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Polyethylene Wear in Metal-Backed Cups: A Retrospective Analysis of 200 Uncemented Prostheses

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Total Hip Arthroplasty

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Abstract

Uncemented total hip prostheses were introduced some 40 years ago, after disappointing results with cemented hip prostheses in young and active patients. In orthopedic literature, research on uncemented hip prostheses has focused on the survival of the uncemented femoral stem, and in general, excellent results were reported. Although the femoral component showed excellent performance, recent in vivo studies have reported increased wear of the polyethylene (PE) liner of the uncemented acetabular cup. This PE wear results in PE particles being distributed in the tissue surrounding the prosthesis, with macrophages being activated by these particles. These activated macrophages induce osteolysis (see Fig. 9.1) which in the end results in aseptic loosening of the prosthesis.

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, St. Anna Hospital, Bogardeind 2, 5664 EH, Geldrop, The Netherlands

    Walter van der Weegen M.Sc.

  2. Department of Orthopedic Surgery, University of Maastricht, Maastricht, The Netherlands

    Shennah Austen M.D.

  3. Department of Orthopedic Surgery, St. Anna Hospital, Geldrop, The Netherlands

    Thea Sijbesma M.D., Ph.D. & Henk J. Hoekstra M.D.

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  1. Walter van der Weegen M.Sc.
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  2. Shennah Austen M.D.
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  3. Thea Sijbesma M.D., Ph.D.
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  4. Henk J. Hoekstra M.D.
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Correspondence to Walter van der Weegen M.Sc. .

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Editors and Affiliations

  1. , 2nd Orthopaedic Department, Orthopaedic Hospital Vienna-Speising, Speisinger Straße 109, Vienna, 1130, Austria

    Karl Knahr

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van der Weegen, W., Austen, S., Sijbesma, T., Hoekstra, H.J. (2012). Polyethylene Wear in Metal-Backed Cups: A Retrospective Analysis of 200 Uncemented Prostheses. In: Knahr, K. (eds) Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27361-2_9

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  • DOI: https://doi.org/10.1007/978-3-642-27361-2_9

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