Designing excellent hip implant composite material with optimal physical, mechanical and wear properties is challenging. Improper hip implant composite design may result in a premature component and product failure. Therefore, a hybrid decision-making tool was proposed to select the optimal hip implant composite according to several criteria that are probably conflicting. In varying weight proportions, a series of hip implant composite materials containing different ceramics (magnesium oxide, zirconium oxide, chromium oxide, silicon nitride and aluminium oxide) were fabricated and evaluated for wear and physicomechanical properties. The density, void content, hardness, indentation depth, elastic modulus, compressive strength, wear, and fracture toughness values were used to rank the hip implant composites. It was found that the density and void content of the biocomposites remain in the range of 3.920-4.307 g/cm and 0.0021-0.0089%, respectively. The composite without zirconium oxide exhibits the lowest density (3.920 g/cm), while the void content remains lowest for the composite having no chromium oxide content. The highest values of hardness (28.81 GPa), elastic modulus (291 GPa) and fracture toughness (11.97 MPa.m) with the lowest wear (0.0071 mm/million cycles) were exhibited by the composites having 83 wt.% of aluminium oxide and 10 wt.% of zirconium oxide. The experimental results are compositional dependent and without any visible trend. As a result, selecting the best composites among a group of composite alternatives becomes challenging. Therefore, a hybrid AHP-MOORA based multi-criteria decision-making approach was adopted to choose the best composite alternative. The AHP (analytic hierarchy process) was used to calculate the criteria weight, and MOORA (multiple objective optimisation on the basis of ratio analysis) was used to rank the composites. The outcomes revealed that the hip implant composite with 83 wt.% aluminium oxide, 10 wt.% zirconium oxide, 5 wt.% silicon nitride, 3 wt.% magnesium oxide, and 1.5 wt.% chromium oxide had the best qualities. Finally, sensitivity analysis was conducted to determine the ranking's robustness and stability concerning the criterion weight.
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http://dx.doi.org/10.3390/ma15113800 | DOI Listing |
Introduction: For total hip arthroplasty (THA) to be successful, surgeons need to make several decisions ranging from implant choice to impaction force. It is unclear, however, whether and how bone quality affects surgeon's decision-making and how surgeons evaluate bone quality.
Objectives: This inductive/deductive qualitative hybrid study aims to explore the impact of bone quality on the decision-making of surgeons performing elective primary THA.
Mol Med Rep
March 2025
Department of Orthopedics, People's Hospital of Zhengzhou University, Zhengzhou, Henan 450003, P.R. China.
Aseptic loosening (AL) of artificial hip joints is the most common complication following hip replacement surgery. A total of eight patients diagnosed with AL following total hip arthroplasty (THA) undergoing total hip replacement and eight control patients diagnosed with avascular necrosis of femoral head (ANFH) or femoral neck fracture undergoing THA were enrolled. The samples of the AL group were from synovial tissue surrounding the lining/head/neck of the prosthesis, and the samples of the control group were from the synovium in the joint cavity.
View Article and Find Full Text PDFFront Surg
December 2024
Department of Orthopedics, Jinjiang Municipal Hospital/Clinical Research Center for Orthopaedic Trauma and Reconstruction of Fujian Province, Jinjiang, Quanzhou, Fujian, China.
Objective: By comparing the hip arthroplasty parameters planned with the AIHIP three-dimensional simulation surgery system, this study analyzes the accuracy of the new femoral-side "shoulder-to-shoulder" artificial anatomical marker positioning method in femoral-side prosthesis implantation and the prevention of leg length discrepancy in hip arthroplasty.
Methods: A retrospective collection of 47 patients who underwent initial total hip arthroplasty at our hospital from August 2020 to December 2022 and met the inclusion and exclusion criteria was used as the study subjects. The average age was 67.
Expert Rev Med Devices
January 2025
Department of Orthopaedic Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Introduction: There is a worldwide trend toward 'revisiting' cemented total hip arthroplasty (THA). In Japan, however, cemented THAs accounts for 11%, and the percentage of cemented hemiarthroplasty is estimated to be less than 10%. This review was designed to reconsider the option of cemented THA and to encourage policy changes in Japan to support the best possible care for patients.
View Article and Find Full Text PDFPLoS One
January 2025
Laboratory for Biomechanics and Biomaterials, Department of Orthopedic Surgery, DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Prosthetic gait differs considerably from the unimpaired gait. Studying alterations in the gait patterns could help to understand different adaptation mechanisms adopted by these populations. This study investigated the effects of induced stiff-knee gait (SKG) on prosthetic and healthy gait patterns and the capabilities of predictive simulation.
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