Abstract

Hip hemiarthroplasty is a popular method for curing hip joint diseases. Comparing with the total hip replacement (THR), hip hemiarthroplasty has some advantages, such as simpler operation, lower cost and less injury. However, inevitable acetabular cartilage wear, which leads to ultimately conversion to THR, has been reported by many authors. That limits its applications. To solve this problem, more suitable biomaterial should be chosen to make the femoral head. In this research, a kind of carbon femoral head, which was made of graphite coated with low temperature isotropic pyrolytic carbon, was studied in vivo. Nineteen New Zealand adult white rabbits were divided into 3 groups. Every rabbit was taken the replacement operation and time-dependently killed after certain periods. X-ray photographs of the hip joint, macroscopic apperarance and histological morphometry of the neocartilage around the prosthesis, were examined. The results proved that the coating material of the femoral head was biocompatible and the neocartilage tissue around the prothetic head might protect the acetabulum from wear. However, because of the complicated physiological environment, further research is needed.

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