Atlas : Welcome

Explants analysis

The various Atlas

Atlas and Low-friction

Primary stability

Surgical procedure

Clinical data

Insert stability

Quality requirement

Insert thickness

Atlas : The inventor

Secondary stability

Contact

International distribution

Insert Thickness

 

Back in 1986 Bartel3 recommended 8 to 10 mm thick polyethylene in order to prevent the polyethylene from deteriorating rapidly and to reduce creeping.

 

Collier8 conducted an important survey, analysing 111 deteriorated modular acetabular cups removed in the United States, within a very short period - 8 months to 66 months - after the operation. The main cause of the deterioration was the excessive thinness of the polyethylene due to a 10 to 15 mm thick metal cup , and 32 mm heads.

 

Atlas

Rapid deterioration of an excessively thin insert
According to Tradonski
23

 

Great polyethylene thickness is essential. Polyethylene creeping occurs in the thickness of the material if the material is thick enough, and if it is too thin, the creeping affects the external convex surface of the cup, leading to conflicts with, and possibly holes in the metal back.

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Creeping in thick polyethylene

 

Atlas

Creeping affecting convexity in too thin polyethylene.

 

Esop®' cup is only 2.5 mm thick, allowing for optimum polyethylene thickness. We recommend using small size heads, allowing for polyethylene thickness equal to or higher than 10 mm.

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Our 10 year + without osteolysis confirm the concept
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Welcome - The various Esop - Primary stability - Insert stability - Insert thickness - Secondary stability - Explant analysis - Low-friction
Surgical procedure - Clinical data - Quality requirement - The inventor - Contact - International distribution