J Knee Surg 2015; 28(05): 376-381
DOI: 10.1055/s-0035-1551836
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Oxidized Zirconium Bearing Surfaces in Total Knee Arthroplasty: Lessons Learned

Karl Friedrich Schüttler
1   Department of Orthopedics and Rheumatology, University Hospital Marburg, Marburg, Germany
,
Turgay Efe
1   Department of Orthopedics and Rheumatology, University Hospital Marburg, Marburg, Germany
,
Thomas J. Heyse
1   Department of Orthopedics and Rheumatology, University Hospital Marburg, Marburg, Germany
,
Steven B. Haas
2   Adult Reconstruction Service, Hospital for Special Surgery, New York, New York
› Author Affiliations
Further Information

Publication History

17 February 2015

26 February 2015

Publication Date:
27 July 2015 (online)

Abstract

Polyethylene wear in total knee arthroplasty is a still unsolved problem resulting in osteolysis and long-term failure of knee joint replacement. To address the problem of polyethylene wear, research aimed for an optimal implant design and for an optimal combination of bearing surfaces. Oxidized zirconium was introduced to minimize surface wear and thus potentially increase long-term implant survival. This review comprises the current literature related to in vitro and in vivo studies evaluating performance of oxidized zirconium total knee arthroplasty and results from retrieval analyses.