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1.
Small ; : e2402143, 2024 Jun 27.
Article in English | MEDLINE | ID: mdl-38934343

ABSTRACT

MXene is considered as a promising solid lubricant due to facile shearing ability and tuneable surface chemistry. However, it faces challenges in high-humidity environments where excessive water molecules can significantly impact its 2D structure, thus deteriorating its lubricating properties. In this work, the self-assembled monolayers are formed on MXene by surface chlorination (MXene-Cl) and fluorination (MXene-F), and their friction behaviors in high/low humidity are investigated. The results indicate that MXene-F and MXene-Cl can maintain a relatively constant friction coefficient (CoF) (MXene-F ∼0.76, MXene-Cl ∼0.48) under both high (75%) and low (25%)-relative humidity (RH) environments. Meanwhile, the MXene-F and MXene-Cl display a lower CoF than the pristine MXene (MXene CoF∼1.18) in high humidity. The above phenomena are mainly attributed to the preservation of its 2D layered structure, the increased layer spacing, and superficial partial oxidation for SAMs-functionalized MXene under high humidity during friction. Interestingly, MXene-Cl with moderate water resistance has a lower CoF than that of MXene-F with complete water resistance. The nanostructured water adsorption capacity and larger interlayer spacing of MXene-Cl make it exhibit a lower CoF compared to MXene-F. The findings of this study offer valuable guidance for tailoring MXene by surface chemical functionalization as an efficient solid lubricant in high humidity.

2.
Nano Lett ; 2024 Jun 14.
Article in English | MEDLINE | ID: mdl-38874568

ABSTRACT

Blood-contacting medical devices (BCDs) require antithrombotic, antibacterial, and low-friction surfaces. Incorporating a nanostructured surface with the functional hydrogel onto BCD surfaces can enhance the performances; however, their fabrication remains challenging. Here, we introduce a straightforward method to fabricate a multifunctional hydrogel-based nanostructure on BCD surfaces using O-carboxymethyl chitosan-based short nanofibers (CMC-SNFs). CMC-SNFs, fabricated via electrospinning and cutting processes, are easily sprayed and entangled onto the BCD surface. The deposited CMC-SNFs form a robust nanoweb layer via fusion at the contact area of the nanofiber interfaces. The superhydrophilic CMC-SNF nanoweb surface creates a water-bound layer that effectively prevents the nonspecific adhesion of bacteria and blood cells, thereby enhancing both antimicrobial and antithrombotic performances. Furthermore, the CMC-SNF nanoweb exhibits excellent lubricity and durability on the bovine aorta. The demonstration results of the CMC-SNF coating on catheters and sheaths provide evidence of its capability to apply multifunctional surfaces simply for diverse BCDs.

3.
Adv Sci (Weinh) ; : e2401000, 2024 Jun 17.
Article in English | MEDLINE | ID: mdl-38884361

ABSTRACT

Natural cartilage exhibits superior lubricity as well as an ultra-long service lifetime, which is related to its surface hydration, load-bearing, and deformation recovery feature. Until now, it is of great challenge to develop reliable cartilage lubricating materials or coatings with persistent robustness. Inspired by the unique biochemical structure and mechanics of natural cartilage, the study reports a novel cartilage-hydrogel composed of top composite lubrication layer and bottom mechanical load-bearing layer, by covalently manufacturing thick polyelectrolyte brush phase through sub-surface of tough hydrogel matrix with multi-level crystallization phase. Due to multiple network dissipation mechanisms of matrix, this hydrogel can achieve a high compression modulus of 11.8 MPa, a reversible creep recovery (creep strain: ≈2%), along with excellent anti-swelling feature in physiological medium (v/v0 < 5%). Using low-viscosity PBS as lubricant, this hydrogel demonstrates persistent lubricity (average COF: ≈0.027) under a high contact pressure of 2.06 MPa with encountering 100k reciprocating sliding cycles, negligible wear and a deformation recovery of collapse pit in testing area. The extraordinary lubrication performance of this hydrogel is comparable to but beyond the natural animal cartilage, and can be used as compliant coating for implantable articular material of UHMWPE to present, offering more robust lubricity than current commercial system.

