RESEARCH PROGRESS OF BACKSIDE WEAR IN ACETABULAR LINERS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHOU Kunpeng , LI Shuqiang , YANG Chen , QI Xin.

Department of Bone and Joint Surgery, the First Hospital of Jilin University, Changchun Jilin, 130000, P.R.China. Corresponding author: QI Xin, E-mail: adamqi@qq.com;

Corresponding author：

Keywords：

Total hip arthroplasty; Modular acetabulum prosthesis; Acetabular liner; Backside wear

DOI：

10.7507/1002-1892.20130319

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Objective To summarize the occurrence mechanism of backside wear, the method of evaluating backside surface damage, the relationship between backside wear and osteolysis in acetabulum, and the approach to reduce backside wear in total hip arthroplasty with modular acetabulum prosthesis. Methods The recent articles about the backside wear in acetabular liners were extensively reviewed. Results Backside wear in acetabular liners is connected with micromotion between the liner and the shell, rough interface, thickness of the liner, and impingement. The methods to evaluate backside wear damage are only proceeded in revised acetabular liners. Backside wear can generate polyethylene particles that is likely related to the process of osteolysis in acetabulum through the screw holes of metallic shell. To reduce backside wear between the liner and the shell, measures such as improved locking mechanisms, smooth inner metallic shell, maximized shell liner conformity, improving the quality of polyethylene, and reducing impingement can be taken. Conclusion There is no method of evaluating the backside wear in vivo. The relationship between backside wear and osteolysis in acetabulum as well as aseptic loosening of acetabulum prosthesis is controversial.

Citation： ZHOU Kunpeng,LI Shuqiang,YANG Chen,QI Xin.. RESEARCH PROGRESS OF BACKSIDE WEAR IN ACETABULAR LINERS. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(12): 1453-1456. doi: 10.7507/1002-1892.20130319 Copy

1.	Terefenko KM, Sychterz CJ, Orishimo K, et al. Polyethylene liner exchange for excessive wear and osteolysis. J Arthroplasty, 2002, 17(6): 798-804.
2.	Williams VG 2nd, Whiteside LA, White SE, et al. Fixation of ultrahigh-molecular-weight polyethylene liners to metal-backed acetabular cups. J Arthroplasty, 1997, 12(1): 25-31.
3.	Kurtz SM, Ochoa JA, White CV, et al. Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. J Biomech, 1998, 31(5): 431-437.
4.	Lieberman JR, Kay RM, Hamlet WP, et al. Wear of the polyethylene liner-metallic shell interface in modular acetabular components. An in vitro analysis. J Arthroplasty, 1996, 11(5): 602-608.
5.	Yamaguchi M, Akisue T, Bauer TW, et al. The spatial location of impingement in total hip arthroplasty. J Arthroplasty, 2000, 15(3): 305-313.
6.	Kligman M, Furman BD, Padgett DE, et al. Impingement contributes to backside wear and screw-metallic shell fretting in modular acetabular cups. J Arthroplasty, 2007, 22(2): 258-264.
7.	Della Valle AG, Rana A, Furman B, et al. Backside wear is low in retrieved modern, modular, and nonmodular acetabular liners. Clin Orthop Relat Res, 2005, (440): 184-191.
8.	Akbari A, Roy ME, Whiteside LA, et al. Minimal backside surface changes observed in retrieved acetabular liners. J Arthroplasty, 2011, 26(5): 686-692.
9.	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.
10.	Young AM, Sychterz CJ, Hopper RH Jr, et al. Effect of acetabular modularity on polyethylene wear and osteolysis in total hip arthroplasty. J Bone Joint Surg (Am), 2002, 84-A(1): 58-63.
11.	Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg (Am), 1992, 74(6): 849-863.
12.	Barrack RL, Folgueras A, Munn B, et al. Pelvic lysis and polyethylene wear at 5-8 years in an uncemented total hip. Clin Orthop Relat Res, 1997, (335): 211-217.
13.	Wasielewski RC, Jacobs JJ, Arthurs B, et al. The acetabular insert-metal backing interface: an additional source of polyethylene wear debris. J Arthroplasty, 2005, 20(7): 914-922.
14.	Huk OL, Bansal M, Betts F, et al. Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular components. J Bone Joint Surg (Br), 1994, 76(4): 568-574.
15.	Urban RM, Hall DJ, Della Valle C, et al. Successful long-term fixation and progression of osteolysis associated with first-generation cementless acetabular components retrieved post mortem. J Bone Joint Surg (Am), 2012, 94(20): 1877-1885.
16.	Krieg AH, Speth BM, Ochsner PE. Backside volumetric change in the polyethylene of uncemented acetabular components. J Bone Joint Surg (Br), 2009, 91(8): 1037-1043.
17.	Yamaguchi M, Bauer TW, Hashimoto Y. Deformation of the acetabular polyethylene liner and the backside gap. J Arthroplasty, 1999, 14(4): 464-469.
18.	Urban RM, Hall DJ, Dahlmeier EL, et al. Reduced backside wear, particle migration, and osteolysis in third generation cementless acetabular components retrieved postmortem. LasVegas: [s.n], 2009.
19.	Bobyn JD, Tanzer M, Krygier JJ, et al. Concerns with modularity in total hip arthroplasty. Clin Orthop Relat Res, 1994, (298): 27-36.
20.	Muratoglu OK, Bragdon CR, O’Connor DO, et al. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award. J Arthroplasty, 2001, 16(2): 149-160.
21.	Glyn-Jones S, Isaac S, Hauptfleisch J, et al. Does highly cross-linked polyethylene wear less than conventional polyethylene in total hip arthroplasty? A double-blind, randomized, and controlled trial using roentgen stereophotogrammetric analysis. J Arthroplasty, 2008, 23(3): 337-343.
22.	Atienza C Jr, Maloney WJ. Highly cross-linked polyethylene bearing surfaces in total hip arthroplasty. J Surg Orthop Adv, 2008, 17(1): 27-33.

