Ce-TZP/Al2O3 nanocomposite as a bearing material in total joint replacement.

The objectives of this study were to investigate the biocompatibility, phase stability, and wear properties of a newly developed Ce-TZP/Al(2)O(3) nanocomposite, as compared to conventional ceramics, and to determine whether the new composite could be used as a bearing material in total joint prostheses. In tests of mechanical properties, this composite showed significantly higher toughness than conventional Y-TZP. For biocompatibility tests, cylindrical specimens of both the Ce-TZP/Al(2)O(3) nanocomposite and monolithic alumina were implanted into the paraspinal muscles of male Wistar rats. The tissue reactions were almost the same, and at 24 weeks after implantation, thin fibrous capsules with almost no inflammation were observed around both of them. There were no significant differences in membrane thickness between the two ceramics. After hydrothermal treatment in 121 degrees C vapor for 18 h, the new composite showed complete resistance to aging degradation, whereas Y-TZP showed a phase transformation of 25.3 vol% (initial 0.4%) to the monoclinic form. According to the results of pin-on-disk tests, the wear rates of Ce-TZP/Al(2)O(3) nanocomposite and alumina were 0.55 +/- 0.04 x 10(-7) and 2.12 +/- 0.37 x 10(-7)mm(3)/Nm, respectively. The results of this study suggest that the Ce-TZP/Al(2)O(3) nanocomposite is a promising alternative ceramic component for total joint replacement.

[1]  S. Affatato,et al.  Mixed oxides prosthetic ceramic ball heads. Part 3: effect of the ZrO2 fraction on the wear of ceramic on ceramic hip joint prostheses. A long-term in vitro wear study. , 2001, Biomaterials.

[2]  G. Willmann,et al.  Ceramic Femoral Head Retrieval Data , 2000, Clinical orthopaedics and related research.

[3]  B. Calès Zirconia as a sliding material: histologic, laboratory, and clinical data. , 2000, Clinical orthopaedics and related research.

[4]  W. Burger,et al.  High Strength and Toughness Alumina Matrix Composites by Transformation Toughening and 'In Situ' Platelet Reinforcement (ZPTA) - The New Generation of Bioceramics , 2000 .

[5]  B. Calès,et al.  Ageing of Zirconia: Everything You Always Wanted to Know , 2000 .

[6]  A Stark,et al.  Ultra-low wear rates for rigid-on-rigid bearings in total hip replacements , 2000, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[7]  D Dowson,et al.  A comparative joint simulator study of the wear of metal-on-metal and alternative material combinations in hip replacements , 2000, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[8]  Y. Sawae,et al.  IMPROVEMENT IN MICROSTRUCTURE AND WEAR PROPERTY OF ALUMINA CERAMICS FOR JOINT PROSTHESES , 1999 .

[9]  H. Mckellop,et al.  Frictional heating of bearing materials tested in a hip joint wear simulator , 1997, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[10]  R. Schenk,et al.  Wear Behavior and Histopathology of Classic Cemented Metal on Metal Hip Endoprostheses , 1996, Clinical orthopaedics and related research.

[11]  P. Campbell,et al.  Cobalt and Chromium Concentrations in Patients With Metal on Metal Total Hip Replacements , 1996, Clinical orthopaedics and related research.

[12]  P. Christel,et al.  Analysis of the general features of the soft tissue response to some metals and ceramics using quantitative histomorphometry. , 1994, Journal of biomedical materials research.

[13]  B. Calès,et al.  Long-term in vivo and in vitro aging of a zirconia ceramic used in orthopaedy. , 1994, Journal of biomedical materials research.

[14]  D. Dowson,et al.  Comparative study of the wear of UHMWPE with zirconia ceramic and stainless steel femoral heads in artificial hip joints. , 1994, Medical engineering & physics.

[15]  T. Yamamuro,et al.  Time-dependent changes in the mechanical properties of zirconia ceramic. , 1993, Journal of biomedical materials research.

[16]  W H Harris,et al.  Production of cytokines around loosened cemented acetabular components. Analysis with immunohistochemical techniques and in situ hybridization. , 1993, The Journal of bone and joint surgery. American volume.

[17]  K. Gahr,et al.  Effect of grain size on friction and sliding wear of oxide ceramics , 1993 .

[18]  A Walter,et al.  On the material and the tribology of alumina-alumina couplings for hip joint prostheses. , 1992, Clinical orthopaedics and related research.

[19]  C. Andres,et al.  Effects of environmental factors on maxillofacial elastomers: Part I--Literature review. , 1992, The Journal of prosthetic dentistry.

[20]  H Tsuru,et al.  Tissue compatibility and stability of a new zirconia ceramic in vivo. , 1992, The Journal of prosthetic dentistry.

[21]  K Ikeuchi,et al.  Low wear rate of UHMWPE against zirconia ceramic (Y-PSZ) in comparison to alumina ceramic and SUS 316L alloy. , 1991, Journal of biomedical materials research.

[22]  J. Drummond In vitro aging of yttria-stabilized zirconia , 1989 .

[23]  R. M. Biefeld,et al.  Temperature/Composition Phase Diagram of the System Bi2O3‐PbO , 1981 .

[24]  John Charnley,et al.  Low Friction Arthroplasty of the Hip: Theory and Practice , 1978 .

[25]  A. Ferguson,et al.  Tissue reaction in rabbit muscle exposed to metallic implants. , 1967, Journal of biomedical materials research.

[26]  C. Piconi,et al.  Zirconia as a ceramic biomaterial. , 1999, Biomaterials.

[27]  V. Saikko,et al.  Low wear and friction in alumina/alumina total hip joints: a hip simulator study. , 1998, Acta Orthopaedica Scandinavica.

[28]  H. Awaji,et al.  Fracture toughness measurements of ceramics by V notch technique , 1992 .

[29]  M Heller,et al.  Mechanical properties and short-term in-vivo evaluation of yttrium-oxide-partially-stabilized zirconia. , 1989, Journal of biomedical materials research.

[30]  K. Tsukuma Mechanical properties and thermal stability of CeO/sub 2/ containing tetragonal zirconia polycrystals , 1986 .

[31]  John Charnley,et al.  Low Friction Arthroplasty of the Hip , 1979 .