Wear characterization of the A-MAV™ anterior motion replacement using a spine wear simulator
Wear(2007)
摘要
Total disc replacement emerged as an alternative to fusion for the treatment of degenerative disc disease. Optimization of the bearing surfaces is critical to mitigate wear-related biological reaction. The purpose of this study was to characterize the wear of the A-MAV™ metal-on-metal total disc replacement using a spine wear simulator, per the ASTM F2423-05 standard guide. Six specimens were tested under flexion-extension (FE) conditions for ten million cycles (MC), followed by lateral bending (LB) combined with axial rotation (AR) for an additional ten MC. A run-in wear period was observed during the first 0.5 MC for both testing conditions, followed by a steady-state wear rate of 0.33±0.12mm3/MC in FE and 0.43±0.06mm3/MC in combined motion. Phasing between LB and AR led to a crossing-path motion as observed on explanted devices. This study suggests that clinically-realistic surface morphology may be achieved by carefully selecting the wear test parameters specified in the ASTM standard guide. Furthermore, the use of metal-on-metal bearings in spinal arthroplasty may be viable in view of the low wear exhibited by this material combination.
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关键词
Artificial disc,Total disc replacement,Spine arthroplasty,Tribology,Wear testing,Metal-on-metal
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