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Tribology in Total Hip Arthroplasty pp 169–179Cite as

Rates of Osteolysis in Well-Functioning Alumina-on-Highly Cross-Linked Polyethylene Bearing Cementless THA in Patients Younger than Fifty with Femoral Head Osteonecrosis

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Abstract

We asked whether total hip arthroplasties (THAs) using alumina-on-highly cross-linked polyethylene bearing would improve functional activity, and reduce aseptic loosening, polyethylene wear, and osteolysis. Consecutive primary THAs were performed in 71 patients (73 hips) who were younger than 50 years old (mean age, 45.5 years) with femoral head osteonecrosis. There were 48 men (50 hips) and 23 women (23 hips). Osteolysis was evaluated using radiographs and computer tomographic scanning. The average follow-up was 8.5 years (7–9 years). The mean preoperative Harris hip score was 50.6 points, which improved to 96 points at the final follow-up. Preoperative functional activity was improved significantly at the latest follow-up. The mean polyethylene linear penetration was 0.05  ±  0.02 mm per year and no hip had aseptic loosening or osteolysis.

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Authors and Affiliations

  1. The Joint Replacement Center of Korea, at Ewha Womans University MokDong Hospital, 911-1, MokDong, YangCheon-Gu, Seoul, Korea

    Young-Hoo Kim

  2. The Joint Replacement Center of Korea, Ewha Womans University School of Medicine, Seoul, Korea

    Yoowang Choi & Jun-Shik Kim

Authors
  1. Young-Hoo Kim
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  2. Yoowang Choi
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  3. Jun-Shik Kim
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Correspondence to Young-Hoo Kim .

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Editors and Affiliations

  1. , 2nd Orthopaedic Department, Orthopaedic Hospital Vienna-Speising, Speisinger Straße 109, Vienna, 1130, Austria

    Karl Knahr

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Kim, YH., Choi, Y., Kim, JS. (2011). Rates of Osteolysis in Well-Functioning Alumina-on-Highly Cross-Linked Polyethylene Bearing Cementless THA in Patients Younger than Fifty with Femoral Head Osteonecrosis. In: Knahr, K. (eds) Tribology in Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19429-0_14

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  • DOI: https://doi.org/10.1007/978-3-642-19429-0_14

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  • Print ISBN: 978-3-642-19428-3

  • Online ISBN: 978-3-642-19429-0

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