Computational modelling of polyethylene wear and creep in total hip joint replacements: Effect of the bearing clearance and diameter

Computational wear modelling has been improved using a contact area dependent wear law for the conventional ultra-high molecular weight polyethylene used in total hip joint bearings. The current designs of polyethylene bearings tend to use larger diameter heads to achieve improved motion function for patients in clinical practice, but the wear of the bearing may also increase due to the increase in contact area associated with the larger bearings. Additionally, bearing clearance, which is the difference in diameter or radius between the cup and head bearing surfaces, may also play an important role in affecting the wear. This study particularly investigates the effect of bearing clearance on polyethylene wear, for different femoral head diameters, through a parametric study using the computational modelling method. The effect of creep of polyethylene on the contact area and wear was considered, since polyethylene creep can account for a significantly large proportion of volumetric change, particularly during the initial loading stage, and an increase in the contact area. The predicted wear rate was found to be comparable to the experimental wear rate found in independent simulator tests. The polyethylene bearing with decreased bearing clearances led to a substantial increase in the wear rate, particularly when combined with large diameters.