4.
Nanomaterials (Basel) ; 14(4)2024 Feb 15.
Article in English | MEDLINE | ID: mdl-38392736

ABSTRACT

A new solid lubrication method was proposed for dry forging of pure titanium with high reduction in thickness. A free-carbon tribofilm was formed in situ at the hot spots on the contact interface to protect the die surfaces from severe adhesion of work materials. This film consisted of the free carbon, which isolated from the carbon supersaturated die substrate materials, diffused to the contact interface and agglomerated to a thin film. Two different routes of carbon supersaturation process were developed to prepare carbon supersaturated ceramic and metal dies for the dry forging of pure titanium wires. A pure titanium bar was utilized as an easy-to-adherent work material for upsetting in dry and cold. The round bar was upset up to 70% in reduction in thickness with a low friction coefficient from 0.05 to 0.1 in a single stroke. Work hardening was suppressed by this low friction. SEM-EDX, EBSD and Raman spectroscopy were utilized to analyze the contact interface and to understand the role of in situ formed free-carbon films on the low friction and low work hardening during forging. Precise nanostructure analyses were utilized to describe low friction forging behavior commonly observed in these two processes. The in situ solid lubrication mechanism is discussed based on the equivalence between the nitrogen and carbon supersaturation processes.

5.
Micromachines (Basel) ; 14(9)2023 Sep 16.
Article in English | MEDLINE | ID: mdl-37763939

ABSTRACT

The novel proposal of Wang's triboelectric nanogenerator (TENG) has inspired extensive efforts to explore energy harvesting devices from the living environment for the upcoming low-carbon society. The inevitable friction and wear problems of the tribolayer materials become one of the biggest obstacles for attaining high-performance TENGs. To achieve super-low friction electrification of the TENGs, the tribological and electrical behaviors of the sliding-mode TENGs based on polytetrafluoroethylene (PTFE) films and metallic balls under both dry friction and liquid lubrication conditions were investigated by using a customized testing platform with a ball-on-flat configuration. Most interestingly, a super-low friction coefficient of 0.008 was achieved under graphene-doped silicone oil lubrication. The corresponding wear rate of the PTFE film was drastically decreased to 8.19 × 10-5 mm3/Nm. Simultaneously, the output short-circuit current and open-circuit voltage were enhanced by 6.8 times and 3.0 times, respectively, compared to the dry friction condition. The outstanding triboelectrical performances of the PTFE film when sliding against a steel ball are attributed to the synergistic lubricating effects of the silicone oil and the graphene nanosheets. The current research provides valuable insights into achieving the macro-scale superlubricity of the TENGs in practical industrial applications.

6.
Small ; 19(37): e2301515, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37162454

ABSTRACT

Two-dimensional (2D) lamellar materials are normally capable of rendering super-low friction, wear protection, and adhesion reduction in nanoscale due to their ultralow shear strength between two basal plane surfaces. However, high friction at step edges prevents the 2D materials from achieving super-low friction in macroscale applications and eventually leads to failure of lubrication performance. Here, taking graphene as an example, the authors report that not all step edges are detrimental. The armchair (AC) step edges are found to have only a minor topographic effect on friction, while the zigzag (ZZ) edges cause friction two orders of magnitude larger than the basal plane. The AC step edge is less reactive and thus more durable. However, the ZZ structure prevails when step edges are produced mechanically, for example, through mechanical exfoliation or grinding of graphite. The authors found a way to make the high-friction ZZ edge superlubricious by reconstructing the (6,6) hexagon structure to the (5,7) azulene-like structure through thermal annealing in an inert gas environment. This will facilitate the realization of graphene-based superlubricity over a wide range of industrial applications in which avoiding the involvement of step edges is difficult.

7.
Nanomaterials (Basel) ; 13(6)2023 Mar 21.
Article in English | MEDLINE | ID: mdl-36986016

ABSTRACT

A novel laser-based method for producing nanocomposite coatings consisting of a tungsten sulfoselenide (WSexSy) matrix and W nanoparticles (NP-W) was developed. Pulsed laser ablation of WSe2 was carried out in H2S gas under appropriate laser fluence and reactive gas pressure. It was found that moderate sulfur doping (S/Se ~0.2-0.3) leads to significant improvement in the tribological properties of WSexSy/NP-W coatings at room temperature. Changes in the coatings during tribotesting depended on the load on the counter body. The lowest coefficient of friction (~0.02) with a high wear resistance was observed in a N2 environment at an increased load (5 N), resulting from certain structural and chemical changes in the coatings. A tribofilm with a layered atomic packing was observed in the surface layer of the coating. The incorporation of nanoparticles into the coating increased its hardness, which may have influenced the formation of the tribofilm. The initial matrix composition, which had a higher content of chalcogen atoms ((Se + S)/W~2.6-3.5), was altered in the tribofilm to a composition close to the stoichiometric one ((Se + S)/W~1.9). W nanoparticles were ground and retained under the tribofilm, which impacted the effective contact area with the counter body. Changes in the tribotesting conditions-lowering the temperature in a N2 environment-resulted in considerable deterioration of the tribological properties of these coatings. Only coating with a higher S content that was obtained at increased H2S pressure exhibited remarkable wear resistance and a low coefficient of friction, measuring 0.06, even under complicated conditions.

