The solid pairs of friction in endoprosthesis replacement of hip joint: pro and contra


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Abstract

The article considers possibility of broader application of solid pairs of friction in endoprosthesis replacement of hip joint with purpose to resolve problem of development wear-resistant and durable implants for maximal increasing of period up to revision surgical operations. this problem is one of most actual and unresolved one in modern orthopedics. The article analyzes the results of clinical studies of endoprosthesis replacement of hip joints in various international orthopedic clinics. The complex comparison was implemented concerning implants made of such materials as cobalt chrome metallic alloy of last generation, modern orthopedics ceramics and titan nitride (TiN) surface which form solid pairs of friction "metal-metal" (Me-Me), "ceramics-ceramics" (Ce-Ce) and "TiN-TiN". The tribological and chemical properties of enumerated materials are considered and their positive and negative characteristics and related to last one by-effects are considered. The comparative evaluation of solid pairs of friction and friction pair "metal-polyethylene" is given. The advantages and shortcomings of endoprosthesises with different solid pairs of friction and indications for application are determined. The particular attention is paid to issues related to application of implants with solid pairs of friction in patients of young and middle age leading active life-style.

About the authors

A. V Skoroglyadov

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

117997, Moscow, Russia

A. B But-Gusaim

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

117997, Moscow, Russia

I. V Sirotin

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

117997, Moscow, Russia

Vladimir A. Mkrtchyan

The N.I. Pirogov Russian national research medical university Minzdrav of Russia

Email: volodia89.89@mail.ru
resident of depatrment of traumatology, orthopedics and military surgery 117997, Moscow, Russia

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