Hylamer vs conventional polyethylene in primary total hip arthroplasty: a long-term case-control study of wear rates and osteolysis.
The long-term results of Hylamer implants have not been reported previously. Clinical and radiographic results of a consecutive series of 43 patients (45 hips) who had primary total hip arthroplasty using Hylamer liners were compared with those of 37 patients (43 hips) who had conventional liners after 10-year follow-up. The linear wear rates for Hylamer and conventional polyethylene acetabular liners were 0.21 and 0.20 mm/y, respectively. The number of pelvic osteolytic lesions and their size detected on plain radiographs were significantly greater for Hylamer liners. Seven Hylamer hips were revised or are pending revision for osteolysis (16%) compared with 1 control hip. Close radiographic surveillance of patients who have Hylamer liners and evidence of osteolysis found on plain radiographs is warranted.
Huddleston
James I
JI
Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, California 94305-5341, USA.
Harris
Alex H S
AH
Atienza
Cesar A
CA
Woolson
Steven T
ST
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000295:instrumentation*; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology*; D020959:Polyethylene; D015995:Prevalence; D011475:Prosthesis Failure; D011859:Radiography
D020959:Polyethylene