Highly Crosslinked Polyethylene Reduces Wear in Total Hip Arthroplasty at 5 Years

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Polyethylene wear in total hip arthroplasty.

Polyethylene wear increasingly has been blamed for osteolysis and granuloma formation after total joint arthroplasty. The authors evaluated the wear difference between bearing surfaces of stainless steel, cobalt chrome, and titanium alloy. They also compared cemented all-polyethylene molded cups with cemented metal-backed molded acetabular cups. These were compared with molded and machined poly...

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In vivo wear particles of remelted highly crosslinked polyethylene after total hip arthroplasty: report of four cases.

This is the first report of in vivo wear particles from four total hip arthroplasties using remelted highly crosslinked polyethylene. The number of particles was (1.51 ± 0.45) × 10(7) g(-1) (mean ± standard error); particle size (equivalent circle diameter), 0.72 ± 0.15 µm; and roundness, 1.45 ± 0.05. Remelted highly crosslinked polyethylene generates fewer, rounder, equivalently sized particle...

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Wear Reduction in Total Ankle Arthroplasty Using Highly Crosslinked UHMWPE

Introduction: Bearing couples within total ankle arthroplasty (TAA) typically utilize cobalt chromium alloys articulating on ultrahigh molecular weight polyethylene (UHMWPE). Articulation of these surfaces during in vivo loading can generate UHMWPE wear particles, which may then result in osteolysis and component loosening [1]. Osteolysis has been observed following TAA in 15-22% of patient pop...

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Outcome in design-specific comparisons between highly crosslinked and conventional polyethylene in total hip arthroplasty

Background and purpose - Most registry studies regarding highly crosslinked polyethylene (XLPE) have focused on the overall revision risk. We compared the risk of cup and/or liner revision for specific cup and liner designs made of either XLPE or conventional polyethylene (CPE), regarding revision for any reason and revision due to aseptic loosening and/or osteolysis. Patients and methods - Usi...

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Review Article: Polyethylene wear and osteolysis in total hip arthroplasty.

Polyethylene wear has been accepted as a major cause of osteolysis in total hip arthroplasty. Submicron particles, which are secondary to abrasive wear, migrate into the effective joint space and stimulate a foreign-body response resulting in bone loss which is mainly mediated by macrophages. Diagnosis depends on serial radiographic evaluation and frequent follow-up. Polyethylene wear and osteo...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics & Related Research

سال: 2010

ISSN: 0009-921X

DOI: 10.1007/s11999-010-1379-4