Evaluation of Aerosol Electrospray Analysis of Metal-on-Metal Wear Particles from Simulated Total Joint Replacement.

Wear is a common cause for aseptic loosening in artificial joints. The purpose of this study was to develop an automated diagnostical method for identification of the number and size distribution of wear debris. For this purpose, metal debris samples were extracted from a hip simulator and then analyzed by the electrospray method combined with a differential mobility analyzer, allowing particle detection ranging from several nanometers up to 1 µm.

Load transfer and periprosthetic fractures after total hip arthoplasty: Comparison of periprosthetic fractures of femora implanted with cementless distal-load or proximal-load femoral components and measurement of the femoral strain at the time of implantation.

Background: Little is known about the causes and mechanisms underlying periprosthetic fractures around femoral components particularly in relation to the stem design. In an in vitro study 20 pairs of fresh cadaveric femora were loaded to fracture axially and transversally.

Findings: When proximal femoral strain was measured at the time of impaction of cementless stems the load transfer was determined by the underlying anatomy rather than by the shape of the stem, so that the so-called "load transfer" properties - proximal or distal - ascribed to stem designs are a myth.

[Low-Carbon Metal-on-Metal Articulations for Hip Arthroplasties--Evaluation of Wear and Histology after 11 to 17 Years].

Background: High-carbon (HC) alloys for hip arthroplasties were preferred to low-carbon (LC) alloys for a long time because of their structurally hard carbide content. We opted for an LC alloy in 1994, because we expected it to be subject to less wear on account of its more homogeneous structure. Prompted by early complications not seen with ceramic-on-polyethylene mating surfaces, LC metal-on-metal articulations were, however, given up by us in early 1999.

A cementless hip system with a new surface for osseous integration.

Purpose: The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosening.

Contamination of surfaces for osseointegration of cementless total hip implants by small aluminium oxide particles: analysis of established implants by use of a new technique.

Background: The failure of total hip replacements because of wear, particle-induced osteolysis, and aseptic loosening has focussed interest on factors potentially affecting the rate of wear. In this context the effect of particle release from the bone-implant interface of cementless implants is poorly understood. The surface structure for bony ongrowth of many cementless implants is created by grit-blasting.

An Efficient and Accurate Formalism for the Treatment of Large Amplitude Intramolecular Motion.

We propose a general approach to describe large amplitude motions (LAM) with multiple degrees of freedom (DOF) in molecules or reaction intermediates, which is useful for the computation of thermochemical or kinetic data. The kinetic part of the LAM Lagrangian is derived using a Z-matrix internal coordinate representation within a new numerical procedure. This derivation is exact for a classical system, and the uncertainties on the prediction of observable quantities largely arise from uncertainties on the LAM potential energy surface (PES) itself.

Methyldichloroborane evidenced as an intermediate in the chemical vapour deposition synthesis of boron carbide.

The most recent ceramic-matrix composites (CMC) considered for long-life applications as thermostructural parts in aerospace propulsion contain, among others, boron-rich phases like boron carbide. This compound is prepared by thermal Chemical Vapour Infiltration (CVI), starting from precursors like boron halides and hydrocarbons. We present a study aiming at a precise knowledge of the gas-phase composition in a hot-zone LPCVD reactor fed with BCl3, CH4 and H2, which combines experimental and theoretical approaches.

Reaction mechanism for the thermal decomposition of BCl3/CH4/H2 gas mixtures.

This paper presents an ab initio study of the B/C/Cl/H gas phase mechanism, featuring 10 addition-elimination reactions involving BH(i)Cl(j) (i + j ≤ 3) species and a first description of the chemical interaction between the carbon-containing and boron-containing subsystems through the three reactions BCl(3) + CH(4) ⇌ BCl(2)CH(3) + HCl, BHCl(2) + CH(4) ⇌ BCl(2)CH(3) + H(2), and BCl(2) + CH(4) ⇌ BHCl(2) + CH(3). A reaction mechanism is then proposed and used to perform some illustrative equilibrium and kinetic calculations in the context of chemical vapor deposition (CVD) of boron carbide. Our results show that the new addition-elimination reaction paths play a crucial role by lowering considerably the activation barrier with respect to previous theoretical evaluations; they also confirm that BCl(2)CH(3) is an important species in the mechanism.

Theoretical study of the decomposition of BCl3 induced by a H radical.

