Skip to main content

Advertisement

SpringerLink
Log in

Short-term wear of Japanese highly cross-linked polyethylene in cementless THA

  • Orthopaedic Outcome Assessment
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Production of polyethylene wear from acetabular liners is thought, in part, to mediate the periprosthetic osteolysis. This study examined the in vivo wear performance of Japanese highly cross-linked polyethylene (Aeonian) in cementless total hip arthroplasty.

Matherials and methods

Ninety-five hips received a highly cross-linked polyethylene liner, while 20 hips were implanted with conventional polyethylene. Two-dimensional linear wear was measured on radiographs and volumetric wear was then calculated. Both linear and volumetric wear rates were examined for the 1-year postoperative period as well as for the time frame beginning after 1 year ending with the final follow-up.

Results

The amount of linear wear was significantly lower in the cross-linked group at 3 and 5 years postoperatively (P < 0.01 and < 0.001, respectively). Linear and volumetric wear rates after 1 year postoperatively for hips with the cross-linked polyethylene were significantly reduced by 57 and 59%, respectively, when compared to rates for those who received conventional polyethylene (P < 0.01). A multiple logistic regression analysis revealed that cross-linking was a significant factor influencing linear wear rate after 1 year postoperatively with an odds ratio, exp(ß) = 10.033 (P < 0.001).

Conclusion

These results suggest that the highly cross-linked polyethylene reduces penetration of the femoral head and may be an optimal bearing surface for patients receiving total hip arthroplasty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. D’Antonio JA, Manley MT, Capello WN et al (2005) Five-year experience with crossfire highly cross-linked polyethylene. Clin Orthop 441:143–150

    Article  PubMed  Google Scholar 

  2. Devane PA, Horne JG (1999) Assessment of polyethylene wear in total hip replacement. Clin Orthop 369:59–72

    Article  PubMed  Google Scholar 

  3. Digas G, Karrholm J, Thanner J, Malchau H, Herberts P (2003) Highly cross-linked polyethylene in cemented THA: randomized study of 61 hips. Clin Orthop 417:126–138

    PubMed  Google Scholar 

  4. Dumbleton JH, Manley MT, Edidin AA (2002) A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty 17:649–661

    Article  PubMed  Google Scholar 

  5. Goodman SB, Lind M, Song Y, Smith RL (1998) In vitro, in vivo, and tissue retrieval studies on particulate debris. Clin Orthop 352:25–34

    PubMed  Google Scholar 

  6. Goodman SB, Trindade M, Ma T, Genovese M, Smith RL (2005) Pharmacologic modulation of periprosthetic osteolysis. Clin Orthop 430:39–45

    PubMed  Google Scholar 

  7. Harris WH, McCarthy JC Jr, O’Neill DA (1982) Femoral component loosening using contemporary techniques of femoral cement fixation. J Bone Joint Surg Am 64:1063–1067

    PubMed  CAS  Google Scholar 

  8. Hasegawa M, Sudo A, Uchida A (2006) Alumina ceramic-on-ceramic total hip replacement with a layered acetabular component. J Bone Joint Surg Br 88:877–882

    Article  PubMed  CAS  Google Scholar 

  9. Heisel C, Silva M, dela Rosa MA, Schmalzried TP (2004) Short-term in vivo wear of cross-linked polyethylene. J Bone Joint Surg Am 86:748–751

    PubMed  Google Scholar 

  10. Heisel C, Silva M, Schmalzried TP (2004) Bearing surface options for total hip replacement in young patients. Instr Course Lect 53:49–65

    PubMed  Google Scholar 

  11. Hopper RH Jr, Young AM, Orishimo KF, McAuley JP (2003) Correlation between early and late wear rates in total hip arthroplasty with application to the performance of marathon cross-linked polyethylene liners. J Arthroplasty 18(7 Suppl 1):60–67

    Article  PubMed  Google Scholar 

  12. Ikada Y, Nakamura K, Ogata S (1999) Characterization of ultrahigh molecular weight polyethylene irradiation with g-rays and electron beams to high doses. J Polym Sci Polym Chem 37:159

    Article  CAS  Google Scholar 

  13. Kabo JM, Gebhard JS, Loren G, Amstutz HC (1993) In vivo wear of polyethylene acetabular components. J Bone Joint Surg Br 75:254–258

    PubMed  CAS  Google Scholar 

  14. Kurtz SM, Pruitt LA, Jewett CW, Foulds JR, Edidin AA (1999) Radiation and chemical crosslinking promote strain hardening behavior and molecular alignment in ultra high molecular weight polyethylene during multi-axial loading conditions. Biomaterials 20:1449–1462