8.
Article in English | MEDLINE | ID: mdl-36893430

ABSTRACT

Hydrogels have demonstrated wide applications in tissue engineering, but it is still challenging to develop strong, customizable, low-friction artificial scaffolds. Here, we report a rapid orthogonal photoreactive 3D-printing (ROP3P) strategy to achieve the design of high-performance hydrogels in tens of minutes. The orthogonal ruthenium chemistry enables the formation of multinetworks in hydrogels via phenol-coupling reaction and traditional radical polymerization. Further Ca2+-cross-linking treatment greatly improves their mechanical properties (6.4 MPa at a critical strain of 300%) and toughness (10.85 MJ m-3). The tribological investigation reveals that the high elastic moduli of the as-prepared hydrogels improve their lubrication (∼0.02) and wear-resistance performances. These hydrogels are biocompatible and nontoxic and promote bone marrow mesenchymal stem cell adhesion and propagation. The introduction of 1-hydroxy-3-(acryloylamino)-1,1-propanediylbisphosphonic acid units can greatly enhance their antibacterial property to kill typical Escherichia coli and Staphylococcus aureus. Moreover, the rapid ROP3P can achieve hydrogel preparation in several seconds and is readily compatible with making artificial meniscus scaffolds. The printed meniscus-like materials are mechanically stable and can maintain their shape under long-term gliding tests. It is anticipated that these high-performance customizable low-friction tough hydrogels and the highly efficient ROP3P strategy could promote further development and practical applications of hydrogels in biomimetic tissue engineering, materials chemistry, bioelectronics, and so on.

9.
Small ; 19(8): e2206269, 2023 Feb.
Article in English | MEDLINE | ID: mdl-36504286

ABSTRACT

In this paper, a quaternary dielectric soft-contact rotary triboelectric nanogenerator (QDSR-TENG) of low frictional resistance is fabricated for combining TENG with a shape memory alloy (SMA) engine. The introduction of rabbit fur brush and FEP brush results in charge pumps with a partially soft contact structure. Benefiting from the low friction loss of the structure, the QDSR-TENG can operate stably and continually for 100k cycles without significant output degradation. The SMA engine exhibits thermally induced phase transformation and super-elasticity and can be utilized for harnessing waste heat energy. The thermal-driven QDSR-TENG can operate with a water source of 43 °C with a distinguishable response to the variation of temperatures. Such a low starting temperature not only promotes the harvesting of low-grade thermal energy, but also results in a self-monitoring industrial cooling water system. The coupled elastocaloric power and cooling cycle proposed in the thermal-driven QDSR-TENG opens a new paradigm for the application in energy harvesting and smart sensing.

10.
Macromol Biosci ; 23(1): e2200275, 2023 01.
Article in English | MEDLINE | ID: mdl-36254859

ABSTRACT

Poly(vinyl alcohol) (PVA) hydrogel is a promising candidate for articular cartilage repair yet restrained by its mechanical strength and tribological property. Current work reports a newly designed PVA-based hydrogel modified by glycerol (g), bacterial cellulose (BC), and a cationic polymer poly (diallyl dimethylammonium chloride) (PDMDAAC), which is a novel cationic strengthening choice. The resultant PVA-g-BC-PDMDAAC hydrogel proves the effectiveness of this modification scheme, with a confined compressive modulus of 19.56 MPa and a friction coefficient of 0.057 at a joint-equivalent load and low sliding speed. The water content, swelling property, and creep behavior of this hydrogel are also within a cartilage-mimetic range. The properties of PVA-based hydrogels before PDMDAAC addition are likewise studied as a cross-reference. Besides, PDMDAAC-modified PVA hydrogel realizes ideal mechanical and lubrication properties with a relatively low PVA concentration (10 wt.%) and facile fabrication process, which lays a foundation for mass production and marketization in the future.


