Bio-Tribological Demands

From an engineer’s point of view, an artificial joint represents a technical system with well-defined components under individual boundary conditions that are difficult to predict. History has shown that materials which were demonstrated to have considerable potential as biomaterials for joint reconstruction under in vitro conditions, failed in vivo after a short period due to a bad mechanical or biological outcome. Examples of this are polytetrafluoroethylene (PTFE, or ‘teflon’) and zirconia ceramics (Charnley, 1961, 1963; Derbyshire et al., 1994; Dowson, 2001; Haraguchi et al., 2001; Hernigou and Bahrami, 2003). Bio-engineers and surgeons often must wait for years to discover if a new material or implant design will have a proven clinical outcome. Materials are used for joint prostheses according to their function. For example, a distinction can be drawn between materials made for components used to achieve the best possible long-term fixation within the bone stock and those that are made for reconstruction of the deceased joint articulation function. The latter are included in the present book. This chapter explains the choice of materials used today and what the bio-tribological demands for a new bearing material are.

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