Suboptimal Component Position Leading to Severe Wear of an Alumina-Alumina Total Hip Coupling: Biomechanical Analysis and Documentation of Limited Tissue Response

HSS Journal - Volume 11, Number 2, July 2015

Marcella E. Elpers, BS
Department of Biomechanics, Hospital for Special Surgery, New York, NY

Andrew E. Rosenberg, MD
Department of Pathology, University of Miami, Miami, FL

Raymond P. Robinson, MD, FACS
Department of Orthopaedic Surgery, University of Miami, Miami, FL

Jaime A. Carvajal Alba, MD
Department of Orthopaedic Surgery, University of Miami, Miami, FL


Alumina-on-alumina articulations were first introduced into total hip arthroplasty in 1970 by Boutin et al. in France [3], and were approved by the Food and Drug Administration for their use in the USA in 1982. The ceramic-on-ceramic coupling was intended to reduce wear and particulate debris generated by metal-on-plastic articulations being used at that time. Modern alumina-on-alumina articular couplings have extremely low wear rates [1, 6, 10, 12, 15, 18] on the order of 0.004 mm3 per million cycles [2, 11, 17].

This article appears in the HSS Journal: Volume 11, Issue 2.
View the full HSS Journal article at

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.


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