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]