Advertisement

Rates of Osteolysis in Well-Functioning Alumina-on-Highly Cross-Linked Polyethylene Bearing Cementless THA in Patients Younger than Fifty with Femoral Head Osteonecrosis

  • Young-Hoo KimEmail author
  • Yoowang Choi
  • Jun-Shik Kim
Chapter

Abstract

We asked whether total hip arthroplasties (THAs) using alumina-on-highly cross-linked polyethylene bearing would improve functional activity, and reduce aseptic loosening, polyethylene wear, and osteolysis. Consecutive primary THAs were performed in 71 patients (73 hips) who were younger than 50 years old (mean age, 45.5 years) with femoral head osteonecrosis. There were 48 men (50 hips) and 23 women (23 hips). Osteolysis was evaluated using radiographs and computer tomographic scanning. The average follow-up was 8.5 years (7–9 years). The mean preoperative Harris hip score was 50.6 points, which improved to 96 points at the final follow-up. Preoperative functional activity was improved significantly at the latest follow-up. The mean polyethylene linear penetration was 0.05  ±  0.02 mm per year and no hip had aseptic loosening or osteolysis.

Keywords

Femoral Head Femoral Component Aseptic Loosening Acetabular Component Polyethylene Liner 
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.

References

  1.  1.
    Della Valle, C.J., Berger, R.A., Shott, S., Rosenberg, A.G., Jacobs, J.J., Quigley, L., Galante, J.O.: Primary total hip arthroplasty with a porous-coated acetabular component: a concise follow-up of a previous report. J. Bone Joint Surg. Am. 86, 1217 (2004)PubMedGoogle Scholar
  2.  2.
    Duffy, G.P., Prpa, B., Rowland, C.M., Berry, D.J.: Primary uncemented Harris-Galante acetabular components in patients 50 years old or younger: Results at 10 to 12 years. Clin. Orthop. Relat. Res. 427, 157 (2004)PubMedCrossRefGoogle Scholar
  3.  3.
    Gaffey, J.L., Callaghan, J.J., Pedersen, D.R., Goetz, D.D., Sullivan, P.M., Johnston, R.C.: Cementless acetabular fixation at fifteen years. A comparison with the same surgeon’s results following acetabular fixation with cement. J. Bone Joint Surg. Am. 86, 257 (2004)PubMedGoogle Scholar
  4.  4.
    Chen, C.J., Xenos, J.S., McAuley, J.P., Young, A., Engh Sr., C.A.: Second generation porous-coated cementless total hip arthroplasties have high survival. Clin. Orthop. Relat. Res. 451, 121 (2006)PubMedCrossRefGoogle Scholar
  5.  5.
    Jazrawi, L.M., Kummer, F.J., DiCesare, P.E.: Alternative bearing surfaces for total joint arthroplasty. J. Am. Acad. Orthop. Surg. 6, 198 (1998)PubMedGoogle Scholar
  6.  6.
    Engh Jr., C.A., Stepniewski, A.S., Ginn, S.D., Beykirch, S.E., Sychterz-Terefenko, C.J., Hopper Jr., R.H., Engh, C.A.: A randomized prospective evaluation of outcomes after total hip arthroplasty using cross-linked marathon and non-cross-linked Enduron polyethylene liners. J. Arthroplasty 21(6 suppl 2), 17 (2006)PubMedCrossRefGoogle Scholar
  7.  7.
    Bitsch, R.G., Loidolt, T., Heisel, C., Ball, S., Schmalzried, T.P.: Reduction of osteolysis with use of Marathon cross-linked polyethylene. A concise follow-up, at a minimum of five years, of a previous report. J. Bone Joint Surg. Am. 90, 1487 (2008)PubMedCrossRefGoogle Scholar
  8.  8.