Subject(s)
Cartilage, Articular , Hydrogels , Friction , Quaternary Ammonium Compounds , Polyvinyl Alcohol
11.
ACS Appl Mater Interfaces ; 14(46): 52347-52358, 2022 Nov 23.
Article in English | MEDLINE | ID: mdl-36349936

ABSTRACT

Natural articular cartilages exhibit extraordinary lubricating properties and excellent load-bearing capacity based on their penetrated surface lubricated biomacromolecules and gradient-oriented hierarchical structure. Hydrogels are considered as the most promising cartilage replacement materials due to their excellent flexibility, good biocompatibility, and low friction coefficient. However, the construction of high-strength, low-friction hydrogels to mimic cartilage is still a great challenge. Here, inspired by the structure and functions of natural articular cartilage, anisotropic hydrogels with horizontal and vertical orientation structure were constructed layer by layer and bonded with each other, successfully developing a bilayer oriented heterogeneous hydrogel with a high load-bearing capacity, low friction, and excellent fatigue resistance. The bilayer hydrogel exhibited a high compressive strength of 5.21 ± 0.45 MPa and a compressive modulus of 4.06 ± 0.31 MPa due to the enhancement mechanism of the anisotropic structure within the bottom anisotropic hydrogel. Moreover, based on the synergistic effect of the high load-bearing capacity of the bottom layer and the lubrication of the surface layer, the bilayer hydrogel possesses excellent biotribological properties in hard/soft (0.032) and soft/soft (0.028) contact, which is close to that of natural cartilage. It is worth noting that the bilayer oriented heterogeneous hydrogel is able to withstand repeated loading without fatigue crack. Therefore, this work could open up a new avenue for constructing cartilage-like materials with both high strength and low friction.


Subject(s)
Cartilage, Articular , Hydrogels , Friction , Hydrogels/chemistry , Weight-Bearing , Lubrication
12.
ACS Appl Mater Interfaces ; 14(31): 35434-35443, 2022 Aug 10.
Article in English | MEDLINE | ID: mdl-35913200

ABSTRACT

Designing hydrogels with adequate strength, remarkable swelling resistance, low friction coefficient, excellent biocompatibility, and osseointegration potential is essential for replacing articular cartilage. However, it remains challenging to integrate all these properties into one material. In this work, a Janus hydrogel was prepared from polyvinyl alcohol, chitosan, and sodium hyaluronate, followed by a one-sided dipping in situ precipitation mineralization to form a layer of hybridized hydroxyapatite (HAp), wherein the two surfaces had distinct compositions and functions. Because of the negative carboxyl groups from sodium hyaluronate, the top surface possessed a friction coefficient as low as 0.024. On account of the HAp mineralized layer, the bottom side had osteogenesis potential. Owing to the synergy of physical linkages, the hydrogel displayed compressive strength as high as 78 MPa. Furthermore, it demonstrated remarkable swelling resistance with strength retention near 100% even after soaking in PBS solution at 37 °C for 7 days. The absence of toxic chemicals maintained the merits of starting polymers and resulted in excellent biocompatibility (cell viability ≈ 100%), making it an ideal substitute for articular cartilage.


Subject(s)
Cartilage, Articular , Hydrogels , Compressive Strength , Durapatite , Hyaluronic Acid , Hydrogels/chemistry , Hydrogels/pharmacology , Polyvinyl Alcohol/chemistry
13.
Carbohydr Polym ; 286: 119268, 2022 Jun 15.
Article in English | MEDLINE | ID: mdl-35337498

ABSTRACT

Developing articular cartilage substitutes required a combination of high compressive strength, excellent biocompatibility and low friction. Despite great success in tough hydrogels, this combination was hardly realized. Herein, a high strength, low friction, and biocompatible hydrogel was obtained by freezing-thawing polyvinyl alcohol and chitosan aqueous solutions three times, followed with soaking in sodium alginate aqueous solution. Owing to the synergy of crystalline domains, hydrogen bonds, and ionic interactions, the obtained hydrogel exhibited high strength (maximum compressive strength = 141 MPa). Because of the reversible linkages, the gel was also creep-resistant (recovery efficiency = 93%). Benefitted from the negative carboxyl groups from sodium alginate, the water lubrication layer between the gel and the opposing surface was thickened greatly, resulting in a low coefficient of friction (0.044). The biocompatible materials and green progress led to excellent cell compatibility. All these merits made it an ideal substitute for articular cartilage.


