title: Alumina Delta-on-Highly Crosslinked-Remelted Polyethylene Bearing in Cementless Total Hip Arthroplasty in Patients Younger than 50 Years.
abstract: The purpose of this retrospective study was to determine the clinical and radiographic results, prevalence of polyethylene wear and osteolysis, and fracture of alumina delta ceramic femoral head or highly crosslinked, remelted polyethylene (HXLPE) liner associated with the use of alumina delta ceramic femoral head-on-HXLPE bearing in cementless total hip arthroplasty in patients younger than 50 years.
  
  
  
  We reviewed the cases of 119 patients (130 hips) who underwent a cementless total hip arthroplasty using alumina delta ceramic-on-HXLPE bearing when they were 50 years or younger at the time of surgery. The most common diagnoses were osteonecrosis (51%) and osteoarthritis secondary to developmental dysplastic hip (39%). Osteolysis and polyethylene wear rates were evaluated with use of radiography and computed tomography. In addition, prevalence of fracture of alumina delta ceramic head and polyethylene line was documented. The mean follow-up was 8.3 years (range, 7-9 years).
  
  
  
  The mean Harris hip score, Western Ontario and McMaster Universities Osteoarthritis Index score, University of California, Los Angeles activity score were 94 points, 14 points, and 8.1 points, respectively, at the final follow-up. No patient had thigh pain. All acetabular components and all but one femoral components were well fixed. The mean annual penetration rate of femoral head was 0.022 ± 0.003 mm/year. No hip had osteolysis or ceramic head or HXLPE liner fracture.
  
  
  
  Our average 8.3-year results with the use of alumina delta ceramic-on-HXLPE bearing in the patients younger than 50 years suggest that cementless acetabular and femoral components provide a high survival rate without evidence of osteolysis or ceramic head or AXLPE liner fracture.
authors.affiliation: The Joint Replacement Centers, SeoNam Hospital, Ewha Womans University, Seoul, Republic of Korea.
authors.forename: Young-Hoo
authors.initials: YH
authors.lastname: Kim
authors.affiliation: The Joint Replacement Centers, MokDong Hospital, Ewha Womans University, Seoul, Republic of Korea.
authors.forename: Jang-Won
authors.initials: JW
authors.lastname: Park
authors.affiliation: The Joint Replacement Centers, MokDong Hospital, Ewha Womans University, Seoul, Republic of Korea.
authors.forename: Jun-Shik
authors.initials: JS
authors.lastname: Kim
mesh_terms: D000077:Acetabulum / Q000601:surgery; D000328:Adult; D000537:Aluminum Oxide; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000295:instrumentation* / Q000706:statistics & numerical data; D002516:Ceramics; D005260:Female; D005270:Femur Head / Q000601:surgery; D005271:Femur Head Necrosis / Q000601:surgery; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000150:complications; D006622:Hip Prosthesis / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000601:surgery; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D020959:Polyethylene; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011474:Prosthesis Design; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D020959:Polyethylene; D000537:Aluminum Oxide
keywords: alumina delta-on-alumina-delta; alumina delta-on-highly crosslinked polyethylene; cementless total hip arthroplasty; osteolysis; polyethylene wear; young patients