    Ficat, R.P., Arlet, J.: Treatment of bone ischemia and necrosis. In: Hungerford, D.S. (ed.) Ischemia and Necrosis of Bone, p. 171. Williams & Wilkins, Baltimore (1980)Google Scholar
  9.  9.
    Harris, W.H.: Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J. Bone Joint Surg. Am. 51, 737 (1969)PubMedGoogle Scholar
  10. 10.
    Tegner, Y., Lysholm, J.: Rating systems in the evaluation of knee ligament injuries. Clin. Orthop. Relat. Res. 198, 43 (1985)PubMedGoogle Scholar
  11. 11.
    Dorr, L.D.: Total hip replacement using APR system. Tech. Orthop. 1, 22–34 (1986)CrossRefGoogle Scholar
  12. 12.
    Kim, Y.-H., Kim, V.E.: Uncemented porous-coated anatomic total hip replacement. Results at six years in a consecutive series. J. Bone Joint Surg. Br. 75, 6 (1993)PubMedGoogle Scholar
  13. 13.
    Kim Y-H Kim J-S, OhS-H, Kim, J.-M.: Comparison of porous-coated titanium femoral stem with and without hydroxyapatite coating. J. Bone Joint Surg. Am. 85, 1682 (2003)Google Scholar
  14. 14.
    Sychterz, C.J., Engh Jr., C.A., Shah, N., Engh Sr., C.A.: Radiographic evaluation of penetration by the femoral head into the polyethylene liner over time. J. Bone Joint Surg. Am. 79, 1040 (1997)PubMedGoogle Scholar
  15. 15.
    Sutherland, C.J., Wilde, A.H., Borden, L.S., Marks, K.E.: A ten-year follow-up of one hundred consecutive Müller curved-stem total hip-replacement arthroplasties. J. Bone Joint Surg. Am. 64, 970 (1982)PubMedGoogle Scholar
  16. 16.
    Kim, Y.-H., Kim, J.-S., Chi, S.-H.: A comparison of polyethylene wear in hips with cobalt-chrome or zirconia heads. A prospective, randomized study. J. Bone Joint Surg. Br. 83, 742 (2001)PubMedCrossRefGoogle Scholar
  17. 17.
    DeLee, J.G., Charnley, J.: Radiological demarcation of cemented sockets in total hip replacement. Clin. Orthop. Relat. Res. 121, 20 (1976)PubMedGoogle Scholar
  18. 18.
    Gruen, T.A., McNeice, G.M., Amstutz, H.C.: “Modes of failure” of cemented stem-type ­femoral components: a radiographic analysis of loosening. Clin. Orthop. Relat. Res. 141, 17 (1979)PubMedGoogle Scholar
  19. 19.
    Kaplan, E.L., Meier, P.: Nonparametric estimation from incomplete observation. J. Am. Stat. Assoc. 53, 457 (1958)CrossRefGoogle Scholar
  20. 20.
    Wan, Z., Dorr, L.D.: Natural history of femoral focal osteolysis with proximal ingrowth smooth stem implant. J. Arthroplasty 11, 718 (1996)PubMedCrossRefGoogle Scholar
  21. 21.
    Dowd, J.E., Sychterz, C.J., Young, A.M., Engh, C.A.: Characterization of long-term femoral-head-penetration rates. Association with and prediction of osteolysis. J. Bone Joint Surg. Am. 82, 1102 (2000)PubMedGoogle Scholar
  22. 22.
    Garvin, K.L., Hartman, C.W., Mangla, J., Murdoch, N., Martell, J.M.: Wear analysis in THA utilizing oxidized zirconium and crosslinked polyethylene. Clin. Orthop. Relat. Res. 467, 141 (2009)PubMedCrossRefGoogle Scholar
  23. 23.
    Kim, Y.-H., Kim, J.-S., Choi, Y.-W., Kwon, O.-R.: Intermediated results of simultaneous alumina-on-alumina bearing and alumina-on-highly cross-linked polyethylene bearing total hip arthroplasties. J Arhtroplasty 24, 885 (2009)CrossRefGoogle Scholar
  24. 24.
    Urban, J.A., Garvin, K.L., Boese, C.K., Bryson, L., Pedersen, D.R., Callaghan, J.J., Miller, R.K.: Ceramic-on-polyethylene bearing surfaces in total hip arthroplasty. Seventeen to twenty-one-year results. J. Bone Joint Surg. Am. 83, 1688 (2001)PubMedGoogle Scholar
