Polyethylene sterilized without irradiation in a polished uncemented acetabular component-a clinical and radiographic analysis.
Clinical and radiographic analysis of the Reflection uncemented acetabular component was performed. Features of this component include a polished inner shell and ethylene oxide sterilization. Clinical information was available for 158 hips (mean, 4.6 years follow-up). A total of 19 hips have undergone or were recommended revision, 8 for aseptic loosening or wear (5%). Wear analysis was performed for 38 hips with more than 5 years of follow-up (mean, 6.7 years). Osteolysis was present in 20 of these patients. Penetration rate averaged 0.15 mm/y. Patients with uncemented femoral fixation (vs cemented) had a significantly higher penetration rate. Increased volumetric wear was seen with uncemented femoral fixation, thin liners, and ceramic heads. This component demonstrated relatively high penetration and osteolysis rates. Continued surveillance is recommended, particularly for active patients with thin liners.
Department of Orthopaedic Surgery, University of Tennessee, Campbell Clinic, Memphis, Tennessee, USA.
John R
JR
Crockarell
D000077:Acetabulum / Q000000981:diagnostic imaging* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D001843:Bone Cements; D005027:Ethylene Oxide; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000453:epidemiology; D020959:Polyethylene; D011859:Radiography; D012086:Reoperation; D012307:Risk Factors; D013242:Sterilization / Q000379:methods*; D016896:Treatment Outcome
D001843:Bone Cements; D020959:Polyethylene; D005027:Ethylene Oxide