Subject(s)
Cartilage, Articular , Chitosan , Alginates , Biocompatible Materials/chemistry , Chitosan/analysis , Friction , Hydrogels/chemistry , Polyvinyl Alcohol/chemistry
14.
Medicina (Kaunas) ; 58(2)2022 Jan 19.
Article in English | MEDLINE | ID: mdl-35208474

ABSTRACT

We have developed a novel technique, the Jiyugaoka Enjoyable Treatment (JET) system, to complete orthodontic treatment in a short time. It entails the use of the regional acceleratory phenomenon (RAP), light continuous forces and low friction in cases involving extraction. In the JET system, tooth extraction not only creates space, but also triggers the RAP; thus tooth extraction accelerates orthodontic treatment. We describe for the first time how to use the JET system to shorten treatment time in a patient in whom four premolars were extracted. A 15 year old girl patient exhibited an Angle Class I bimaxillary protrusion with moderate crowding in the maxillary (-5.0 mm) and mandibular arches (-3.5 mm). Her facial appearance was slightly asymmetric, and her facial profile was convex. Immediately after the simultaneous extraction of the maxillary first premolars and mandibular second premolars, orthodontic treatment was started with a combination of passive self-ligating brackets and super-elastic nickel-titanium closed coil springs that provided orthodontic forces of less than 50 gf (1.8 ozf). The appliance was adjusted once a month. The total treatment time was 13 months. Cephalometric superimpositions showed a slight anchorage loss, and panoramic radiographs showed a slight apical root resorption but no significant reduction in the crest bone height. At the 3-year 6-month retention follow-up, stability was excellent. The JET system might shorten the orthodontic treatment period without serious anchorage loss or other adverse effects.


Subject(s)
Orthodontic Anchorage Procedures , Adolescent , Bicuspid , Cephalometry/methods , Female , Humans , Maxilla , Orthodontic Anchorage Procedures/methods , Orthodontic Appliance Design , Tooth Movement Techniques
15.
Micromachines (Basel) ; 12(12)2021 Nov 27.
Article in English | MEDLINE | ID: mdl-34945307

ABSTRACT

Self-powered triboelectric tachometers have wide application prospects in mechanical and electrical industries. However, traditional disc-type tachometers typically require large contact force, which burdens rotary load and increases frictional wear. To reduce the friction force of triboelectric tachometers, we present an alternative structure defined by flapping between rigid and flexible triboelectric layers. In this work, we further characterize this type of tachometer, with particular focus on the oscillating relationship between output voltage and rotation speed due to the plucking mechanism. This oscillating relationship has been demonstrated both theoretically and experimentally. For future self-powered triboelectric tachometers, the proved oscillating relationship can be applied as calibration criteria for further enhancing sensitivity and linearity in rotation measurement.

16.
Biology (Basel) ; 10(5)2021 Apr 28.
Article in English | MEDLINE | ID: mdl-33924818

ABSTRACT

The objective of this prospective clinical study was to analyze the pain (intensity, location and type) that patients presented after the placement of different types of orthodontic appliances: conventional, low friction, lingual and aligners. The sample consisted of 120 patients divided into four groups: conventional (CON), low friction (LF), lingual (LO) and aligners (INV). The participants were given the Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ), where they had to record the pain intensity (no pain, mild, moderate or intense) and the periodontal location at different time points, from the first 4 h to 7 days after the start of treatment. In all the study groups, the most frequent location was both anterior arches, with maximum values between 56.7% (CON group at 24 h) and 30% (LO group at 4 h). The "whole mouth" and "complete lower arch" locations were indicated only by the patients in the lingual group. Regarding pain intensity, the patients reported a higher percentage of mild-moderate pain during the first 3 days of treatment (96.7% in LO at 4 h, 86.7% in CON, 83.3% in LF and 90% in INV at 24 h); later, the reported pain decreased to no pain/mild pain, especially in the lingual group, until reaching values close to zero at 7 days post-treatment. The most frequent type of pain was acute in the low friction and lingual groups (with maxima of 60% and 46.7% at 24 h, respectively). On the contrary, in the conventional (36.7% at 4 h) and Invisalign (40% at 24 h) groups, the sensitive type was the most frequent. There are differences regarding periodontal pain in its intensity, location and type according to the use of different orthodontic techniques.

