Advertisement

Ceramic on highly cross-linked Polyethylene in cementless Total Hip Arthroplasty

  • Joon-Soon Kang
  • Kyoung Ho Moon
Conference paper
Part of the Ceramics in Orthopaedics book series (CIO)

Abstract

Thirty six patients (42 hips) underwent cementless total hip arthroplasty using a porous-coated acetabular cup, highly cross linked polyethylene liner (Maratho™), and a extensively porous-coated femoral stem. One patient (1 hip) died and 2 patients (3 hips) were lost to follow-up. The remaining 33 patients (39 hips) were followed for 4 to 6 years. Their mean age at the index operation was 67 years. Clinical assessment was performed with use of the Harris hip score and radiographic analysis included measurements of acetabular component position, fixation, and osteolysis. The mean Harris hip score was 92 points at the time of final follow-up. Four patients (4 hips) had mild thigh pain. All acetabular and femoral components were bone-ingrown, and neither pelvic nor femoral osteolysis was identified. The subsequent head penetration, with elimination of the bedding-in wear, resulted in a linear wear rate of 0.032 +/- 0.02 mm per year. These early data support the continued use of this highly cross-linked polyethylene liner for total hip arthroplasty.

Keywords

Acetabular Component Total Joint Arthroplasty Polyethylene Liner Linear Wear Rate Femoral Head Penetration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Ayers DC: Polyethylene wear and osteolysis following total knee replacement. Instr Course Lect 1997;46:205–213.PubMedGoogle Scholar
  2. 2.
    Clohisy JC and Harris WH: The Harris-Galante uncemented femoral component in primary total hip replacement at 10 years. J Arthroplasty 1999;14:915–917.PubMedCrossRefGoogle Scholar
  3. 3.
    Dorr LD, Wan Z: Ten years of experience with porous acetabular components for revision surgery. Clin Orthop Relat Res. 1995;319;191–200.PubMedGoogle Scholar
  4. 4.
    Dorr LD, Lewonowski K, Lucero M, Harris M and Wan Z: Failure mechanisms of anatomic porous replacement I cementless total hip replacement. Clin Orthop 1997;334:157–167.PubMedGoogle Scholar
  5. 5.
    Engh CA Jr, Stepniewski AS, Ginn SD et al: A randomized prospective evaluation of outcomes after total hip arthroplasty using cross-linked marathon and non-cross-linked Enduron polyethylene liners. HYPERLINK “javascript:AL_get(this, ‘jour’, ‘J Arthroplasty.’);” J Arthroplasty. 2006 Sep;21 (6 Suppl 2):17–25.Google Scholar
  6. 6.
    Ezzet KA: Early failure of Hylamer acetabular inserts due to eccentric wear. J Arthroplasty. 1996; 11:351–353.CrossRefGoogle Scholar
  7. 7.
    Fisher J, Leeds, McEwen HML et al: Can polyethylene wear be decreased? 2004 AAOS Meeting, Symposium III.Google Scholar
  8. 8.
    Harris WH: The problem is osteolysis. Clin Orthop 1995;311:46–53.PubMedGoogle Scholar
  9. 9.
    Heisel C, Silver M, dela Rosa M and Schmalzried TP: Short term in vivo wear of cross linked polyethylene. J Bone Joint Surg 86-A: 748–751, 2004.PubMedGoogle Scholar
  10. 10.
    Kurtz SM, Muratoglu OK, Evans M and Eddin AA: Advances in the processing, sterilization and crosslinking of ultra-high molecular weight polyethylene for total joint arthroplasty. Biomaterials 1999;20:1659–1688.PubMedCrossRefGoogle Scholar
  11. 11.
    McKellop H, Shen FW, Lu B, Campbell P and Salovey R: Development of an extremely wear resistant ultra high molecular weight polyethylene for total hip replacements. J Orthop Res 1999;17:157–167.PubMedCrossRefGoogle Scholar
  12. 12.
    Sakoda H, Voice AM, McEwen HM et al: A comparison of the wear and physical properties of silane cross-linked polyethylene and ultra-high molecular weight polyethylene. J Arthroplasty 2001;16:1018–1023.PubMedCrossRefGoogle Scholar
  13. 13.
    Schmalzried TP, Kwong LM, Jasty MJ et al: The mechanism of loosening of cemented acetabular components in total hip arthroplasty: Analysis of specimens retrieved at autopsy. Clin Orthop 1992;274:60–78.PubMedGoogle Scholar
  14. 14.
    Tanner MG, Whiteside LA and White SE: Effect of polyethylene quality on wear in total knee arthroplasty. Clin Orthop 1995;317:83–88.PubMedGoogle Scholar
  15. 15.
    Willie BM, Gingell DT, Bloebaum RD and Hoffmann AA: Possible explanation for the white bands artifacts seen in clinically retrieved polyethylene tibial component. J Biomed Mater Res 2000;52:558–866.PubMedCrossRefGoogle Scholar
  16. 16.
    Wrobleswski BM, Sidney PD, Dowsin D and Collins SN: Prospective clinical and joint simulator studies of a new total joint arthroplasty using alumina ceramic heads and cross-linked polyethylene cups. J Bone Joint Surg Br 1996;78:280–285.Google Scholar

Copyright information

© Steinkopff Verlag 2007

Authors and Affiliations

  • Joon-Soon Kang
    • 1
  • Kyoung Ho Moon
    • 2
  1. 1.Department of Orthopedic SurgeryInha University HospitalIncheonKorea
  2. 2.Department of Orthopedic SurgeryInha University HospitalIncheonKorea

Personalised recommendations