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Clinical Orthopaedics and Related Research®

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01-04-2015 | CORR Insights

CORR Insights^®: Metal-on-conventional Total Hip Arthroplasty Bearing Surfaces Have a Higher Risk of Revision Than Metal-on-highly Crosslinked Polyethylene: Results From a US Registry

Author: Richard W. McCalden, MD, MPhil, FRCSC

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2015

Excerpt

Highly crosslinked polyethylene (XLPE) has essentially supplanted conventional polyethylene for use in total hip arthroplasty (THA) during the past decade. There now exists good evidence to demonstrate a clear reduction in femoral head penetration (and presumably polyethylene wear) and periprosthetic osteolysis associated with the use XLPE compared to conventional polyethylene in THA [2, 3]. While the annual reports of Australian Orthopaedic Association National Joint Replacement Registry continue to show the clinical benefits of XLPE (demonstrating a reduction in revision rates) [1], other investigators have not demonstrated a clear reduction in revision rates with the use of XLPE at mid-term followup [4]. …

Australian Orthopaedic Association National Joint Replacement Registry. Hip and knee arthroplasty: Annual report. Available at: https://aoanjrr.dmac.adelaide.edu.au/en. Accessed January 22, 2015.

Kurtz SM, Gawel HA, Patel JD. History and systematic review of wear and osteolysis outcomes for first-generation highly crosslinked polyethylene. Clin Orthop Relat Res. 2011;469:2262–2277.CrossRefPubMedCentralPubMed

Kuzyk PR, Saccone M, Sprague S, Simunovic N, Bhandari M, Schemitsch EH. Crosslinked versus conventional polyethylene for total hip replacement: a meta-analysis of randomised controlled trials. J Bone Joint Surg Br. 2011;93:593–600.CrossRefPubMed

Paxton E, Cafri G, Havelin L, Stea S, Pallisó F, Graves S, Hoeffel D, Sedrakyan A. Risk of revision following total hip arthroplasty: Metal-on-conventional polyethylene compared with metal-on-highly cross-linked polyethylene bearing surfaces: International results from six registries. J Bone Joint Surg Am. 2014;96 Suppl 1:19–24.CrossRefPubMed

Title: CORR Insights®: Metal-on-conventional Total Hip Arthroplasty Bearing Surfaces Have a Higher Risk of Revision Than Metal-on-highly Crosslinked Polyethylene: Results From a US Registry
Author: Richard W. McCalden, MD, MPhil, FRCSC
Publication date: 01-04-2015
Publisher: Springer US
Published in: Clinical Orthopaedics and Related Research® / Issue 4/2015
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-015-4168-2

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CORR Insights^®: Metal-on-conventional Total Hip Arthroplasty Bearing Surfaces Have a Higher Risk of Revision Than Metal-on-highly Crosslinked Polyethylene: Results From a US Registry

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