Observations of residual sub-surface shear strain in the ultrahigh molecular weight polyethylene acetabular cups of hip prostheses

Analysis of bearing surfaces of explanted cups can help to determine the wear mechanisms that are responsible for generation of wear debris. In this study a microscope polariscope was used to detect residual subsurface shear strains, deformation and subsurface cracks in explanted Charnley acetabular cups. The wear surfaces were compared to an acetabular cup from a hip joint simulator test. The six explanted cups that were studied had all failed after long periods of implantation, with penetrations ranging from 2.1 to 3.8 mm. The explanted and simulator cups both had a smooth, high-wear region. High residual subsurface shear strains were found in the high-wear region of most cups, with certain cups possessing subsurface cracks running parallel with the surface 5–10 m deep, close to the areas of high residual subsurface shear strain. This was caused by plastic deformation and subsurface fatigue of the polymer surface.