Biomechanical and Functional Performance of Hip Prosthesis Materials in Total Hip Arthroplasty: A Systematic Review

Table 1.

Types of Hip Prostheses.

Material/Design Biomechanical Advantages Limitations References

CoCrMo High strength, superior wear and fatigue resistance High elastic modulus, stress shielding [1,2,5,18]
Titanium Alloys Low modulus, high biocompatibility, osseointegration Less wear resistance than CoCrMo [6,7,15,16]
PEEK Bone-like modulus, radiolucency, reduces stress shielding Limited clinical long-term data [9,10]
PCD Coatings Optimal stress distribution, high hardness, low friction High manufacturing cost [10,32]
CoC Bearings Low wear, inert, ideal for young/active patients Potential for squeaking, higher cost [11,12,19,20]
CoP Bearings Lower wear than MoP, improved patient-reported outcomes Still releases some particles [19,24]
Dual Mobility Enhanced ROM, prevents dislocations, good long-term survival Increased acetabular volume required [13,14,19,24]
Lattice Structures Better load distribution, promotes osseointegration Requires advanced manufacturing processes [17,28,30]
Additive Manufacturing High customization, precise anatomical matching Cost, technical complexity [20,30,31]
Patient-specific Implants Improved fit, reduced impingement and revision risk Requires imaging and custom planning [21,30]