Clinical Results of the Wear Performance of Cross-Linked Polyethylene in Total Hip Arthroplasty Prospective Randomized Trial

被引:22
作者
Ise, Kentaro [1 ]
Kawanabe, Keiichi [1 ]
Tamura, Jiro [1 ]
Akiyama, Haruhiko [1 ]
Goto, Koji [1 ]
Nakamura, Takashi [1 ]
机构
[1] Kyoto Univ, Dept Orthoped Surg, Sakyo Ku, Kyoto 6068507, Japan
关键词
wear; cross-linked polyethylene; total hip arthroplasty; clinical result; prospective randomized trial; FOLLOW-UP; FEMORAL-HEAD; TOTAL JOINT; PENETRATION; OSTEOLYSIS; ALUMINA; SURFACE;
D O I
10.1016/j.arth.2009.05.020
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
To investigate the clinical results of cross-linked polyethylene (CLPE) and to compare the CLPE wear against zirconia and stainless steel heads, we studied the radiographic wear after a minimum 3-year follow-up in total hip arthroplasty (THA). Ninety-four hips were randomly implanted with a 22.225-mm head cemented THA-the group of non-CLPE against zirconia and CLPE against 2 different zirconias and stainless steel. The linear wear rate was significantly lower in the group of CLPE against zirconia (0.067, 0.059 mm/y) and against stainless steel (0.068 mm/y) compared with non-CLPE against zirconia (0.170 mm/y). in the short-term results, the wear performance of CLPE against zirconia was superior to that of non-CLPE; however, it did not show a better wear rate than CLPE against stainless steel. Furthermore, long-term investigations will be necessary for understanding CLPE wear in vivo.
引用
收藏
页码:1216 / 1220
页数:5
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