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 |
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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 < .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. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-1172bceec10e7960befcff07ba623d86df86a571e970b3d44ad6e495a9e1274a3</citedby><cites>FETCH-LOGICAL-c454t-1172bceec10e7960befcff07ba623d86df86a571e970b3d44ad6e495a9e1274a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2009.01.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19201153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ito, Hiroshi, MD</creatorcontrib><creatorcontrib>Maloney, Caitlin M</creatorcontrib><creatorcontrib>Crowninshield, Roy D., PhD</creatorcontrib><creatorcontrib>Clohisy, John C., MD</creatorcontrib><creatorcontrib>McDonald, Douglas J., MD</creatorcontrib><creatorcontrib>Maloney, William J., MD</creatorcontrib><title>In Vivo Femoral Head Damage and Its Effect on Polyethylene Wear</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><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.</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 ; Maloney, Caitlin M ; Crowninshield, Roy D., PhD ; Clohisy, John C., MD ; McDonald, Douglas J., MD ; Maloney, William J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-1172bceec10e7960befcff07ba623d86df86a571e970b3d44ad6e495a9e1274a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Chromium Alloys</topic><topic>conventional polyethylene</topic><topic>Device Removal</topic><topic>Equipment Failure Analysis</topic><topic>Female</topic><topic>Femur Head - injuries</topic><topic>highly cross-linked polyethylene</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteolysis - epidemiology</topic><topic>Osteolysis - etiology</topic><topic>Polyethylene</topic><topic>Prosthesis Failure</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>surface roughness</topic><topic>total hip arthroplasty</topic><topic>wear</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ito, Hiroshi, MD</creatorcontrib><creatorcontrib>Maloney, Caitlin M</creatorcontrib><creatorcontrib>Crowninshield, Roy D., PhD</creatorcontrib><creatorcontrib>Clohisy, John C., MD</creatorcontrib><creatorcontrib>McDonald, Douglas J., MD</creatorcontrib><creatorcontrib>Maloney, William J., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ito, Hiroshi, MD</au><au>Maloney, Caitlin M</au><au>Crowninshield, Roy D., PhD</au><au>Clohisy, John C., MD</au><au>McDonald, Douglas J., MD</au><au>Maloney, William J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In Vivo Femoral Head Damage and Its Effect on Polyethylene Wear</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>25</volume><issue>2</issue><spage>302</spage><epage>308</epage><pages>302-308</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19201153</pmid><doi>10.1016/j.arth.2009.01.010</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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