Publication:
Severe biomechanical conditions in total hip replacement.

dc.contributor.author Walter, William Lindsay en_US
dc.date.accessioned 2022-03-21T11:40:26Z
dc.date.available 2022-03-21T11:40:26Z
dc.date.issued 2006 en_US
dc.description.abstract Hip simulators are designed to reproduce the forces and motion patterns of normal walking. In vivo demands on total hip replacements, however, are varied and often more severe than normal walking conditions. It is these severe conditions that often lead to implant failure. This is clinically based research aimed at understanding some of the more severe conditions in hips and the effect that these have on the performance of the total hip replacement. The polyethylene liner can act as a pump in an acetabular component, forcing fluid and wear particles through the holes to the retroacetabular bone causing osteolysis. Ten patients were studied at revision surgery. Pressures were measured in retroacetabular osteolytic lesions while performing pumping manouvers with the hip. Two laboratory experiments were then designed to study pumping mechanisms in vitro. In patients with contained osteolytic lesions, fluid pressure fluctuations could be measured in the lesion in association with the pumping action. Patients with uncontained osteolytic lesions showed no such pressure fluctuations. In the laboratory we identified 3 distinct mechanisms whereby fluid can be pumped from the hip joint to the retroacetabular bone. These pumping effects could be mitigated by improved implant design. Loading of the femoral head against the edge of the acetabular component produces dramatically increased contact pressures particularly in hard-on-hard bearings. In an analysis of 16 retrieved ceramic-on-ceramic bearings we were able to characterise the mechanism of edge loading based on the pattern of edge loading wear on the bearing surface. Finally in a radiographic study of patients with squeaking ceramic-on-ceramic hips. Squeaking was found to be associated with acetabular component malposition. It seems that edge loading or impingement may be an associated factor in these cases. en_US
dc.identifier.uri http://hdl.handle.net/1959.4/25968
dc.language English
dc.language.iso EN en_US
dc.publisher UNSW, Sydney en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.subject.other Total hip replacement en_US
dc.subject.other Artificial hip joints en_US
dc.subject.other Hip joint - Surgery en_US
dc.title Severe biomechanical conditions in total hip replacement. en_US
dc.type Thesis en_US
dcterms.accessRights open access
dcterms.rightsHolder Walter, William Lindsay
dspace.entity.type Publication en_US
unsw.accessRights.uri https://purl.org/coar/access_right/c_abf2
unsw.identifier.doi https://doi.org/10.26190/unsworks/15759
unsw.relation.faculty Engineering
unsw.relation.originalPublicationAffiliation Walter, William Lindsay, Biomechanics, Faculty of Medicine, UNSW en_US
unsw.relation.school School of Biomedical Engineering *
unsw.thesis.degreetype PhD Doctorate en_US
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