title: Comparison of Polyethylene Wear before and after Hip Revision with Liner Exchange Fixed with the Original Locking Mechanism.
abstract: OBJECTIVE
  To compare the wear of conventional ultra-high molecular weight polyethylene (CUHMWPE) and highly cross-linked polyethylene (HCLPE) in hip revision with liner exchange fixed with original locking mechanism using analysis of history medical data.
  
  
  METHODS
  From Jan. 1, 2000, to Dec. 31, 2007, 26 patients (with 29 involved hips) underwent liner exchange revision fixed with the original locking mechanism due to wear of CUHMWPE and/or osteolysis. The mean age was 53 ± 9 years at the time of the primary total hip arthroplasty (THA) and 64 ± 9 years at the revision. The exchanged liners (Marathon, Depuy) were made of HCLPE. Annual X-rays were used to measure linear wear and osteolysis. The annual linear penetration was measured using PolyWare® software (Draftware Inc.). Annual Harris Hip Scores(HSS) were recorded.
  
  
  RESULTS
  The mean follow-up time between the primary and revision THAs was 11 ± 2 years and 8 ± 2 years after revision. The mean Harris Hip Score(HHS) before primary THA, 1 year after primary THA, before revision and 1 year after revision was 43±5, 85±5, 71±6, 83±7 individually. The mean penetration of the CUHMWPE and HCLPE liners occurring in the first year were 0.44 ± 0.28 mm and 0.38 ± 0.14 mm, respectively (p = 0.211). The mean annual linear penetration of CUHMWPE and HCLPE from the second year onward were 0.29±0.09 mm and 0.08 ± 0.03 mm respectively (p <0.01). All THAs with CUHMWPE showed osteolysis on acetabular and/or femoral side before revision. No HCLPE liner showed osteolysis at the last follow-up. Conclusion: The CUHMWPE liner had a significantly higher wear rate than did the HCLPE liner. The HCLPE liner showed a satisfactory liner penetration rate after revision with isolated liner exchange fixed with the original locking mechanism.
authors.affiliation: Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Tradition Chinese Medicine, Shanghai, China.
authors.forename: Xinfeng
authors.identifier: http://orcid.org/0000-0002-8342-9392
authors.initials: X
authors.lastname: Gu
authors.affiliation: Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Tradition Chinese Medicine, Shanghai, China.
authors.forename: Jie
authors.initials: J
authors.lastname: He
authors.affiliation: Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Tradition Chinese Medicine, Shanghai, China.
authors.forename: Yiwen
authors.initials: Y
authors.lastname: Tang
authors.affiliation: Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Tradition Chinese Medicine, Shanghai, China.
authors.forename: Yuxin
authors.initials: Y
authors.lastname: Zheng
mesh_terms: D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods; D003432:Cross-Linking Reagents / Q000009:adverse effects / Q000737:chemistry / Q000627:therapeutic use; D005260:Female; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology / Q000601:surgery; D011095:Polyethylenes / Q000009:adverse effects / Q000737:chemistry / Q000627:therapeutic use*; D011474:Prosthesis Design; D011475:Prosthesis Failure / Q000009:adverse effects; D012086:Reoperation / Q000379:methods
chemical_list: D003432:Cross-Linking Reagents; D011095:Polyethylenes; C111601:ultra-high molecular weight polyethylene