A meta‐analysis of design‐ and manufacturing‐related parameters influencing the wear behavior of metal‐on‐metal hip joint replacements

This article aims to clarify the influence of design‐ and manufacturing‐related parameters on wear of metal‐on‐metal (MoM) joint bearings. A database search for publications on wear simulator studies of MoM bearings was performed. The results of published studies were normalized; groups with individual parameters were defined and analyzed statistically. Fifty‐six investigations studying a total of 200 implants were included in the analysis. Clearance, head size, carbon content, and manufacturing method were analyzed as parameters influencing MoM wear. This meta‐analysis revealed a strong influence of clearance on running‐in wear for implants of 36‐mm diameter and an increase in steady‐state wear of heat treated components.