Reduction of Ceramic Wear by Concave Dimples on the Bearing Surface in CoC Hip Implants: A Finite Element Analysis

The wear of hip prostheses represents a significant challenge for the longevity and functionality of joint implants. Recent studies have explored surface texturing of prostheses as a strategy to enhance tribological performance. This study aims to evaluate the impact of textured ceramic surfaces with dimples on wear and friction reduction in ceramic-on-ceramic (CoC) prostheses. Materials and Methods: Three-dimensional models of ceramic surfaces with and without dimples were created. Contact pressure was analyzed and wear volume was estimated using Archard’s law. Simulations were conducted using finite element methods (FEM) under various loading conditions. Results: Numerical simulations demonstrated that the wear rate for the dimpled femoral head was 0.2369 mm3/year, compared to 0.286 mm3/year for the smooth counterpart, highlighting a wear reduction of 17.2%. Conclusions: The integration of textured surfaces with dimples in ceramic prostheses can substantially improve their functionality and durability, representing a promising approach to addressing the issues associated with hip prosthesis wear.