  25. 25.
    Dorr, L.D., Wan, Z., Shahrdar, C., Sirianni, L., Boutary, M., Yun, A.: Clinical performance of a Durasul highly cross-linked polyethylene acetabular liner for total hip arthroplasty at five years. J. Bone Joint Surg. Am. 87, 1816 (2005)PubMedCrossRefGoogle Scholar
  26. 26.
    Bragdon, C.R., Barrett, S., Martell, J.M., Greene, M.E., Malchau, H., Harris, W.H.: Steady-state penetration rates of electron beam-irradiated, highly cross-linked polyethylene at an average 45-month follow-up. J. Arhtroplasty 21, 935 (2006)CrossRefGoogle Scholar
  27. 27.
    Manning, D.W., Chiang, P.P., Martell, J.M., Galante, J.O., Harris, W.H.: In vivo comparative wear study of traditional and highly cross-linked polyethylene in total hip arthroplasty. J. Arhtroplasty 20, 880 (2005)CrossRefGoogle Scholar
  28. 28.
    Bradford, L., Baker, D., Ries, M.D., Pruitt, L.A.: Fatigue crack propagation resistance of highly crosslinked polyethylene. Clin. Orthop. Relat. Res. 429, 68 (2004)PubMedCrossRefGoogle Scholar
  29. 29.
    Tower, S.S., Currier, J.H., Currier, B.H., Lyford, K.A., Van Citters, D.W., Mayor, M.B.: Rim cracking of the cross-linked longevity polyethylene acetabular liner after total hip arthroplasty. J. Bone Joint Surg. Am. 89, 2212 (2007)PubMedCrossRefGoogle Scholar
  30. 30.
    Crowninshield, R.D., Maloney, W.J., Wentz, D.H., Humphrey, S.M., Blanchard, C.R.: Biomechanics of large femoral heads: what they do and don’t do. Clin. Orthop. Relat. Res. 429, 102 (2004)PubMedCrossRefGoogle Scholar
  31. 31.
    Ries, M.D.: Highly cross-linked polyethylene: the debate is over. In opposition. J. Arhtroplasty 20(4 supple 2), 59 (2005)CrossRefGoogle Scholar
  32. 32.
    Fisher, J., McEwen, H.M., Tipper, J.L., Galvin, A.L., Ingram, J., Kamali, A., Stone, M.H., Ingham, E.: Wear, debris, and biologic activity of cross-linked polyethylene in the knee: ­benefits and potential concerns. Clin. Orthop. Relat. Res. 428, 114 (2004)PubMedCrossRefGoogle Scholar
  33. 33.
    Endo, M.M., Tipper, J.H., Barton, D.C., Stone, M.H.: Comparison of wear, wear debris and functional biological activity of moderately crosslinked and non-crosslinked polyethylenes in hip prostheses. Proc. Inst. Mech. Eng. H. 210, 111 (2002)Google Scholar
  34. 34.
    D’Antonio, J., Capello, W., Manley, M., Bierbaum, B.: New experience with alumina-­on-alumina ceramic bearings for total hip arthroplasty. J. Arthroplasty 17, 390 (2002)PubMedCrossRefGoogle Scholar
  35. 35.
    Capello, W.N., D’Antonio, J.A., Feinberg, J.R., Manley, M.T., Naughton, M.: Ceramic-on-ceramic total hip arthroplasty: update. J. Arthroplasty 23(Suppl 1), 39 (2008)PubMedCrossRefGoogle Scholar
  36. 36.
    Yoo, J.J., Kim, Y.M., Yoon, K.S., Koo, K.H., Song, W.S., Kim, H.J.: Alumina-on-alumina total hip arthroplasty. A five-year minimum follow-up study. J. Bone Joint Surg. Am. 87, 530 (2005)PubMedCrossRefGoogle Scholar

Copyright information

© Springer Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.The Joint Replacement Center of Koreaat Ewha Womans University MokDong HospitalSeoulKorea
  2. 2.The Joint Replacement Center of KoreaEwha Womans University School of MedicineSeoulKorea

Personalised recommendations