Abstract
Indication for total hip arthroplasty has increased over time due to increased life expectancy and more incidence of avascular necrosis (AVN) in younger patients. Implant longevity mainly depends on the tribology of bearing surfaces. It has evolved from Charnley’s concept of ‘Low friction arthroplasty’ to the present state of implants and techniques. Recent research has been focused on alternative bearing surfaces to decrease particulate debris generated from polyethylene (PE) bearings and subsequently decrease wear and osteolysis. This includes ceramic–polyethylene, metal–polyethylene, metal–metal, and ceramic–ceramic articulations. Earlier generation of polyethylene which was UHMWPE has also been replaced by new highly cross-linked second- and third-generation polyethylene like Vitamin E-doped polyethylene. They have shown good results in younger and more active patients.
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Deshmukh, S., Bagaria, V. (2023). Polyethylene Cups in Total Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_12
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DOI: https://doi.org/10.1007/978-981-99-5517-6_12
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