Comparison of Polyethylene Wear between Highly Crosslinked and Annealed UHMWPE and Conventional UHMWPE against Ceramic Heads in Total Hip Arthroplasty

2012 ◽  
Vol 529-530 ◽  
pp. 279-284 ◽  
Author(s):  
Taishi Sato ◽  
Yasuharu Nakashima ◽  
Mio Akiyama ◽  
Takuaki Yamamoto ◽  
Taro Mawatari ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Polyethylene Wear ◽  
Wear Rates ◽  
Head Penetration ◽  
Total Hip ◽  
Patient Demographics ◽  
Ceramic Femoral Head ◽  
Implantation Period

The purpose of this study was to examine the effects of ceramic femoral head material on the wear of annealed, crosslinked ultra-high molecular weight polyethylene (UHMWPE) (XLPE) in total hip arthroplasty compared to non-crosslinked conventional UHMWPE (CPE). XLPE was fabricated by crosslinking with 60 kGy irradiation and annealing. Femoral heads made from zirconia and alumina ceramics, and cobalt-chrome (CoCr) of 22 mm or 26 mm diameter were used. In this study, the femoral head penetration into the cup was measured digitally on radiographs of 70 hips with XLPE and 50 hips with CPE. The average follow-up periods were 6.1 and 12.7 years, respectively. The steady wear rate of XLPE was significantly lower than those of CPE (0.002 versus 0.08 mm/year, respectively). Zirconia displayed increased wear rates compared to alumina in CPE; however, there was no difference among head materials in XLPE (0.0028, 0.011 and 0.009 mm/year for zirconia, alumina and CoCr, respectively). Neither head size or implantation period impacted XLPE wear. In contrast to CPE, XLPE displayed low wear rates surpassing the effects of varying femoral head material, size, implantation period and patient demographics.

Early Osteolysis Following Total Hip Arthroplasty with Use of a Hylamer Liner in Combination with a Modular Ceramic Femoral Head. A Case Report*

1999 ◽  
Vol 81 (10) ◽  
pp. 1446-9 ◽  
Author(s):  
BRADLEY K. VAUGHN ◽  
THOMAS B. DAMERON ◽  
THOMAS W. BAUER ◽  
YUICHI MOCHIDA ◽  
TOSHIHIRO AKISUE ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Ceramic Femoral Head

REVISION TOTAL HIP ARTHROPLASTY PERFORMED AFTER FRACTURE OF A CERAMIC FEMORAL HEAD

2003 ◽  
Vol 85 (5) ◽  
pp. 825-830 ◽  
Author(s):  
JÉRÔME ALLAIN ◽  
FRANÇOISE ROUDOT-THORAVAL ◽  
JOEL DELECRIN ◽  
PHILIPPE ANRACT ◽  
HENRI MIGAUD ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Total Hip Arthroplasty ◽  
Total Hip ◽  
Ceramic Femoral Head

Comparison of Steady State Femoral Head Penetration Rates Between Two Highly Cross-Linked Polyethylenes in Total Hip Arthroplasty

2010 ◽  
Vol 25 (5) ◽  
pp. 680-686 ◽  
Author(s):  
John-Paul Whittaker ◽  
Kory D. Charron ◽  
Richard W. McCalden ◽  
Steven J. MacDonald ◽  
Robert B. Bourne
Keyword(s):  
Steady State ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Head Penetration ◽  
Total Hip ◽  
Femoral Head Penetration

Fracture of a Ceramic Femoral Head After Ceramic-On-Ceramic Total Hip Arthroplasty

2006 ◽  
Vol 21 (7) ◽  
pp. 1072-1073 ◽  
Author(s):  
Manuel Malillos Torán ◽  
Jorge Cuenca ◽  
Ángel Antonio Martinez ◽  
Antonio Herrera ◽  
Javier Vicente Thomas
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Ceramic Femoral Head ◽  
Ceramic On Ceramic

scholarly journals A Case of Ceramic Femoral Head Fracture in Total Hip Arthroplasty.

2003 ◽  
Vol 52 (2) ◽  
pp. 376-380
Author(s):  
Kenji Tsunoda ◽  
Masamori Shigematsu ◽  
Toshimitsu Koga ◽  
Yukihiko Tsutsumi ◽  
Takao Hotokebuchi
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Head Fracture ◽  
Total Hip ◽  
Ceramic Femoral Head

scholarly journals Vitamin E-Enhanced Liners in Primary Total Hip Arthroplasty: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Qian-Yue Cheng ◽  
Bin-Fei Zhang ◽  
Peng-Fei Wen ◽  
Jun Wang ◽  
Lin-Jie Hao ◽  
...  
Keyword(s):  
Vitamin E ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Rate ◽  
Meta Analysis ◽  
Harris Hip Score ◽  
Head Penetration ◽  
Total Hip ◽  
Femoral Head Penetration

Objective. Adding vitamin E to highly cross-linked polyethylene liners is frequently performed in clinical practice, aiming at reducing liner wear, increasing liner survival, and delaying revision surgery. This study is aimed at evaluating the revision rate, total femoral head penetration, and postoperative clinical function of highly cross-linked polyethylene liners with and without vitamin E in total hip arthroplasty. Methods. We conducted a systematic literature search to identify the use of highly cross-linked vitamin E liners compared to other liners in patients who received total hip arthroplasty (THA) before April 2021. The study quality assessment and data collection were conducted by two independent reviewers. Studies were artificially grouped, and vitamin E-enhanced liners (VE-PE) were compared with vitamin E-free liners (non-VE-PE). Analyses were executed using Review Manager version 5.4.1. Results. From the preliminary screening of 568 studies, fourteen studies met the research criteria. Compared to non-VE-PE, using VE-PE reduced the all-cause revision rate ( odds   ratio = 0.54 ; 95% confidence interval (CI) 0.40, 0.73; P < 0.0001 ). The total femoral head penetration of the VE-PE was lower than that of the non-VE-PE ( mean   difference = − 0.10 ; 95% CI -0.17, -0.03; P = 0.007 ). However, there was no difference in clinical function, including the Harris Hip Score and EuroQol Five-Dimension Questionnaire scores. Conclusion. Compared to the liners without vitamin E, the addition of vitamin E to liners could reduce the all-cause revision rate by approximately 46% in the short-term follow-up. In addition, even though addition of vitamin E could also slow down femoral head penetration, there is no contribution to clinical function.

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