    Article  PubMed  CAS  Google Scholar 

  15. Martell JM, Verner JJ, Incavo SJ (2003) Clinical performance of a highly cross-linked polyethylene at two years in total hip arthroplasty: a randomized prospective trial. J Arthroplasty 18(7 Suppl 1):55–59

    Article  PubMed  Google Scholar 

  16. McKellop H, Shen FW, Lu B, Campbell P, Salovey R (1999) Development of an extremely wear-resistant ultra high molecular weight polyethylene for total hip replacements. J Orthop Res 17:157–167

    Article  PubMed  CAS  Google Scholar 

  17. Meneghini RM, Hallab NJ, Jacobs JJ (2005) The biology of alternative bearing surfaces in total joint arthroplasty. Instr Course Lect 54:481–493

    PubMed  Google Scholar 

  18. Muratoglu OK, Mark A, Vittetoe DA, Harris WH, Rubash HE (2003) Polyethylene damage in total knees and use of highly crosslinked polyethylene. J Bone Joint Surg Am 85(Suppl 1):S7–S13

    PubMed  Google Scholar 

  19. Muratoglu OK, Merrill EW, Bragdon CR et al (2003) Effect of radiation, heat, and aging on in vitro wear resistance of polyethylene. Clin Orthop 417:253–262

    PubMed  Google Scholar 

  20. Nashed RS, Becker DA, Gustilo RB (1995) Are cementless acetabular components the cause of excess wear and osteolysis in total hip arthroplasty? Clin Orthop 317:19–28

    PubMed  Google Scholar 

  21. Oonishi H, Tsuji E, Kim YY (1998) Retrieved total hip prostheses: part II. Wear behaviour and structural changes. J Mater Sci Mater Med 9:575–581

    Article  PubMed  CAS  Google Scholar 

  22. Rohrl S, Nivbrant B, Mingguo L, Hewitt B (2005) In vivo wear and migration of highly cross-linked polyethylene cups a radiostereometry analysis study. J Arthroplasty 20:409–413

    Article  PubMed  Google Scholar 

  23. Schmalzried TP, Callaghan JJ (1999) Wear in total hip and knee replacements. J Bone Joint Surg Am 81:115–136

    PubMed  CAS  Google Scholar 

  24. Schmalzried TP, Huk OL (2004) Patient factors and wear in total hip arthroplasty. Clin Orthop 418:94–97

    Article  PubMed  Google Scholar 

  25. Schmalzried TP, Jasty M, Harris WH (1992) Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am 74:849–863

    PubMed  CAS  Google Scholar 

  26. Sychterz CJ, Engh CA Jr, Shah N, Engh CA Sr (1997) Radiographic evaluation of penetration by the femoral head into the polyethylene liner over time. J Bone Joint Surg Am 79:1040–1046

    PubMed  CAS  Google Scholar 

  27. Wroblewski BM, Siney PD, Dowson D, Collins SN (1996) Prospective clinical and joint simulator studies of a new total hip arthroplasty using alumina ceramic heads and cross-linked polyethylene cups. J Bone Joint Surg Br 78:280–285

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kyushu Rosai Hospital, 1-3-1, Kuzuharatakamatsu, Kokuraminami-ku, Kitakyushu, 800-0296, Japan

    Keita Miyanishi, Toshihiko Hara & Takehiko Torisu

  2. Department of Orthopaedic Surgery, Kyushu Central Hospital, Fukuoka, Japan

    Shigekazu Kaminomachi

  3. Maekawa Rheumatology and Orthopaedic Clinic, Kitakyushu, Japan

    Masayuki Maekawa

  4. Research Division, Japan Medical Materials Corporation, Osaka, Japan

    Mikio Iwamoto

Authors
  1. Keita Miyanishi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Toshihiko Hara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shigekazu Kaminomachi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masayuki Maekawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mikio Iwamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Takehiko Torisu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Keita Miyanishi.

Additional information

This research was supported by research funds to promote the hospital functions of Japan Labour Health and Welfare Organization and a Grant of Japan Orthopaedics and Traumatology Foundation, Inc. (No. 0165).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miyanishi, K., Hara, T., Kaminomachi, S. et al. Short-term wear of Japanese highly cross-linked polyethylene in cementless THA. Arch Orthop Trauma Surg 128, 995–1000 (2008). https://doi.org/10.1007/s00402-007-0544-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-007-0544-z

Keywords

Search

Navigation