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Summary (finally!)- 3 million cycles?

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  • Summary (finally!)- 3 million cycles?

    Hello!

    Thank you to all who replied to my original inquiry! I really appreciate
    you input

    Here is a summary, followed by the original question:

    - the consensus was that most people actually test to 5million cycles
    (approx 5 years), for with current prostheses both in-vitro and clinical
    wear is often not seen before that point
    - after 2.5-3 million cycles, it is accepted that the amount of wear can be
    extrapolated
    - an excellent suggestion was that if time (and money) aren't limited,
    testing to 10 million cycles would be ideal, since survivorship is ~90%
    beyond 10 years.
    - an interesting point was also that, for the more active patient, loading
    profiles might be more important than testing duration

    Thanks again for your input! (Sorry x 10^6 for my tardiness!)

    happy new year!
    alison mcconnell



    Hi there!

    I'm a graduate student working on wear testing of polyethylene for use in
    total joint replacements. The traditional length of testing is 3 million
    cycles and 1 million cycles is accepted as representing approximately one
    year of motion. Schmalzried et al (J Bone & Jt Surg, Vol 80-A, No1, Jan
    98, pp54-59) reported an average of 0.9 million cycles per year for each
    joint of the lower extremity (111 non-randomized volunteers), but also
    report the most active patient as walking 3.5 times the average number of
    steps per day.

    Is 3 years a "make it or break it" point within the lifespan of a
    prosthesis or why is 3 years worth of wear considered to be sufficient for
    wear testing of purposes? In addition, is the average what should be
    tested, or higher than average? How do we ensure success with implants for
    patients who are more active than 'average'?

    Thanks in advance for your replies! I'll be sure to post what I receive.

    Sincerely,
    Alison McConnell
    Alison McConnell
    M.Sc. Candidate
    Dept of Mechanical Engineering, Queen's University

    Human Mobility Research Centre (formerly Clinical Mechanics Group)
    Queen's University
    Apps Medical Research Centre
    Kingston General Hospital
    Kingston, Ontario
    K7L 2V7
    Canada

    (tel) ++1 613 548-2430
    (tel) ++1 613 549-6666 xt 2152 (direct)
    (fax) ++1 613 549-2529

    mcconn@me.queensu.ca

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