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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2013

Open Access 01-12-2013 | Research article

In vivo wear performance of highly cross-linked polyethylene vs. yttria stabilized zirconia and alumina stabilized zirconia at a mean seven-year follow-up

Authors: Masahiro Hasegawa, Akihiro Sudo

Published in: BMC Musculoskeletal Disorders | Issue 1/2013

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Abstract

Background

Zirconia was introduced as an alternative to alumina for use in the femoral head. The yttria stabilized zirconia material was improved by adding alumina. We evaluated highly cross-linked polyethylene wear performance of zirconia in total hip arthroplasty. The hypothesis was that alumina stabilized zirconia could decrease highly cross-linked polyethylene wear.

Methods

Highly cross-linked polyethylene wear was measured with a computerized method (PolyWare) in 91 hips. The steady-state wear rates were measured based on the radiographs from the first year postoperatively to the final follow-up and were compared between hips with yttria stabilized zirconia and alumina stabilized zirconia.

Results

The steady-state wear rate of highly cross-linked polyethylene against zirconia was 0.02 mm/year at a mean follow-up of 7 years. No significant difference was observed between groups with yttria stabilized zirconia and alumina stabilized zirconia.

Conclusions

Addition of alumina to the zirconia material failed to show further reduction of highly cross-linked polyethylene wear and our hypothesis was not verified.
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Literature
1.
Sedel L, Nizard RS, Kerboull L, Witvoet J: Alumina-alumina hip replacement in patients younger than 50 years old. Clin Orthop Relat Res. 1994, 298: 175-183.PubMed
2.
Hasegawa M, Sudo A, Uchida A: Alumina ceramic-on-ceramic total hip replacement with a layered acetabular component. J Bone Joint Surg Br. 2006, 88: 877-882.CrossRefPubMed
3.
Christel P, Meunier A, Heller M, Torre JP, Peille CN: Mechanical properties and short-term in-vivo evaluation of yttrium-oxide-partially-stabilized zirconia. J Biomed Mater Res. 1989, 23: 45-61.CrossRefPubMed
4.
Kim YH: Comparison of polyethylene wear associated with cobalt-chromium and zirconia heads after total hip replacement. A prospective, randomized study. J Bone Joint Surg Am. 2005, 87: 1769-1776.CrossRefPubMed
5.
6.
Lawson S: Environmental degradation of zirconia ceramics. J Eur Ceram Soc. 1995, 15: 485-502.CrossRef
7.
Denry I, Kelly JR: State of the art of zirconia for dental applications. Dent Mater. 2008, 24: 299-307.CrossRefPubMed
8.
Fernandez-Fairen M, Blanco A, Murcia A, Sevilla P, Gil FJ: Aging of retrieved zirconia femoral heads. Clin Orthop Relat Res. 2007, 462: 122-129.CrossRefPubMed
9.
Cohn RM, González Della Valle A, Peterson M, Cornell CN: Similar wear in total hip arthroplasties with metallic or zirconia femoral heads. HSS J. 2008, 4: 107-111.CrossRefPubMedPubMedCentral
10.
Liang B, Kawanabe K, Ise K, Iida H, Nakamura T: Polyethylene wear against alumina and zirconia heads in cemented total hip arthroplasty. J Arthroplasty. 2007, 22: 251-257.CrossRefPubMed
11.
Muratoglu OK, Bragdon CR, O’Connor DO, Jasty M, Harris WH: A novel method of cross-linking UHMWPE to improve wear, reduce oxidation, and retain mechanical properties. J Arthroplasty. 2001, 16: 149-160.CrossRefPubMed
12.
Bragdon CR, Barrett S, Martell JM, Greene ME, Malchau H, Harris WH: Steady-state penetration rates of electron beam-irradiated, highly cross-linked polyethylene at an average 45-month follow-up. J Arthroplasty. 2006, 21: 935-943.CrossRefPubMed
13.
Nakahara I, Nakamura N, Nishii T, Miki H, Sakai T, Sugano N: Minimum five-year follow-up wear measurement of longevity highly cross-linked polyethylene cup against cobalt-chromium or zirconia heads. J Arthroplasty. 2010, 25: 1182-1187.CrossRefPubMed
14.
Mu Z, Tian J, Wu T, Yang J, Pei F: A systematic review of radiological outcomes of highly cross-linked polyethylene versus conventional polyethylene in total hip arthroplasty. Int Orthop. 2009, 33: 599-604.CrossRefPubMedPubMedCentral
