Total Hip Arthroplasty (THA) is an effective surgical intervention for the end stages of hip joint diseases. Wear debris production, which is primarily generated from the articular – bearing surface of the artificial joint, is the major factor limiting the survival of joint implants. For this reason, a number of alternative
bearing surfaces have been developed, some of them new
and some following
... [Show full abstract] old concepts. Despite the fact that a great amount of basic science data exist concerning in-vitro tribology of these bearing surfaces, longterm clinical data is generally lacking, new biological problems have appeared and the cost effectiveness of their use has not been determined.