Clinical and radiological results with a 36-mm Cobalt-Chrome prosthetic head, cross-linked Durasul liners associated with Allofit cups: A more than 10-year follow-up period.
GEORIS, Pierre; THIRION, Thierry; GILLET, Philippe
[en] Highly cross-linked polyethylene is currently a common articulation surface used for THA. The aim of the present study is in-vivo assessment of highly cross-linked Durasul® polyethylene linear and volumetric wear when associated with a 36-mm prosthetic femoral head.
We retrospectively reviewed clinical and radiographic data of 78 patients (81 hips) having primary THAs using Durasul® liner combined with a 36-mm CoCr prosthetic head. All of them were followed for more than 10 years.
Patient outcome was assessed with the Harris Hip Score (HHS) preoperatively and at last follow-up.
Two-dimensional prosthetic head penetration into polyethylene, three-dimensional wear rates and cup migration were evaluated.
the preoperative and last follow-up HHS were 50.43 +/- 10.42 and 97.44 +/- 5.51 respectively.
The annual penetration of the prosthetic head into Durasul® liner was 0.029 +/- 0.003 mm. The annual linear penetration and volumetric wear extrapolation rates using Charnley and Ilchmann formulas were 37.84% and 57.76% respectively of that seen with conventional polyethylene liner. At last follow-up, the total loss of material in Durasul® represents only 0.15% of the initial polyethylene mass. We did not observed any significant cup migration in the study group.
Results are promising and we believe that these data authorize the continued use of highly cross-linked polyethylene liner associated with a 36-mm prosthetic head for total hip arthroplasties in older patients. More long-term follow-up studies are mandatory before we feel comfortable with the project of using cross-linked polyethylene in young and active patients instead of ceramic-on-ceramic bearings.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
GEORIS, Pierre ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de chirurgie de l'appareil locomoteur
THIRION, Thierry ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de chirurgie de l'appareil locomoteur
GILLET, Philippe ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de chirurgie de l'appareil locomoteur
Language :
English
Title :
Clinical and radiological results with a 36-mm Cobalt-Chrome prosthetic head, cross-linked Durasul liners associated with Allofit cups: A more than 10-year follow-up period.
Harris WH., The problem is osteolysis. Clin Orthop Relat Res 1995; 311: 46–53.
Maloney WJ, Galante JO, Anderson M, et al. Fixation, polyethylene wear, and pelvic osteolysis in primary total hip replacement. Clin Orthop Relat Res 1999; 369: 157–164.
Sochart DH., Relationship of acetabular wear to osteolysis and loosening in total hip arthroplasty. Clin Orthop Relat Res 1999; 363: 135–150.
Oparaugo PC, Clarke IC, Malchau H, et al. Correlation of wear debris-induced osteolysis and revision with volumetric wear-rates of polyethylene: a survey of 8 reports in the literature. Acta Orthop Scand 2001; 72: 22–28.
Harris WH, Muratoglu OK., A review of current cross-linked polyethylene’s used in total joint arthroplasty. Clin Orthop Relat Res 2005; 430: 46–52.
Muratoglu OK, Bragdon CR, O’Connor DO, et al. Unified wear model for highly crosslinked ultra-high molecular weight polyethylenes (UHMWPE). Biomaterials 1999; 20: 1463–1470.
Muratoglu OK, Bragdon CR, O’Connor DO, et al. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul award. J Arthroplasty 2001; 16: 149–160.
McKellop H, Shen FW, Lu B, et al. Effect of sterilization method and other modifications on the wear resistance of acetabular cups made of ultra-high molecular weight polyethylene. A hip simulator study. J Bone Joint Surg Am 2000; 82: 1708–1725.
Giurea A, Zehetgruber H, Funovics P, et al. Risk factors for dislocation of a cement-free total hip endoprosthesis – a statistical analysis. Z Orthop Ihre Grenzgeb 2001; 139: 194–199.
Morrey BF., Difficult complications after total hip joint replacement: dislocation. Clin Orthop Relat Res 1997; 344: 179–187.
Siebenrock KA, Ganz R., The impingement problem in total hip arthroplasty. In: Reiker C, (ed) World tribology forum in arthroplasty. Berne: Huber, 2001, pp.47–52.
Bader R, Scholz R, Steinhauser E, et al. The influence of head and neck geometry on stability of total hip replacement: a mechanical test study. Acta Orthop Scand 2004; 75: 415–421.
Crowninshield RD, Laloney WJ, Wentz DH, et al. Biomechanics of large femoral heads. What they do and don’t do. Clin Orthop Relat Res 2004; 429: 102–107.
Berry DJ, von Knoch M, Schleck CD, et al. Effect of femoral head diameter and operative approach on risk of dislocation after total hip arthroplasty. J Bone Joint Surg Am 2005; 87: 2456–2463.
Pruitt LA., Deformation, yelding, fracture and fatigue behavior of conventional and highly cross-linked ultra high molecular weight polyethylene. Biomaterials 2005; 26: 905–915.
Bradford L, Baker DA, Graham J, et al. Wear and surface cracking in early retrieved cross-linked polyethylene acetabular liners. J Bone Joint Surg Am 2004; 86: 1271–1282.
