Assessment of polyethylene wear in dual mobility implant for Asians on various head-to-liner ratios: A finite-element analysis

Based on several references, Asians carry out several daily activities that are different from Westerners, which require a greater range of motion. Because of that, a dual mobility (DM) implant was created that was adapted to the activities of Asian people. One of the factors that might shorten the life of a hip implant is wear. Simulations of wear that are based on computation can guide product design to reduce the amount of adhesive and abrasive wear. Even though advanced modeling approaches have been established, a great deal of wear is still not understood, especially regarding the metal-on-polyethylene articulations found on DM cups. It is critical to examine the wear on the DM cup's head-to-liner ratio to determine the proper head diameter and liner thickness for this DM cup. In this work, wear was analyzed using finite-element analysis and compared between three different femoral head diameters matched with different thicknesses of the polyethylene liner on DM cups. Wear was analyzed throughout the regular walking cycle at each head-to-liner ratio. The findings of this study can be used to develop a dual-mobility artificial hip joint for Asians with the slightest wear.