Welcome to Francis Academic Press

Academic Journal of Medicine & Health Sciences, 2024, 5(2); doi: 10.25236/AJMHS.2024.050202.

Material selection and long-term maintenance strategy of knee and hip prosthesis


Song Ge

Corresponding Author:
Song Ge

Xuzhou Qianghua Hospital, Xuzhou, 221000, China


With the increasing trend of aging population, knee and hip replacement surgery has been widely used as the main method to treat joint diseases. In this paper, the material selection and long-term maintenance strategy of knee and hip prosthesis are deeply studied. Firstly, by comparing the mechanical properties of metals, ceramics and other new materials, the importance of individualized material selection is put forward. Considering the patient's age, activity level and other factors, it is very important to choose suitable materials for the success of the operation. Secondly, the paper emphasizes the key of long-term maintenance after operation, including regular follow-up, imaging examination, material interface management and other strategies to ensure the long-term stability of joint prosthesis. In particular, the importance of anti-infection strategy in maintenance is emphasized, and the risk of infection is reduced through measures such as preoperative infection risk assessment, intraoperative aseptic operation and preventive antibiotic application. Scientific and reasonable material selection and long-term maintenance strategy are expected to improve the success rate of joint prosthesis surgery and bring longer-term health benefits to patients.


Material Selection; Long-term Maintenance; Knee and Hip Prosthesis

Cite This Paper

Song Ge. Material selection and long-term maintenance strategy of knee and hip prosthesis. Academic Journal of Medicine & Health Sciences (2024), Vol. 5, Issue 2: 8-14. https://doi.org/10.25236/AJMHS.2024.050202.


[1] Huang, C. H., Lu, Y. C., Hsu, L. I., Liau, J. J., & Huang, C. H. (2020). Effect of material selection on tibial post stresses in posterior-stabilized knee prosthesis: a comparison among conventional, cross-linked, and vitamin e-stabilized polyethylene. Bone and Joint Research, 9(11), 768-777. 

[2] Arikupurathu, O. M., Johnston, L., MacInnes, A., Nicol, G., & Nassif, M. (2019). Medium- to Long-Term Results of the Nexgen Legacy Posterior Stabilized Fixed-Bearing Knee Replacement. The journal of knee surgery, 32(6), 554-559.

[3] Nowell, W. B., Venkatachalam, S., Harden, E., & Concannon, T. (2017). Thu0644 patient decisions related to hip and knee arthroplasty and the factors influencing them. Annals of the Rheumatic Diseases, 76(2), 449.

[4] Alshenibr, W., Tashkandi, M. M., Alsaqer, S. F., Alkheriji, Y., Wise, A., & Fulzele, S., et al. (2017). Anabolic role of lysyl oxidase like-2 in cartilage of knee and temporomandibular joints with osteoarthritis. Arthritis Research & Therapy, 19(1), 179.

[5] Celik, I., & Eroglu, H. (2017). Selection application of material to be used in hip prosthesis production with analytic hierarchy process. Materialwissenschaft und Werkstofftechnik, 48(11), 1125-1132.

[6] T. De la Mora Ramírez, M. A. Dońu Ruiz, N. López Perrusquia, E. García Bustos, & Cruz, I. H. (2020). Textured uhmwpe surface to reduce the wear of a knee prosthesis. Materiali in Tehnologije, 54(6), 889-893.

[7] Nabrdalik, M., & M. Sobociński. (2020). Modeling of stress and strain distribution in uhmwpe elements of knee and hip human joints. Acta Physica Polonica A, 138(2), 224-227.

[8] Rajgopal, A., & Agrawal, U. (2021). Long term results of rotating hinge total knee arthroplasty in complex primary and revision cases. Acta orthopaedica Belgica, 86(3), 114-123.

[9] Beach, A., Regazzola, G., Neri, T., Verheul, R., & Parker, D. (2019). The effect of knee prosthesis design on tibiofemoral biomechanics during extension tasks following total knee arthroplasty. The Knee, 26(5), 1010-1019.

[10] Kaneko, T., Igarashi, T., Takada, K., Yoshizawa, S., & Musha, Y. (2021). Robotic-assisted total knee arthroplasty improves the outlier of rotational alignment of the tibial prosthesis using 3dct measurements. The Knee, 31(8), 64-76.