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Quantitative Analysis of Retrieved Glenoid Liners
Lubricants
  • Katelyn Childs
  • Lynn Crosby
  • Tarun Goswami, Wright State University - Main Campus
Document Type
Article
Publication Date
2-4-2016
Abstract

Revision of orthopedic surgeries is often expensive and involves higher risk from complications. Since most total joint replacement devices use a polyethylene bearing, which serves as a weak link, the assessment of damage to the liner due to in vivo exposure is very important. The failures often are due to excessive polyethylene wear. The glenoid liners are complex and hemispherical in shape and present challenges while assessing the damage. Therefore, the study on the analysis of glenoid liners retrieved from revision surgery may lend insight into common wear patterns and improve future product designs. The purpose of this pilot study is to further develop the methods of segmenting a liner into four quadrants to quantify the damage in the liner. Different damage modes are identified and statistically analyzed. Multiple analysts were recruited to conduct the damage assessments. In this paper, four analysts evaluated nine glenoid liners, retrieved from revision surgery, two of whom had an engineering background and two of whom had a non-engineering background. Associated human factor mechanisms are reported in this paper. The wear patterns were quantified using the Hood/Gunther, Wasielewski, Brandt, and Lombardi methods. The quantitative assessments made by several observers were analyzed. A new, composite damage parameter was developed and applied to assess damage. Inter-observer reliability was assessed using a paired t-test. Data reported by four analysts showed a high standard deviation; however, only two analysts performed the tests in a significantly similar way and they had engineering backgrounds.

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Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

DOI
10.3390/lubricants4010003
Citation Information
Katelyn Childs, Lynn Crosby and Tarun Goswami. "Quantitative Analysis of Retrieved Glenoid Liners" Lubricants Vol. 4 Iss. 1 (2016) ISSN: 2075-4442
Available at: http://works.bepress.com/tarun-goswami/110/