Frictional behavior and surface failure of human enamel.
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The water characteristics of acrylic denture teeth were investigated under single- and double-pass sliding. The response of acrylic teeth to sliding was that of a relatively ductile material. The wear characteristics were affected similarly by environments of water and saliva. The "enamel" surfaces showed more resistance to penetration and were less susceptible to surface damage than the "dentin" surfaces. The effect of the second pass was to increase track width and cause a more severe mode of surface failure.
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Four Charnley femoral stems, removed on average 20 years after implantation, were examined for the quality of surface finish of the head. The average roughness was 0.031 microns (range 0.008-0.102 microns) as compared with 0.019 microns (range 0.008-0.031 microns) for the current production models and 0.05 microns as recommended by the British Standard and the International Standards Organization. The average socket penetration rate was 0.022 mm/year and there was no radiological or operative evidence of socket loosening. The findings emphasize the importance of achieving and maintaining good surface finish of the head of the femoral component. A suggestion is also made that the orientation of the asperities may be important.
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An experimental evaluation was made of the efficacy of an unflanged cup, an ogee-flanged cup and the Exeter pressuriser in the pressurisation of acetabular cement. Only a very modest injection pressure could be generated through an unflanged socket and even this was readily lost as the socket "bottomed out". The ogee-flanged socket gave a consistently high injection pressure which could be maintained throughout the process of polymerisation. The Exeter pressuriser gave marginally better results. Of the two cements tested, Palacos with gentamicin showed better intrusion than CMW Type 1 cement, but it also allowed greater extrusion once pressure was released. The importance of maintaining a continuous pressure on the cement throughout polymerisation is emphasised.
In a prospective study, a double crossover wire with a compression spring was used to re-attach 52 un-united trochanters at revision operations on total hip arthroplasties. Bony union was achieved in 42 (81%) and was not influenced by the duration of the nonunion or the separation gap. The new method compared favourably with earlier revisions at which other methods of trochanteric re-attachment had been used.
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