title: Poor mid-term results of total hip arthroplasty with use of a Hylamer liner.
abstract: Clinical results after total hip arthroplasty with the use of a Hylamer liner have been described as being poor. In this study, polyethylene wear rates as well as clinical results were assessed after hip arthroplasty using a Hylamer liner. Thirty patients were followed radiographically and clinically after total hip arthroplasty with a Hylamer liner. The mean follow-up was six years. Radiolucent lines and wear rates were evaluated in correlation to different parameters and clinical scores. Radiolucent zones were found in 40% of the femoral and 27% of the acetabular components. Wear rates showed no correlation to the clinical scores, nor to other parameters. The SF-36 questionnaire showed inferior results compared to healthy controls. These findings confirm the poor results described with Hylamer in current literature. A significant influence of the different patient or prosthesis specific parameters on the survival of the prosthesis could not be confirmed.
authors.affiliation: Department of Orthopaedics and Rheumatology, University Hospital Marburg, Germany. skwara@med.uni-marburg.de
authors.forename: Adrian
authors.initials: A
authors.lastname: Skwara
authors.forename: Simone
authors.initials: S
authors.lastname: Stracke
authors.forename: Carsten O
authors.initials: CO
authors.lastname: Tibesku
authors.forename: Susanne
authors.initials: S
authors.lastname: Fuchs-Winkelmann
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design