Minimum 10-Year Wear Analysis of Highly Cross-Linked Polyethylene in Cementless Total Hip Arthroplasty

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• 作者：Kazutaka So ; MD ; PhD ; Koji Goto ; MD ; PhD ; Yutaka Kuroda ; MD ; PhD ; Shuichi Matsuda ; MD ; PhD
• 关键词：highly cross-linked polyethylene ; zirconia ; wear analysis ; total hip arthroplasty ; cementless
• 刊名：The Journal of Arthroplasty
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：30
• 期：12
• 页码：2224-2226
• 全文大小：312 K

文摘

Fifty-four patients (64 hips) underwent cementless total hip arthroplasty between 2000 and 2003 with a 22-mm zirconia ceramic bearing on highly cross-linked polyethylene, and were evaluated with a mean 11.9-year postoperative follow-up (range, 10–14 years). Linear wear was measured on the anteroposterior radiograph of the hip. No evidence of osteolysis and loosening was found on the final radiograph in any of the cases, and the steady-state linear wear rate was 0.017 ± 0.018 mm/year. No significant correlation was found between the linear wear rate and age, body weight, cup inclination angle, or polyethylene thickness. Highly cross-linked polyethylene showed excellent wear resistance for > 10 years when used in combination with 22-mm zirconia heads.