Wear Analysis of First-Generation Highly Cross-Linked Polyethylene in Primary Total Hip Arthroplasty

Long-Term Results of Total Hip Arthroplasty with 28-Millimeter Cobalt-Chromium Femoral Heads on Highly Cross-Linked Polyethylene in Patients 50Years and Less

“…Our results demonstrate excellent wear properties, with linear penetration rates less than the 0.038 mm/year weighted average cited in the systematic review of mid-term outcomes of first-generation HXLPE use by Kurtz et al [31] and others [17, 43, 45]. When comparing to only subjects less than fifty years of age, our results are comparable to those recently reported in the literature.…”

Comparative wear tests of ultra-high molecular weight polyethylene and cross-linked polyethylene

“…In vitro studies using hip simulators have demonstrated improved wear resistance of XLPE compared with 23 9.05 34 -74 Mall et al 25 7.2 48 50 80 Heisel et al 26 2 3 4 2 4 8 1 Olyslaegers et al 27 5 6 0 2 0 5 1 D'Antonio et al 28 4-5 56 53 72 Bitsch et al 29 5 3 2 2 4 7 3 Beksac et al 30 5.3 41 41 91 Capello et al 31 8.6 42 40 78 Thomas et al 32 7 2 7 2 7 8 6 Kurtz et al 33 5-year follow-up data 1503 695 70 D'Antonio et al 34 5.1 51 -58 Johanson et al 35 10 23 27 95 UHMWPE: ultra-high molecular weight polyethylene; XLPE: cross-linked polyethylene. UHMWPE.…”

Midterm Results of Delta Ceramic-on-Ceramic Total Hip Arthroplasty

“…Legitimate concerns with MOM bearing couples including ion production and adverse local tissue reactions have led to a drastic reduction in the usage of metal liners [8,9]. The wear rates of cross-linked polyethylene have been shown to be markedly reduced when compared to non-cross-linked polyethylene in both simulator studies and clinical trials, but it is unclear how these bearings will perform in the second decade and beyond [5,10,11]. Furthermore, to combat the problem of hip instability in THA, surgeons have transitioned to using larger diameter femoral heads [12][13][14][15].…”