COMPARATIVE STUDY ON HIGH CROSS-LINKED AND TRADITIONAL POLYETHYLENE CUP LINERS IN TOTAL HIP ARTHROPLASTY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WEI Zhaoquan , SUN Junying , ZHA Guochun , DONG Shengjie , WANG Tao , FANY Yuan.

Department of Orthopaedics, the First Affiliated Hospital of Soochow University, Suzhou Jiangsu, 215006, P.R.China. Corresponding author: SUN Junying, E-mail: sun_junying@hotmail.com;

Corresponding author：

Keywords：

Total hip arthroplasty; Cup liner; High cross-linked polyethylene; Osteolysis

DOI：

10.7507/1002-1892.20130310

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the effectiveness and linear wear rates between high cross-linked polyethylene cup liner and traditional polyethylene cup liner. Methods A retrospective analysis was made on the clinical data of 61 patients (64 hips) who underwent primary total hip arthroplasty (THA) between January 2005 and March 2007. According to the type of cup liner, 61 patients (64 hips) were divided into 2 groups: high cross-linked polyethylene cup liner was used in 30 cases (31 hips, trial group), and traditional polyethylene cup liner in 31 cases (33 hips, control group). There was no significant difference in gender, age, body weight, etiological factor, and preoperative Harris score between 2 groups (P gt; 0.05). Complication was observed after operation; Harris score was used to assess hip function; X-ray film analysis was done to observe osteolysis and prosthesis loosening, and to measure cumulative penetration of the femoral head and linear wear rate. Results All incisions healed by first intention without complication. All patients were followed up. The mean follow-up was 6.3 years (range, 5-7 years) in trial group, and was 6.5 years (range, 4-7 years) in control group. There was no significant difference in Harris score between 2 groups at the 3 months after operation and last follow-up (P gt; 0.05). Osteolysis was observed in 3 cases (3 hips) of control group, but no osteolysis in trial group. X-ray films showed no aseptic loosening in the patients of 2 groups. The mean cumulative penetration of trial group were significantly lower than those of control group at 1-7 years after operation (P lt; 0.05). Linear wear rate of trial group [(0.025 ± 0.002) mm/year] was significantly lower than that of control group [(0.086 ± 0.005 ) mm/year] (Z=6.804, P=0.000). Conclusion High cross-linked polyethylene cup liner has the similar effectiveness as traditional polyethylene cup liner, but it has lower linear wear rate than the traditional polyethylene cup liner.

Citation： WEI Zhaoquan,SUN Junying,ZHA Guochun,DONG Shengjie,WANG Tao,FANY Yuan.. COMPARATIVE STUDY ON HIGH CROSS-LINKED AND TRADITIONAL POLYETHYLENE CUP LINERS IN TOTAL HIP ARTHROPLASTY. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(12): 1414-1418. doi: 10.7507/1002-1892.20130310 Copy

1.	孙俊英. 人工髋关节翻修手术学. 北京: 人民军医出版社, 2012: 4-18.
2.	Harris WH. The problem is osteolysis. Clin Orthop Relat Res, 1995, (311): 46-53.
3.	Gallo J, Havranek V, Zapletalova J. Risk factors for accelerated polyethylene wear and osteolysis in ABG I total hip arthroplasty. Int Orthop, 2010, 34(1): 19-26.
4.	Grobbelaar CJ, du Plessis TA, Marais F. The radiation improvement of polyethylene prostheses. A preliminary study. J Bone Joint Surg (Br), 1978, 60-B(3): 370-374.
5.	DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res, 1976, (121): 20-32.
6.	Zicat B, Engh CA, Gokcen E. Patterns of osteolysis around total hip components inserted with and without cement. J Bone Joint Surg (Am), 1995, 77(3): 432-439.
7.	Kawamura H, Dunbar MJ, Murray P, et al. The porous coated anatomic total hip replacement. A ten to fourteen-year follow-up study of a cementless total hip arthroplasty. J Bone Joint Surg (Am), 2001, 83-A(9): 1333-1338.
8.	Engh CA Jr, Culpepperii WJ 2nd, Engh CA. Long-term results of use of the anatomic medullary locking prosthesis in total hip arthroplasty. J Bone Joint Surg (Am), 1997, 79(2): 177-184.
9.	戴雪松, 严世贵, 潘志军, 等. 全髋关节置换术后聚乙烯内衬磨损的测量及其临床意义. 中华骨科杂志, 2001, 21(4): 229-232.
10.	Martell JM, Berdia S. Determination of polyethylene wear in total hip replacements with use of digital radiographs. J Bone Joint Surg (Am), 1997, 79(11): 1635-1641.
11.	Shaver SM, Brown TD, Hillis SL, et al. Digital edge-detection measurement of polyethylene wear after total hip arthroplasty. J Bone Joint Surg (Am), 1997, 79(5): 690-700.
12.	Dumbleton JH, Manley MT, Edidin AA. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty, 2002, 17(5): 649-661.
13.	Engh CA Jr, Hopper RH Jr, Huynh C, et al. A prospective, randomized study of cross-linked and non-cross-linked polyethylene for total hip arthroplasty at 10-year follow-up. J Arthroplasty, 2012, 27(8 Suppl): 2-7. e1.
14.	Dorr LD, Wan Z, Shahrdar C, et al. Clinical performance of a Durasul highly cross-linked polyethylene acetabular liner for total hip arthroplasty at five years. J Bone Joint Surg (Am), 2005, 87(8): 1816-1821.
15.	Calvert GT, Devane PA, Fielden J, et al. A double-blind, prospective, randomized controlled trial comparing highly cross-linked and conventional polyethylene in primary total hip arthroplasty. J Arthroplasty, 2009, 24(4): 505-510.
16.	Rajadhyaksha AD, Brotea C, Cheung Y, et al. Five-year comparative study of highly cross-linked (crossfire) and traditional polyethylene. J Arthroplasty, 2009, 24(2): 161-167.
17.	Olyslaegers C, Defoort K, Simon JP, et al. Wear in conventional and highly cross-linked polyethylene cups: a 5-year follow-up study. J Arthroplasty, 2008, 23(4): 489-494.
18.	Geerdink CH, Grimm B, Vencken W, et al. Cross-linked compared with historical polyethylene in THA: an 8-year clinical study. Clin Orthop Relat Res, 2009, 467(4): 979-984.
19.	Wroblewski BM, Siney PD, Fleming PA. Low-friction arthroplasty of the hip using alumina ceramic and cross-linked polyethylene. A ten-year follow-up report. J Bone Joint Surg (Br), 1999, 81(1): 54-55.
20.	Bradford L, Baker D, Ries MD, et al. Fatigue crack propagation resistance of highly cross-linked polyethylene. Clin Orthop Relat Res, 2004, (429): 68-72.

