. Knahr, ‘The Essential of Self-Locking THR with ceramic components. Basic Developments and Results.’, by Professor H. Mittelmeier, and ‘The Bearing of the Future: Delta Ceramics - Highly Crosslinked Polyethylene’ by Professor R. H. Rothman. Just after plenary lecture, the symposium dinner is scheduled. I hope to spend our special time together for friendship sharing knowledge and experiences. Finally, I would like to express my deep gratitude to all the speakers and attendants; the President of CeramTec, Ulf D. Zimmermann for his excellent vision and firm support; and also to all the CeramTec staff who have been involved to organize this symposium. All this engagement will make the BIOLOX®Symposium in Seoul to a very successful meeting, and our cumulative effort will make the future of Arthroplasty more promising. Jun-Dong Chang, MD, PhD Symposium President Hangang Sacred Heart Hospital Hallym University College of Medicine Seoul, Korea List of contents SESSION 1A Tribology 1A.1 Differences and Opportunities of THA in the USA, Asia and Europe .............................................................................. 3 H. Kiefer 1A.2 Influence of the Wear-Couple and Patient Activity on Linear Wear in Total Hip Replacement......................................................... 9 Ch. Hendrich, N. Wollmerstedt, S. Goebel and J. M. Martell 1A.3 Roles of Cellular and Molecular Targets of Wear Debris in Periprosthetic Osteolysis ................................................... 19 S.-S. Lee, J.-D. Chang, P. E. Purdue, B. J. Nestor, T. P. Sculco and E. A. Salvati SESSION 1B Tribology 1B.1 Wear Performance of 36mm BIOLOX®forte/delta Hip Combinations Compared in Simulated ‘Severe’ Micro-Separation Test Mode ........................................................... 33 I. C. Clarke, D. Green, P. Williams, G. Pezzotti and T. Donaldson 1B.2 In-Vitro and In-Vivo Ceramic Debris with Ceramic Prosthesis ................................................................................... 45 A. Toni, F. Traina, M. De Fine, E. Tassinari, F. Biondi, A. Galvani, F. Pilla and S. Stea 1B.3 Surface Roughness of Ceramic Femoral Heads after In-Vivo Transfer of Metal Correlation to Polyethylene Wear ...................................................................................... 49 Y.-H. Kim 1B.4 Hydrothermal Stability of Ceramic Femoral Heads ................................................................................................. 59 V. Corfield, I. Khan and R. Scott X SESSION 2 Ceramic/Polyethylene 2.1 Ceramic on highly cross-linked Polyethylene in cementless Total Hip Arthroplasty ................................................................ 67 J.-S. Kang and K.-H. Moon 2.2 Comparative Analysis of Ceramic to Ceramic Bearing with Metal to Electron Beam-Irradiated highly cross-linked UHMWPE Bearing .............................................................. 71 S.-K. Kim, J.-W. Park, J.-H. Wang and J.-G. Kim 2.3 Comparison of Uncemented Total Hip Arthroplasty between Metal on Metal and Ceramic on Polyethylene Bearing Surfaces in Young Patients .......................................... 73 Y.-H. Kim 2.4 Comparison of Polyethylene Wear against Alumina and Zirconia Heads in Cemented Total Hip Arthroplasty ......................................................................................... 83 K. Kawanabe, B. Liang, K. Ise and T. Nakamura SESSION 3 Large Diameter Wear Couples 3.1 Wear of large Ceramic Bearings...................................................................... 91 T. Pandorf 3.2 Evolution for Diameters Features and Results ................................................. 99 P. Dalla Pria, M. Pressacco, F. Benazzo and S. Fusi 3.3 Design Rationale for Acetabular Cups with alternative Bearings and large Diameter Heads.......................................... 107 J. Oehy and M. Shen 3.4 Use of Modular Femoral Stem combined with large Diameter Femoral Head in Alumina-on-Alumina Total Hip Arthroplasty....................................................................................... 