Garofalo Salvatore, Morano Chiara, Bruno Luigi, Pagnotta Leonardo
Department of Mechanical, Energy and Management Engineering, University of Calabria, Via P. Bucci 44C, 87036 Rende, Italy.
J Funct Biomater. 2025 May 18;16(5):184. doi: 10.3390/jfb16050184.
Total Hip Arthroplasty (THA) is a widely used surgical procedure to restore mobility and reduce pain in patients with hip joint disorders. Implant success and longevity are influenced by the selection of appropriate materials. This study presents a comprehensive literature review based on structured searches in Scopus and Web of Science, focusing on material selection criteria and methods in THA. The inclusion criteria targeted original studies and reviews addressing material properties, selection techniques, and clinical performance. A bibliometric analysis and keyword co-occurrence network were used to highlight major research themes. The review examines traditional materials such as Metal-on-Polyethylene (MoP), as well as advanced options like ceramics, composites, and Functionally Graded Materials (FGMs). Key challenges discussed include aseptic loosening, wear resistance, and stress shielding. Selection methodologies such as Multi-Criteria Decision-Making (MCDM), Weighted Properties Methods (WPM), and computational tools like Ashby charts and CES Selector are analyzed. The findings from international arthroplasty registries show that more than half of implant failures are linked to material-related factors. This study therefore aims to guide material selection processes in THA by aligning clinical performance with biomechanical and biological requirements, supporting improved implant outcomes and long-term surgical success. Future developments should focus on patient-specific solutions and continuous innovation.
全髋关节置换术（THA）是一种广泛应用的外科手术，用于恢复髋关节疾病患者的活动能力并减轻疼痛。植入物的成功与否和使用寿命受到合适材料选择的影响。本研究基于对Scopus和Web of Science的结构化检索进行了全面的文献综述，重点关注全髋关节置换术中的材料选择标准和方法。纳入标准针对涉及材料特性、选择技术和临床性能的原始研究和综述。使用文献计量分析和关键词共现网络来突出主要研究主题。该综述考察了传统材料，如金属对聚乙烯（MoP），以及陶瓷、复合材料和功能梯度材料（FGMs）等先进材料。讨论的关键挑战包括无菌性松动、耐磨性和应力屏蔽。分析了多准则决策（MCDM）、加权特性方法（WPM）等选择方法，以及阿什比图表和CES选择器等计算工具。国际关节置换登记处的研究结果表明，超过一半的植入物失败与材料相关因素有关。因此，本研究旨在通过使临床性能与生物力学和生物学要求相匹配，指导全髋关节置换术中的材料选择过程，以支持改善植入物效果和长期手术成功率。未来的发展应侧重于针对患者的解决方案和持续创新。