1. Terefenko KM, Sychterz CJ, Orishimo K, et al. Polyethylene liner exchange for excessive wear and osteolysis. J Arthroplasty, 2002, 17(6): 798-804.
2. Williams VG 2nd, Whiteside LA, White SE, et al. Fixation of ultrahigh-molecular-weight polyethylene liners to metal-backed acetabular cups. J Arthroplasty, 1997, 12(1): 25-31.
3. Kurtz SM, Ochoa JA, White CV, et al. Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. J Biomech, 1998, 31(5): 431-437.
4. Lieberman JR, Kay RM, Hamlet WP, et al. Wear of the polyethylene liner-metallic shell interface in modular acetabular components. An in vitro analysis. J Arthroplasty, 1996, 11(5): 602-608.
5. Yamaguchi M, Akisue T, Bauer TW, et al. The spatial location of impingement in total hip arthroplasty. J Arthroplasty, 2000, 15(3): 305-313.
6. Kligman M, Furman BD, Padgett DE, et al. Impingement contributes to backside wear and screw-metallic shell fretting in modular acetabular cups. J Arthroplasty, 2007, 22(2): 258-264.
7. Della Valle AG, Rana A, Furman B, et al. Backside wear is low in retrieved modern, modular, and nonmodular acetabular liners. Clin Orthop Relat Res, 2005, (440): 184-191.
8. Akbari A, Roy ME, Whiteside LA, et al. Minimal backside surface changes observed in retrieved acetabular liners. J Arthroplasty, 2011, 26(5): 686-692.
9. 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.
10. Young AM, Sychterz CJ, Hopper RH Jr, et al. Effect of acetabular modularity on polyethylene wear and osteolysis in total hip arthroplasty. J Bone Joint Surg (Am), 2002, 84-A(1): 58-63.
11. Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg (Am), 1992, 74(6): 849-863.
12. Barrack RL, Folgueras A, Munn B, et al. Pelvic lysis and polyethylene wear at 5-8 years in an uncemented total hip. Clin Orthop Relat Res, 1997, (335): 211-217.
13. Wasielewski RC, Jacobs JJ, Arthurs B, et al. The acetabular insert-metal backing interface: an additional source of polyethylene wear debris. J Arthroplasty, 2005, 20(7): 914-922.
14. Huk OL, Bansal M, Betts F, et al. Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular components. J Bone Joint Surg (Br), 1994, 76(4): 568-574.
15. Urban RM, Hall DJ, Della Valle C, et al. Successful long-term fixation and progression of osteolysis associated with first-generation cementless acetabular components retrieved post mortem. J Bone Joint Surg (Am), 2012, 94(20): 1877-1885.
16. Krieg AH, Speth BM, Ochsner PE. Backside volumetric change in the polyethylene of uncemented acetabular components. J Bone Joint Surg (Br), 2009, 91(8): 1037-1043.
17. Yamaguchi M, Bauer TW, Hashimoto Y. Deformation of the acetabular polyethylene liner and the backside gap. J Arthroplasty, 1999, 14(4): 464-469.
18. Urban RM, Hall DJ, Dahlmeier EL, et al. Reduced backside wear, particle migration, and osteolysis in third generation cementless acetabular components retrieved postmortem. LasVegas: [s.n], 2009.
19. Bobyn JD, Tanzer M, Krygier JJ, et al. Concerns with modularity in total hip arthroplasty. Clin Orthop Relat Res, 1994, (298): 27-36.
20. Muratoglu OK, Bragdon CR, O’Connor DO, et al. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award. J Arthroplasty, 2001, 16(2): 149-160.
21. Glyn-Jones S, Isaac S, Hauptfleisch J, et al. Does highly cross-linked polyethylene wear less than conventional polyethylene in total hip arthroplasty? A double-blind, randomized, and controlled trial using roentgen stereophotogrammetric analysis. J Arthroplasty, 2008, 23(3): 337-343.
22. Atienza C Jr, Maloney WJ. Highly cross-linked polyethylene bearing surfaces in total hip arthroplasty. J Surg Orthop Adv, 2008, 17(1): 27-33.

Chinese Journal of Reparative and Reconstructive Surgery

RESEARCH PROGRESS OF BACKSIDE WEAR IN ACETABULAR LINERS

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