Advancements in Surface Coatings for Enhancing Longevity in Hip Implants: A Review

Background/Objectives: The increasing demand for total hip arthroplasty (THA), due to aging populations and active lifestyles, necessitates advancements in implant materials and design. This review evaluates the role of surface coatings in enhancing the performance, biocompatibility, and longevity of hip implants. It addresses challenges like wear, corrosion, and infection, focusing on innovative surface engineering solutions. Methods: The review analyzes various surface modification techniques, including physical vapor deposition (PVD), chemical vapor deposition (CVD), electrophoretic deposition (EPD), plasma spraying, and ion implantation. It also examines their effectiveness in improving tribological properties, biocompatibility, and resistance to infection. Computational methods such as finite element analysis (FEA) are discussed for predicting potential coating failures. Results: The findings underscore the challenges posed by wear debris and corrosion in common configurations, like metal-on-metal (MoM) and metal-on-polyethylene (MoP). Innovative coatings, such as diamond-like carbon (DLC) films and hydroxyapatite (HA) layers, demonstrate enhanced performance by reducing friction, wear, and bacterial adhesion, while promoting osteogenic cell attachment. Surface textures and optimized tribological properties further improve implant functionality. Multifunctional coatings exhibit potential in balancing biocompatibility and infection resistance. Conclusions: Surface engineering plays a critical role in advancing next-generation hip implants. The integration of advanced coatings and surface modifications enhances implant durability, reduces complications, and improves patient outcomes. Future research should focus on combining innovative materials and computational modeling to refine coating strategies for long-term success in THA.