The frictional torque of the Trapezoidal-28 total hip replacement and
the Tharies SR-3 and SR-5 surface replacements were measured in the
University of California at Los Angeles hip-joint simulator in calf serum.
Loads of as much as 890 newtons were applied while the femoral component
oscillated through a 60-degree arc at forty cycles per minute. Frictional
torque, as measured by a ring transducer at a fixed distance from the
center of rotation, was seen to diminish as the thickness of the
polyethylene increased and was found to be relatively proportional to the
diameter of the femoral component. The torques measured in this study were
found to be twenty to 100 times smaller than the static torques to failure
for acetabular fixation that have been reported in the literature. Finally,
no permanent deformation of the thin acetabular shells attributable to the
cementing process was apparent when the recommended technique of surgical
insertion was utilized. Clinical Relevance: Surface replacement components
have been shown to generate greater frictional torques at the acetabular
bone-cement interface than do smaller-diameter conventional hip
replacements. This indicates that the local mechanical-loading conditions
of the hip joint are not the same for both types of replacements, and this
should be considered when selecting the type of arthroplasty for an
individual patient.