In Vivo Femoral Head Damage and Its Effect on Polyethylene Wear

Abstract The purposes of this study were to determine the spectrum of femoral head damage in patients undergoing revision total hip arthroplasty and to determine the impact of that damage on polyethylene wear. One hundred eight consecutive modular metal femoral heads were retrieved at revision surge...

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Veröffentlicht in:The Journal of arthroplasty 2010-02, Vol.25 (2), p.302-308
Hauptverfasser: Ito, Hiroshi, MD, Maloney, Caitlin M, Crowninshield, Roy D., PhD, Clohisy, John C., MD, McDonald, Douglas J., MD, Maloney, William J., MD
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container_end_page 308
container_issue 2
container_start_page 302
container_title The Journal of arthroplasty
container_volume 25
creator Ito, Hiroshi, MD
Maloney, Caitlin M
Crowninshield, Roy D., PhD
Clohisy, John C., MD
McDonald, Douglas J., MD
Maloney, William J., MD
description Abstract The purposes of this study were to determine the spectrum of femoral head damage in patients undergoing revision total hip arthroplasty and to determine the impact of that damage on polyethylene wear. One hundred eight consecutive modular metal femoral heads were retrieved at revision surgery. The mean roughness (Ra) value was 0.18 ± 0.18 μ m. The roughest femoral heads (mean Ra, 0.56 μ m) were from retrievals correlated with mode 2 wear (recurrent dislocation and complete wear through of the polyethylene liner). Five million cycles of wear tests were performed using retrieved femoral heads against both new conventional and highly cross-linked polyethylene. The mean wear rate of conventional polyethylene was 15.9 ± 4.3 mg and that of highly cross-linked polyethylene was 0.04 ± 0.14 mg per 1 million cycles ( P < .001). Highly cross-linked polyethylene was more resistant to wear than conventional polyethylene, even when mated against roughened femoral heads.
doi_str_mv 10.1016/j.arth.2009.01.010
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One hundred eight consecutive modular metal femoral heads were retrieved at revision surgery. The mean roughness (Ra) value was 0.18 ± 0.18 μ m. The roughest femoral heads (mean Ra, 0.56 μ m) were from retrievals correlated with mode 2 wear (recurrent dislocation and complete wear through of the polyethylene liner). Five million cycles of wear tests were performed using retrieved femoral heads against both new conventional and highly cross-linked polyethylene. The mean wear rate of conventional polyethylene was 15.9 ± 4.3 mg and that of highly cross-linked polyethylene was 0.04 ± 0.14 mg per 1 million cycles ( P &lt; .001). Highly cross-linked polyethylene was more resistant to wear than conventional polyethylene, even when mated against roughened femoral heads.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2009.01.010</identifier><identifier>PMID: 19201153</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - instrumentation ; Chromium Alloys ; conventional polyethylene ; Device Removal ; Equipment Failure Analysis ; Female ; Femur Head - injuries ; highly cross-linked polyethylene ; Hip Prosthesis - adverse effects ; Humans ; Incidence ; Male ; Middle Aged ; Orthopedics ; Osteolysis - epidemiology ; Osteolysis - etiology ; Polyethylene ; Prosthesis Failure ; Reoperation ; Retrospective Studies ; surface roughness ; total hip arthroplasty ; wear</subject><ispartof>The Journal of arthroplasty, 2010-02, Vol.25 (2), p.302-308</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>Elsevier Inc. 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One hundred eight consecutive modular metal femoral heads were retrieved at revision surgery. The mean roughness (Ra) value was 0.18 ± 0.18 μ m. The roughest femoral heads (mean Ra, 0.56 μ m) were from retrievals correlated with mode 2 wear (recurrent dislocation and complete wear through of the polyethylene liner). Five million cycles of wear tests were performed using retrieved femoral heads against both new conventional and highly cross-linked polyethylene. The mean wear rate of conventional polyethylene was 15.9 ± 4.3 mg and that of highly cross-linked polyethylene was 0.04 ± 0.14 mg per 1 million cycles ( P &lt; .001). Highly cross-linked polyethylene was more resistant to wear than conventional polyethylene, even when mated against roughened femoral heads.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Chromium Alloys</subject><subject>conventional polyethylene</subject><subject>Device Removal</subject><subject>Equipment Failure Analysis</subject><subject>Female</subject><subject>Femur Head - injuries</subject><subject>highly cross-linked polyethylene</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteolysis - epidemiology</subject><subject>Osteolysis - etiology</subject><subject>Polyethylene</subject><subject>Prosthesis Failure</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>surface roughness</subject><subject>total hip arthroplasty</subject><subject>wear</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVtLJDEQhcOirKPuH9iHJW8-9VjppC8BUcTrgLAL3h5DOqleM3Z3NOkR5t-bZgYW9kEoqHo450B9h5CfDOYMWHm8nOswvsxzADkHlga-kRkreJ7VAsodMoO65lkhgO-R_RiXAIwVhfhO9pjMp5vPyNlioE_uw9Nr7H3QHb1Fbeml7vVfpHqwdDFGetW2aEbqB_rHd2scX9YdDkifUYdDstvqLuKP7T4gj9dXDxe32d3vm8XF-V1mRCHGjLEqbwyiYYCVLKHB1rQtVI0uc27r0rZ1qYuKoayg4VYIbUsUstASWV4JzQ_I0Sb3Lfj3FcZR9S4a7Do9oF9FVXEuhQQpkjLfKE3wMQZs1VtwvQ5rxUBN3NRSTdzUxE0BSwPJ9Gsbv2p6tP8sW1BJcLIRYHryw2FQ0TgcDFoXEhtlvfs6__Q_u-nc4IzuXnGNcelXYUj4FFMxV6Dup-am4kBCaq3k_BMKZJG_</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Ito, Hiroshi, MD</creator><creator>Maloney, Caitlin M</creator><creator>Crowninshield, Roy D., PhD</creator><creator>Clohisy, John C., MD</creator><creator>McDonald, Douglas J., MD</creator><creator>Maloney, William J., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>In Vivo Femoral Head Damage and Its Effect on Polyethylene Wear</title><author>Ito, Hiroshi, MD ; 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - instrumentation
Chromium Alloys
conventional polyethylene
Device Removal
Equipment Failure Analysis
Female
Femur Head - injuries
highly cross-linked polyethylene
Hip Prosthesis - adverse effects
Humans
Incidence
Male
Middle Aged
Orthopedics
Osteolysis - epidemiology
Osteolysis - etiology
Polyethylene
Prosthesis Failure
Reoperation
Retrospective Studies
surface roughness
total hip arthroplasty
wear
title In Vivo Femoral Head Damage and Its Effect on Polyethylene Wear
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