117 Y.-S. Park, Y.-W. Moon and S.-J. Lim XI SESSION 4 Ceramic Knee Implants 4.1 Ceramic Femoral Prosthesis in TKA –Present and Future ........................................................................................ 123 M.-C. Lee and J.-W. Ahn 4.2 Finite-Element-Analysis of a Cemented Ceramic Femoral Component in Total Knee Arthroplasty .......................................... 133 Ch. Schultze, D. Klüß, A. Lubomierski, K.-P. Schmitz, R. Bader and W. Mittelmeier 4.3 Advanced Testing of Ceramic Femoral Knee Components ................................................................................................... 137 T. Pandorf and M. Kuntz 4.4 Reasons using a Ceramic Femoral Component and First Clinical Experience ......................................................................... 145 F. Benazzo, P. Dalla Pria, W. Mittelmeier, D. Tigani, C. Zorzi, D. Ganzer, C.H. Lohmann, E.G. Cimbrelo, C.R. Merchan, E.M. Saura, A.U. Lizaur, J.F. Couceiro and S. Burelli 4.5 Comparison of In-Vivo Wear between Polyethylene Inserts articulating against Ceramic and Cobalt- Chrome Femoral Components in Total Knee Prostheses............................ 149 H. Oonishi, S.-C. Kim, H. Oonishi, M. Kyomoto, M. Iwamoto and M. Ueno SESSION 5A HardonHard Bearings 5A.1 Toughening vs. Environmental Aging in BIOLOX®delta: A micromechanics study .............................................. 163 G. Pezzotti 5A.2 Clinical Experience with Ceramic on Ceramic in the USA ...................................................................................................... 169 J. P. Garino 5A.3 Why use an all Ceramic Tripolar THR ? –clinical and experimental data ................................................................ 173 J.-Y. Lazennec, H. Sari Ali, M. Gorin, B. Roger, A. Baudoin and A. Rangel 5A.4 Lessons from 1stgeneration Ceramic on Ceramic THA ............................................................................. 179 Y.-J. Cho 5A.5 Nine-Year Experience with a Contemporary Alumina-on-alumina THA Implant ............................................................... 181 H.-J. Kim and J.-J. Yoo XII 5A.6 Ceramic on Ceramic Bearing in Coren®Hip System ..................................................................................... 187 J. - M. Lee SESSION 5B Hard on Hard Bearings 5B.1 Metallosis in Metal-on-Metal PPF Total Hip Arthroplasties .......................................................................... 193 R. Legenstein, W. Huber and P. Boesch 5B.2 Results of 10 Years' Follow-Up of Ceramic- Ceramic Couples in Total Hip Replacement ............................................. 205 M. Azizbaig Mohajer, F. Plattner and R. Graf 5B.3 Mid-Term Results of Ceramic-on-Ceramic Bearing Extensively Porous Coated AML® Total Hip Arthroplasty ................................................................................... 211 K.-H. Moon, J.-S. Kang, D.-J. Lee, S.-H. Lee and K.-H. Kim 5B.4 Alumina-on-Alumina Total Hip Arthroplasty in Patients with Osteonecrosis less than 50 Years Old .................................................................................................. 219 S.-Y. Kim 5B.5 Total Hip Arthroplasty using third Generation Alumina-on-Alumina Articulation .............................................................. 221 K.-H. Koo 5B.6 Ceramic on Ceramic in Hybrid THR (Cemented Femoral Stem) –A five to seven year evalution .................................................................. 223 S.-J. Yim 5B.7 Mechanical Effect of the Articulating Materials on the Proximal Femur and the Femoral Stem in Total Hip Arthroplasty ............................................................................... 229 Y.-Y. Won, K.-H. Moon, Y.-S. Yu, L.-S. Hyup and W.-Q. Cui SESSION 6 Market Trends and Future Applications 6.1 Surface Characteristics and Biocompatibility of Micro Arc Oxidized (MAO) Titanium Alloy ............................................... 239 S.-Y. Kwon, Y.-S. Kim, D.-H. Sun, S.-S. Kim and H.-W. Kim
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