We report on a theoretical study of the gas-phase decomposition of boron trichloride in the presence of hydrogen radicals using ab initio energetic calculations coupled to TST, RRKM, and VTST-VRC kinetic calculations. In particular, we present an addition-elimination mechanism (BCl(3) + H → BHCl(2) + Cl) allowing for a much more rapid consumption of BCl(3) than the direct abstraction reaction (BCl(3) + H → BCl(2) + HCl) considered up to now. At low temperatures, T ≤ 800 K, our results show that a weakly stabilized complex BHCl(3) is formed with a kinetic law compatible with the consumption rate measured in the former experiments.

Hindered rotor models with variable kinetic functions for accurate thermodynamic and kinetic predictions.

We present an extension of some popular hindered rotor (HR) models, namely, the one-dimensional HR (1DHR) and the degenerated two-dimensional HR (d2DHR) models, allowing for a simple and accurate treatment of internal rotations. This extension, based on the use of a variable kinetic function in the Hamiltonian instead of a constant reduced moment of inertia, is extremely suitable in the case of rocking/wagging motions involved in dissociation or atom transfer reactions. The variable kinetic function is first introduced in the framework of a classical 1DHR model.

Postmortem study of femoral osteolysis associated with metal-on-metal articulation in total hip replacement: an analysis of nine cases.

Background: Improved metal-on-metal articulations were reintroduced in total hip replacement to avoid the osteolysis sometimes seen with conventional ultra-high molecular weight polyethylene bearings. Osteolysis and local lymphocytic infiltration have been reported at revision of some metal-on-metal devices. We report similar and additional results in a study of second-generation metal-on-metal hip implants retrieved post mortem.

Presence of corrosion products and hypersensitivity-associated reactions in periprosthetic tissue after aseptic loosening of total hip replacements with metal bearing surfaces.

Aseptic loosening of articular implants is frequently associated with tissue reactions to wear particles. Some patients, who had received metal-on-metal articulations, present early symptoms including persistent pain and implant failure. These symptoms raise the suspicion about the development of an immunological response.

Vortex-nucleating Zeeman resonance in axisymmetric rotating Bose-Einstein condensates.

By use of the Larmor equivalence between uniform rotation and a magnetic field, we consider in the strong-interaction Thomas-Fermi regime the single centered vortex as the first Zeeman-like excited state of the axisymmetric rotating Bose-Einstein condensate. This yields a resonant-drive nucleation mechanism whose threshold is in quite good agreement with ENS, MIT, and JILA experimental results.

Characterization, quantification, and isolation of aluminum oxide particles on grit blasted titanium aluminum alloy hip implants.

Background: This study was undertaken to verify whether or not the microstructure of aluminum alloy implants interferes with the characterization and quantification of aluminum inclusions on their surfaces, resulting from grit blasting.

Methods: Four factory-fresh prostheses were investigated by scanning electron microscopy and X-ray microanalysis. Specimens were cut out of the stems and the cross-sections analyzed.

Lung disease 35 years after aspiration of activated charcoal in combination with pulmonary lymphangioleiomyomatosis. A histological and clinicopathological study with scanning electron microscopic evaluation and element analysis.

Activated charcoal provides effective treatment for most toxic ingestions. Accidental aspiration of activated charcoal is rare. Previously, there have been a few single cases reported on charcoal-related pulmonary complications.

Retrieval study of uncemented metal-metal hip prostheses revised for early loosening.

A tribologic assessment was performed on 22 metal-metal hip prostheses from a single manufacturer, following removal for early aseptic loosening after a mean service life of 32 months (range, 12-59 months). The mean linear wear rate was 7.6 microm/year (range, 2.

[A new ISO/FDIS 14242-1 compatible hip prosthesis simulator: E-SIM].

The continuing development of new, highly sophisticated materials for the articulating surfaces of total hip endoprostheses involves the need for testing, not only of biocompatibility and dynamic loadability, but also of tribological properties (friction, wear, lubrication). For decades, the wear resistance of these materials has been tested in wear simulators. In consequence of the currently often widely differing test methods, the technical committee (TC 150) of the ISO (International Organization for Standardization) has been concerned to develop an International Standard (ISO/FDIS 14242 1 and 2: Implants for Surgery--wear of total hip joint prostheses--on the basis of kinetic and kinematic data from gait analysis.