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Explant analysis of a Discocerv cervical disc: A case study for a ceramic-on-ceramic cervical disc

Lookup NU author(s): Goksu KandemirORCiD, Andrew Bowey, Dr Cyrus Jensen, Professor Tom Joyce

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2022 The Authors. Explant analyses are key to better understanding the effectiveness of medical implants in replacing natural joints. For the first time, an explanted Discocerv cervical disc was examined. The implant utilised the articulation of a caudal zirconia cup (inferior component) and a cephalic alumina head (superior component). The articulating surface of the superior alumina head had an average surface roughness of 0.016 ± 0.003 μm (Sa) and the articulating surface of the inferior zirconia cup had an average surface roughness of 0.015 ± 0.002 μm (Sa). Both articulating surfaces had negative skewness, indicating the removal of local peaks. The difference between the average surface roughness of the components was not significant (p-value: 0.741). Dark grey marks were observed on both of the articulating surfaces, which were found to be adhered titanium debris that was generated due to component impingement. This titanium debris may explain the small amount of metallosis that was reported at explantation. Some transfer of zirconium to the alumina articulating surface was also seen.


Publication metadata

Author(s): Kandemir G, Bowey A, Jensen C, Joyce TJ

Publication type: Article

Publication status: Published

Journal: Journal of the Mechanical Behavior of Biomedical Materials

Year: 2022

Volume: 135

Print publication date: 01/11/2022

Online publication date: 22/09/2022

Acceptance date: 17/09/2022

Date deposited: 13/10/2022

ISSN (print): 1751-6161

ISSN (electronic): 1878-0180

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.jmbbm.2022.105473

DOI: 10.1016/j.jmbbm.2022.105473


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