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Re: boston745 post# 20146

Tuesday, 10/02/2018 4:02:27 PM

Tuesday, October 02, 2018 4:02:27 PM

Post# of 41321
https://www.hindawi.com/journals/crior/2017/9123684/

Do we have data on SiNi Ceramic on Ceramic hips at the 10 year mark?

After a fracture of a ceramic component, both surgeon and patients may be reluctant to implant another CoC articulation given concerns about a refracture



https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459026/

A clear discrepancy between predicted in vitro and actual in vivo surface phase stability of BIOLOX®delta



If Sini had a discrepancy on phase stability and actually fractured in vivo, you would be looking at removing all fragments of a very hard material upon revision...to chrome cobalt? Now that's an interesting experiment. Load up you tester with a chrome cobalt hip SiNi plated and fill the wear surface with Biolox delta fragments and let her go to town until you achieve wear through. Continue until you figure out how thick of a Coating you need to fully mitigate wear through potential. Then you can bring Metal on Metal hips back to market.
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