15.
Miyanishi K, Hara T, Kaminomachi S, Maekawa M, Iwamoto M, Torisu T: Short-term wear of Japanese highly cross-linked polyethylene in cementless THA. Arch Orthop Trauma Surg. 2008, 128: 995-1000.CrossRefPubMed
16.
Kawate K, Ohmura T, Kawahara I, Tamai K, Ueha T, Takemura K: Differences in highly cross-linked polyethylene wear between zirconia and cobalt-chromium femoral heads in Japanese patients: a prospective, randomized study. J Arthroplasty. 2009, 24: 1221-1224.CrossRefPubMed
17.
Fukui K, Kaneuji A, Sugimori T, Ichiseki T, Kitamura K, Matsumoto T: Wear comparison between a highly cross-linked polyethylene and conventional polyethylene against a zirconia femoral head: minimum 5-year follow-up. J Arthroplasty. 2011, 26: 45-49.CrossRefPubMed
18.
Postel M, Merle d’Aubigné R: Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am. 1954, 36: 451-475.PubMed
19.
Devane PA, Horne JG: Assessment of polyethylene wear in total hip replacement. Clin Orthop Relat Res. 1999, 369: 59-72.CrossRefPubMed
20.
Stilling M, Nielsen KA, Søballe K, Rahbek O: Clinical comparison of polyethylene wear with zirconia or cobalt-chromium femoral heads. Clin Orthop Relat Res. 2009, 467: 2644-2650.CrossRefPubMedPubMedCentral
21.
Hodgkinson JP, Shelley P, Wroblewski BM: The correlation between the roentgenographic appearance and operative findings at the bone-cement junction of the socket in Charnley low friction arthroplasties. Clin Orthop Relat Res. 1988, 228: 105-109.PubMed
22.
Engh CA, Bobyn JD, Glassman AH: Porous-coated hip replacement: the factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br. 1987, 69: 45-55.PubMed
23.
Roy ME, Whiteside LA, Katerberg BJ, Steiger JA, Nayfeh T: Not all zirconia femoral heads degrade in vivo. Clin Orthop Relat Res. 2007, 465: 220-226.PubMed
24.
Hayaishi Y, Miki H, Yoshikawa H, Sugano N: Phase transformation of a new generation yttria-stabilized zirconia femoral head after total hip arthroplasty. Mod Rheumatol. 2008, 18: 647-650.CrossRefPubMed
25.
Brown SS, Green DD, Pezzotti G, Donaldson TK, Clarke IC: Possible triggers for phase transformation in zirconia hip balls. J Biomed Mater Res B Appl Biomater. 2008, 85: 444-452.CrossRefPubMed
26.
Hernigou P, Bahrami T: Zirconia and alumina ceramics in comparison with stainless-steel heads. Polyethylene wear after a minimum ten-year follow-up. J Bone Joint Surg Br. 2003, 85: 504-509.CrossRefPubMed
27.
Haraguchi K, Sugano N, Nishii T, Miki H, Oka K, Yoshikawa H: Phase transformation of a zirconia ceramic head after total hip arthroplasty. J Bone Joint Surg Br. 2001, 83: 996-1000.CrossRefPubMed
28.
Santos EM, Vohra S, Catledge SA, McClenny MD, Lemons J, Moore KD: Examination of surface and material properties of explanted zirconia femoral heads. J Arthroplasty. 2004, 19 (7 Suppl 2): 30-34.CrossRefPubMed
29.
Kim YH, Ritchie A, Hardaker C: Surface roughness of ceramic femoral heads after in vivo transfer of metal: correlation to polyethylene wear. J Bone Joint Surg Am. 2005, 87: 577-582.PubMed
30.
Masonis JL, Bourne RB, Ries MD, McCalden RW, Salehi A, Kelman DC: Zirconia femoral head fractures: a clinical and retrieval analysis. J Arthroplasty. 2004, 19: 898-905.CrossRefPubMed
31.
Kraay MJ, Thomas RD, Rimnac CM, Fitzgerald SJ, Goldberg VM: Zirconia versus Co-Cr femoral heads in total hip arthroplasty: early assessment of wear. Clin Orthop Relat Res. 2006, 453: 86-90.CrossRefPubMed
32.
Clarke IC, Manaka M, Green DD: Current status of zirconia used in total hip implants. J Bone Joint Surg Am. 2003, 85 (Suppl 4): 73-84.PubMed
33.
Maccauro G, Piconi C, Burger W: Fracture of a Y-TZP ceramic femoral head. Analysis of a fault. J Bone Joint Surg Br. 2004, 86: 1192-1196.CrossRefPubMed
Metadata
Title
In vivo wear performance of highly cross-linked polyethylene vs. yttria stabilized zirconia and alumina stabilized zirconia at a mean seven-year follow-up
Authors
Masahiro Hasegawa
Akihiro Sudo
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2013
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-14-154

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