High wear rates and extensive osteolysis in 3 types of uncemented total hip arthroplasty: A review of the PCA, the Harris Galante and the Profile/Tri-Lock Plus arthroplasties with a minimum of 12 years median follow-up in 96 hips

Hallan, Geir; Lie, Stein Atle; Havelin, Leif Ivar

doi:10.1080/17453670610012638

Cited by 71 publications

(41 citation statements)

References 50 publications

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“…This is in accordance with earlier reports on increased incidence of osteolysis in arthroplasties with uncemented acetabular components [9][10][11]. We therefore postulated that the wear rate of uncemented acetabular components is higher than the wear rate in cemented components.…”

Section: Introductionsupporting

confidence: 81%

Is there evidence for accelerated polyethylene wear in uncemented compared to cemented acetabular components? A systematic review of the literature

Veen

Jonbergen

Poolman

et al. 2012

International Orthopaedics (SICOT)

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Joint arthroplasty registries show an increased rate of aseptic loosening in uncemented acetabular components as compared to cemented acetabular components. Since loosening is associated with particulate wear debris, we postulated that uncemented acetabular components demonstrate a higher polyethylene wear rate than cemented acetabular components in total hip arthroplasty. We performed a systematic review of the peer-reviewed literature, comparing the wear rate in uncemented and cemented acetabular components in total hip arthroplasty. Studies were identified using MEDLINE (PubMed), EMBASE and the Cochrane Central Register of Controlled Trials. Study quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. The search resulted in 425 papers. After excluding duplicates and selection based on title and abstracts, nine studies were found eligible for further analysis: two randomised controlled trials, and seven observational studies. One randomised controlled trial found a higher polyethylene wear rate in uncemented acetabular components, while the other found no differences. Three out of seven observational studies showed a higher polyethylene wear in uncemented acetabular component fixation; the other four studies did not show any differences in wear rates. The available evidence suggests that a higher annual wear rate may be encountered in uncemented acetabular components as compared to cemented components.

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Section: Introductionsupporting

confidence: 81%

Is there evidence for accelerated polyethylene wear in uncemented compared to cemented acetabular components? A systematic review of the literature

Veen

Jonbergen

Poolman

et al. 2012

International Orthopaedics (SICOT)

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“…Covariate categories previously thought to have a influence on revision risk (patient age at time of procedure, gender, co-morbidity score, body mass index (BMI), stem size, cup shell 6 type and coating, bearing surface materials and head size) (10)(11)(12)(13)(14) were included in these analyses, with American Society of Anaesthesiology (ASA) grade taken to be a surrogate for co-morbidity score. We also examined the influence of stem design, combined offset (stem+head+liner) and primary surgeon characteristics.…”

Section: Datamentioning

confidence: 99%

Independent predictors of failure up to 7.5 years after 35 386 single-brand cementless total hip replacements

Jameson

Baker²,

Mason

et al. 2013

The Bone & Joint Journal

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Reed, M.R. (2013) 'Independent predictors of failure up to 7.5 years after 35 386 single-brand cementless total hip replacements : a retrospective cohort study using National Joint Registry data.', Bone joint journal : orthopaedic proceedings supplement, 95-B (6). pp. 747-757. Further information on publisher's website:http://dx.doi.org/10.1302/0301-620X. 95B6.31378 Publisher's copyright statement:Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details.

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“…The rates of loosening and osteolysis in metal-on-conventional polyethylene THAs have been reported to range from 9% to 47% [3,5,6]. Highly crosslinked polyethylene (HXLPE) was introduced to reduce wear and THA revision rates; however, there is limited information about the reduced risk of revision associated with HXLPE compared with conventional polyethylene in THA.…”

Section: Introductionmentioning

confidence: 99%

Metal-on-conventional Polyethylene Total Hip Arthroplasty Bearing Surfaces Have a Higher Risk of Revision Than Metal-on-highly Crosslinked Polyethylene: Results From a US Registry

Paxton

Inacio

Namba

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Although studies have reported lower radiological wear in highly crosslinked polyethylene (HXLPE) versus conventional polyethylene in total hip arthroplasty (THA), there is limited clinical evidence on the risk of revision of these polyethylene THA bearing surfaces.Questions/purposes We asked: (1) Do primary THAs with a metal-on-conventional polyethylene bearing surface have a higher risk of revision (all-cause or aseptic) than metal-on-HXLPE? (2) Is the risk of revision (all-cause or aseptic) higher for conventional polyethylene versus HXLPE when the effect of femoral and acetabular components is controlled for in prosthesis-specific analyses? Methods The Kaiser Permanente's Total Joint Replacement Registry was used to identify metal-on-conventional polyethylene and metal-on-HXLPE primary THAs (N = 26,823) performed between April 2001 and December 2011. The registry has 95% voluntary participation and 8% were lost to followup during the 10-year study period. Endpoints of interest were all-cause and aseptic revisions. Descriptive statistics and marginal Cox regression models with propensity score adjustments were applied to compare risk of revision for metal-on-conventional polyethylene versus metal-on-HXLPE THAs and to evaluate two specific manufacturers' hip implant designs while controlling for femoral and acetabular components. Of the 26,823 THAs included in the study, 1815 (7%) were metal-on-conventional polyethylene and 25,008 (93%) were metal-on-HXLPE. Results At 7 years followup, the cumulative incidence of revision was 5.4% (95% confidence interval [CI], 4.4%-6.7%) for metal-on-conventional and 2.8% (95% CI, 2.6%-3.2%) for metal-on-HXLPE. There was a higher adjusted risk of all-cause (hazard ratio [HR] Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons® 2.24; p \ 0.001) and aseptic (HR, 1.91; 95% CI, 1.46-2.50; p \ 0.001) revisions among metal-on-conventional polyethylene bearing surface hips compared with metal-on-HXLPE. Results were similar within manufacturer hip designs with the same femoral and acetabular components. Conclusions Metal-on-conventional polyethylene THA bearing surfaces have a higher risk of revision compared with metal-on-HXLPE bearing surfaces. Clinicians should consider the use of HXLPE when using a polyethylene bearing in THA. Level of Evidence Level II, cohort study.

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High wear rates and extensive osteolysis in 3 types of uncemented total hip arthroplasty: A review of the PCA, the Harris Galante and the Profile/Tri-Lock Plus arthroplasties with a minimum of 12 years median follow-up in 96 hips

Cited by 71 publications

References 50 publications

Is there evidence for accelerated polyethylene wear in uncemented compared to cemented acetabular components? A systematic review of the literature

Is there evidence for accelerated polyethylene wear in uncemented compared to cemented acetabular components? A systematic review of the literature

Independent predictors of failure up to 7.5 years after 35 386 single-brand cementless total hip replacements

Metal-on-conventional Polyethylene Total Hip Arthroplasty Bearing Surfaces Have a Higher Risk of Revision Than Metal-on-highly Crosslinked Polyethylene: Results From a US Registry

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