Harris WH., Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of results evaluation. J Bone Joint Surg Am 1969; 51: 737–755.
Sychterz CJ, Engh CA, Jr Yang A, et al. Analysis of temporal wear patterns of porous-coated acetabular components: distinguishing between true wear and so-called bedding-in. J Bone Joint Surg Am 1999; 81: 821–830.
Ilchmann T, Reimold M, Müller-Schauenburg W., Estimation of the wear volume after total hip replacement. A simple access to geometrical concepts. Med Eng Phys 2008; 30: 373–379.
Wu JS, Hsu SL, Chen JH., Evaluating the accuracy of wear formulae for acetabular cup liners. Med Biol Eng Comput 2010; 48: 157–165.
Ilchmann T, Kesteris U, Wingstrand H. EBRA improves the accuracy of radiographic analysis of acetabular cup migration. Acta Orthop Scand 199; 69: 119–124.
Olyslaegers C, Defoort K, Simon JP, et al. Wear in conventional and highly cross-linked polyethylene cups. J Arthroplasty 2008; 23: 489–494.
Digas G, Kärrholm J, Thanner J, et al. 5-year experience of highly cross-linked polyethylene in cemented and uncemented sockets: two randomized studies using radiostereometric analysis. Acta Orthop 2007; 78: 746–754.
Manning DW, Chiang PP, Martell JM, et al. In vivo comparative wear study of traditional and highly cross-linked polyethylene in total hip arthroplasty. J Arthroplasty 2005; 20: 880–886.
Engh CA, Jr Hopper RH, Jr Huynh C, et al. A prospective, randomized study of cross-linked and non-cross-linked polyethylene for total hip arthroplasty at 10-year follow-up. J Arthroplasty 2012; 27(Suppl. 8): 2–7.e1.
García-Rey E, García-Cimbrelo E, Cruz-Pardos A., New polyethylenes in total hip replacement: a ten- to 12-year follow-up study. J Bone Joint J 2013; 95-B: 326–332.
Bragdon CR, Kwon YM, Geller JA, et al. Minimum 6-year follow-up of highly cross-linked polyethylene in THA. Clin Orthop Relat Res 2007; 465: 122–127.
Glyn-Jones S, Isaac S, Hauptfleisch J, et al. Does highly cross-linked polyethylene wear less than conventional polyethylene in total hip arthroplasty? A double-blind, randomized, and controlled trial using roentgen stereophotogrammetric analysis. J Arthroplasty 2008; 23: 337–343.
Beksaç B, Salas A, González Della Valle A, et al. Wear is reduced in THA performed with highly cross-linked polyethylene. Clin Orthop Relat Res 2009; 467: 1765–1772.
Triclot P, Grosjean G, El Masri F, et al. A comparison of the penetration rate of two polyethylene acetabular liners of different levels of cross-linking: a prospective randomized trial. J Bone Joint Surg Br 2007; 89: 1439–1445.
Calvert GT, Devane PA, Fielden J, et al. A double-blind, prospective, randomized controlled trial comparing highly cross-linked and conventional polyethylene in primary total hip arthroplasty. J Arthroplasty 2009; 24: 505–510.
Heisel C, Silva M, Schmalzried TP., In vivo wear of bilateral total hip replacements: conventional versus cross-linked polyethylene. Arch Orthop Trauma Surg 2005; 125: 555–557.
McKellop H, Shen FW, DiMaio W, et al. Wear of gamma cross-linked polyethylene acetabular cups against roughened femoral balls. Clin Orthop Relat Res 1999; 369: 73–82.
Muratoglu OK, Greenbaum ES, Bragdon CR, et al. Surface analysis of early retrieved acetabular polyethylene liners: a comparison of conventional and highly cross-linked polyethylenes. J Arthroplasty 2004; 19: 68–77.
Burroughs BR, Rubash HE, Harris WH., Femoral head size larger than 32 mm against highly cross-linked polyethylene. Clin Orthop Relat Res 2002; 405: 150–157.
Kuzyk PR, Saccone M, Sprague S, et al. Cross-linked versus conventional polyethylene for total hip replacement: a meta-analysis of randomised controlled trials. J Bone Joint Surg Br 2001; 93: 593–600.
Shen C, Tang ZH, Hu JZ, et al. Does cross-linked polyethylene decrease the revision rate of total hip arthroplasty compared with conventional polyethylene? A meta-analysis. Orthop Traumatol Surg Res 2014; 100: 745–750.
Muratoglu OK, Bragdon CR, O’Connor D, et al. Larger diameter femoral heads used in conjunction with a highly cross-linked ultra-high molecular weight polyethylene: a new concept. J Arthroplasty 2001; 16(Suppl. 1): 24–30.
Geller JA, Malchau H, Bragdon C, et al. Large diameter femoral heads on highly cross-linked polyethylene: a minimum 3-year results. Clin Orthop Relat Res 2006; 447: 53–59.
Dahl J, Söderlund P, Nivbrant B, et al. Less wear with aluminium-oxide heads than cobalt-chrome heads with ultra high molecular weight cemented polyethylene cups: a ten-year follow-up with radiostereometry. Int Orthop 2012; 36: 485–490.
