Measurement of safe acetabular medial wall defect size in revision hip arthroplasty with a porous cup.

INTRODUCTION: The majority of acetabular revisions can be performed with an uncemented, porous acetabular component with or without bone grafting. These are contained acetabular defects, with an intact acetabular rim (Paprosky type I and II). As defects of the medial wall of the acetabulum are a challenge situation revision surgery, we performed this biomechanical study on a pig pelvis model with contained acetabular defects to determine the size of medial wall defect at which the acetabular cup will have sufficient primary stability. MATERIALS AND METHODS: In 24 pig pelvis models, different diameter of medial wall defects were created, followed by acetabular component placement. The acetabulum externally loaded, and the force at a level in which the acetabular component remains stable for each diameter of defect, or at which point the acetabular cup moves into the pelvis for >2 mm. RESULTS: In the models with acetabular medial wall defects of 10 and 20 mm, 2 mm acetabular displacement occurred under a force between 1000 and 1500 N. In those with a medial wall defect of 25 mm, the force that caused acetabular instability was between 700 and 1000 N. In the models with 30 mm of medial wall defect all acetabular components were unstable under a force of 700 N. CONCLUSIONS: According to our results, acetabular component should be stable if the defect of the medial wall of the acetabulum is less than 68% of the diameter of the acetabular component or if the uncovered surface area of the acetabular component is not greater than 27%, and the force <700 N. For a load of 1000 N, the medial wall defect should not exceed 45% of acetabular component diameter or 18% of uncovered acetabular component surface.

Influence of Co Content and Chemical Nature of the Co Binder on the Corrosion Resistance of Nanostructured WC-Co Hardmetals in Acidic Solution.

The electrochemical corrosion resistance of nanostructured hardmetals with grain sizes dWC < 200 nm was researched concerning Co content and the chemical nature of the Co binder. Fully dense nanostructured hardmetals with the addition of grain growth inhibitors GGIs, VC and Cr3C2, and 5 wt.%Co, 10 wt.%Co, and 15 wt.%Co were developed by a one cycle sinter-HIP process. The samples were detailly characterized in terms of microstructural characteristics and researched in the solution of H2SO4 + CO2 by direct and alternative current techniques, including electrochemical impedance spectroscopy. Performed analysis revealed a homogeneous microstructure of equal and uniform grain size for different Co contents. The importance of GGIs content adjustment was established as a key factor of obtaining a homogeneous microstructure with WC grain size retained at the same values as in starting mixtures of different Co binder content. From the conducted research, Co content has shown to be the dominant influential factor governing electrochemical corrosion resistance of nanostructured hardmetals compared to the chemical composition of the Co binder and WC grain size. Negative values of Ecorr measured for 30 min in 96% H2SO4 + CO2 were obtained for all samples indicating material dissolution and instability in acidic solution. Higher values of Rp and lower values of icorr and vcorr were obtained for samples with lower Co content. In contrast, the anodic Tafel slope increases with increasing Co content which could be attributed to more pronounced oxidation of the higher Co content samples. Previously researched samples with the same composition but different chemical composition of the binder were introduced in the analysis. The chemical composition of the Co binder showed an influence; samples with lower relative magnetic saturation related to lower C content added to the starting mixtures and more W dissolved in the Co binder during the sintering process showed better corrosion resistance. WC-5Co sample with significantly lower magnetic saturation value showed approximately 30% lower corrosion rate. WC-10Co sample with slightly lower relative magnetic saturation value and showed approximately 10% lower corrosion rate. Higher content of Cr3C2 dissolved in the binder contributed to a lower corrosion rate. Slight VC increase did not contribute to corrosion resistance. Superior corrosion resistance is attributed to W and C dissolved in the Co binder, lower magnetic saturation, or WC grain size of the sintered sample.