Recent update on crosslinked polyethylene in total hip arthroplasty.
Fatigue resistance
Highly crosslinked polyethylene
Oxidation
Total hip arthroplasty
Wear
Journal
SICOT-J
ISSN: 2426-8887
Titre abrégé: SICOT J
Pays: France
ID NLM: 101675099
Informations de publication
Date de publication:
2020
2020
Historique:
received:
22
04
2020
accepted:
23
04
2020
entrez:
16
5
2020
pubmed:
16
5
2020
medline:
16
5
2020
Statut:
ppublish
Résumé
More than two decades after their clinical introduction, crosslinked polyethylenes (XLPE) have been widely adopted. Though concerns were initially raised regarding oxidation and brittleness, on a large scale, the first generation of XLPE continues to be highly effective 15 years after the surgery, even in a young and active population. Remelted XLPE might display lower wear rates than annealed XLPE. Second generation XLPEs, not only including sequentially irradiated and annealed but also associated with antioxidants, demonstrate encouraging short- to mid-term results. Registry data support clinical trial reports. Even in less favorable settings (lipped liners, dual mobility cups, revision surgery, hip resurfacing) results are promising. However, failures (fractures) have already been described. Therefore, a high level of surveillance remains crucial.
Identifiants
pubmed: 32412408
doi: 10.1051/sicotj/2020013
pii: sicotj200044
pmc: PMC7227368
doi:
Types de publication
Journal Article
Langues
eng
Pagination
13Informations de copyright
© The Authors, published by EDP Sciences, 2020.
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