17.
Medicina (Kaunas) ; 57(2)2021 Feb 17.
Article in English | MEDLINE | ID: mdl-33671217

ABSTRACT

Background and objectives: The aim of this study was to evaluate the influence of friction on design of the type of bracket, patients' perception of pain and the impact on their oral health-related quality of life. Materials and Methods: A randomized clinical trial was carried out with 90 patients (62.2% women and 37.8% men) with three kinds of fixed multi-bracket appliances: Conventional (GC), fixed multi-bracket low friction (GS) and self-ligating (GA). The VAS (Visual Analogue Scale) was used to determine pain during the first seven days of treatment at different points in time. The patients were also given the OHIP-14 (Oral Health Impact Profile) questionnaire to analyse their oral health-related quality of life (OHRQoL) after the first 30 days of treatment. The ANOVA test was used for the analysis of the variables and the post hoc Bonferroni test for the comparison between groups. Results: Maximum pain was observed between one and two days after the start of treatment. The GC group showed the greatest degree of pain, with maximum values (4.5 ± 2.0) at 24 h. The self-ligation brackets show lower impact on patients' oral health-related quality of life (0.8 ± 2.2, p < 0.01). Conclusions: Friction in the type of bracket influences pain and the Oral Health-Related Quality of Life of patients who use multi-bracket fixed orthodontics.


Subject(s)
Orthodontic Brackets , Quality of Life , Friction , Humans , Materials Testing , Orthodontic Appliance Design , Orthodontic Wires
18.
Materials (Basel) ; 14(2)2021 Jan 14.
Article in English | MEDLINE | ID: mdl-33466774

ABSTRACT

We evaluated the adhesion, friction characteristics, durability against bodily acids, sterilization, cleaning, and anti-reflection performance of diamond-like carbon (DLC) coatings formed as a surface treatment of intracorporeal medical devices. The major coefficients of friction during intubation in a living body in all environments were lower with DLC coatings than with black chrome plating. DLC demonstrated an adhesion of approximately 24 N, which is eight times stronger than that of black chrome plating. DLC-coated samples also showed significant stability without being damaged during acid immersion and high-pressure steam sterilization, as suggested by the results of durability tests. In addition, the coatings remained unpeeled in a usage environment, and there was no change in the anti-reflection performance of the DLC coatings. In summary, DLC coatings are useful for improving intracorporeal device surfaces and extending the lives of medical devices.

19.
J Clin Med ; 9(7)2020 Jul 03.
Article in English | MEDLINE | ID: mdl-32635196

ABSTRACT

The aim of this study was to compare pain and its relationship with the oral quality of life of patients with different types of orthodontic appliances: conventional and conventional low-friction brackets, lingual brackets, and aligners. A prospective clinical study was carried out with a sample size of 120 patients (54 men, 66 women) divided into 4 groups of 30 patients each. The modified McGill questionnaire was used to measure pain at 4, 8, and 24 h and 2, 3, 4, 5, 6, and 7 days after the start of treatment, and the Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to measure the oral-health-related quality of life (OHRQoL) in the first month of treatment. The maximum peak of pain was obtained between 24 and 48 h of treatment. It was found that patients in the lingual orthodontic group described lower levels of pain at all times analyzed, and their scores in the total OHIP-14 indicated less impact on their oral quality of life (1.3 ± 1.2, p < 0.01) compared with the other groups analyzed. There was little difference with the aligners group (Invisalign) (1.7 ± 1.9, p < 0.01). The technique used influences the pain and quality of life of patients at the start of orthodontic treatment.

20.
Hip Int ; 30(5): 523-529, 2020 Sep.
Article in English | MEDLINE | ID: mdl-30947550

ABSTRACT

INTRODUCTION: The purpose of this study was to examine the ability of a surgeon to predict survival of a total hip replacement (THR) based on the patient's diagnosis, demographics, postoperative activity level and the surgical technique. METHODS: 4 experienced hip surgeons were asked to predict the longevity of 131 Charnley THRs, performed by the senior author (GH) 22-35 years ago, by providing them with pre- and postoperative radiographs, and data concerning patient's diagnosis, demographics, postoperative activity level and the surgical technique. This process was repeated 3 months later. RESULTS: There was only a slight agreement between the majority of the predictions and actual outcome. The inter-observer agreement was also slight and intra-observer agreement ranged from slight to moderate. CONCLUSION: We confirmed that surgeons are unable to determine the life expectancy of the implants of a THR, based on the aforementioned data, because there are other non-identified factors that affect the survivorship of a THR. For this reason, regular follow-up remains the safest way to evaluate patients' clinical picture and the evolution of radiographic changes, if there are any, in order to accurately advise patients and decide on the appropriate time for revision.


Subject(s)
Arthroplasty, Replacement, Hip , Hip Prosthesis , Prosthesis Failure , Adult , Aged , Female , Humans , Male , Middle Aged , Predictive Value of Tests , Reoperation , Reproducibility of Results , Surgeons , Time Factors
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