1. 孙俊英. 人工髋关节翻修手术学. 北京: 人民军医出版社, 2012: 4-18.
2. Harris WH. The problem is osteolysis. Clin Orthop Relat Res, 1995, (311): 46-53.
3. Gallo J, Havranek V, Zapletalova J. Risk factors for accelerated polyethylene wear and osteolysis in ABG I total hip arthroplasty. Int Orthop, 2010, 34(1): 19-26.
4. Grobbelaar CJ, du Plessis TA, Marais F. The radiation improvement of polyethylene prostheses. A preliminary study. J Bone Joint Surg (Br), 1978, 60-B(3): 370-374.
5. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res, 1976, (121): 20-32.
6. Zicat B, Engh CA, Gokcen E. Patterns of osteolysis around total hip components inserted with and without cement. J Bone Joint Surg (Am), 1995, 77(3): 432-439.
7. Kawamura H, Dunbar MJ, Murray P, et al. The porous coated anatomic total hip replacement. A ten to fourteen-year follow-up study of a cementless total hip arthroplasty. J Bone Joint Surg (Am), 2001, 83-A(9): 1333-1338.
8. Engh CA Jr, Culpepperii WJ 2nd, Engh CA. Long-term results of use of the anatomic medullary locking prosthesis in total hip arthroplasty. J Bone Joint Surg (Am), 1997, 79(2): 177-184.
9. 戴雪松, 严世贵, 潘志军, 等. 全髋关节置换术后聚乙烯内衬磨损的测量及其临床意义. 中华骨科杂志, 2001, 21(4): 229-232.
10. Martell JM, Berdia S. Determination of polyethylene wear in total hip replacements with use of digital radiographs. J Bone Joint Surg (Am), 1997, 79(11): 1635-1641.
11. Shaver SM, Brown TD, Hillis SL, et al. Digital edge-detection measurement of polyethylene wear after total hip arthroplasty. J Bone Joint Surg (Am), 1997, 79(5): 690-700.
12. Dumbleton JH, Manley MT, Edidin AA. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty, 2002, 17(5): 649-661.
13. Engh CA Jr, Hopper RH Jr, Huynh C, et al. A prospective, randomized study of cross-linked and non-cross-linked polyethylene for total hip arthroplasty at 10-year follow-up. J Arthroplasty, 2012, 27(8 Suppl): 2-7. e1.
14. Dorr LD, Wan Z, Shahrdar C, et al. Clinical performance of a Durasul highly cross-linked polyethylene acetabular liner for total hip arthroplasty at five years. J Bone Joint Surg (Am), 2005, 87(8): 1816-1821.
15. Calvert GT, Devane PA, Fielden J, et al. A double-blind, prospective, randomized controlled trial comparing highly cross-linked and conventional polyethylene in primary total hip arthroplasty. J Arthroplasty, 2009, 24(4): 505-510.
16. Rajadhyaksha AD, Brotea C, Cheung Y, et al. Five-year comparative study of highly cross-linked (crossfire) and traditional polyethylene. J Arthroplasty, 2009, 24(2): 161-167.
17. Olyslaegers C, Defoort K, Simon JP, et al. Wear in conventional and highly cross-linked polyethylene cups: a 5-year follow-up study. J Arthroplasty, 2008, 23(4): 489-494.
18. Geerdink CH, Grimm B, Vencken W, et al. Cross-linked compared with historical polyethylene in THA: an 8-year clinical study. Clin Orthop Relat Res, 2009, 467(4): 979-984.
19. Wroblewski BM, Siney PD, Fleming PA. Low-friction arthroplasty of the hip using alumina ceramic and cross-linked polyethylene. A ten-year follow-up report. J Bone Joint Surg (Br), 1999, 81(1): 54-55.
20. Bradford L, Baker D, Ries MD, et al. Fatigue crack propagation resistance of highly cross-linked polyethylene. Clin Orthop Relat Res, 2004, (429): 68-72.

Chinese Journal of Reparative and Reconstructive Surgery

COMPARATIVE STUDY ON HIGH CROSS-LINKED AND TRADITIONAL POLYETHYLENE CUP LINERS IN TOTAL HIP ARTHROPLASTY

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content