Wear characteristics of sliding pairs of zirconia (Y-TZP) for hip endoprostheses.

Femoral ball heads made of aluminium or zirconium oxide ceramics are used for total hip replacement. This application is based on their attractive tribological properties. Standard and state-of-the-art with good wear properties are femoral ball heads made of alumina (Al2O3) articulating against polyethylene (PE-UHMW) acetabular cups (since 1974) and zirconia (Y-TZP) heads articulating against polyethylene cups (since 1986). The best tribological combinations are alumina heads articulating against alumina cups. Zirconia has better mechanical properties (for example, bending strength or fracture toughness) than alumina. Therefore R&D is going on to design zirconia acetabular cups. The wear characteristics of zirconia (Y-TZP) articulating against itself were investigated using a ring-on-disc testing device according to ISO 6474. The high wear rate emphasized that medical-grade zirconia (Y-TZP according to ISO/ DIS 13356) should not be used for acetabular cups.