Large-diameter ceramic head articulation against highly cross-linked polyethylene in young patients: 2-year wear rate

doi:10.3969/j.issn.2095-4344.2014.35.004

Abstract

Abstract:

BACKGROUND: Prosthesis friction interface is a hot focus in the study of total hip joint. Polyethylene wear particles induced inflammatory reaction, resulting in osteolysis surrounding the prosthesis and prosthesis loosening. To reduce polyethylene wear, ceramics-ceramics and ceramices-polyethylene friction interfaces were selected. High cross-linked polyethylene material with high intensity was selected. In young patients with large activity amount, the application of ceramic head is a great progress.
OBJECTIVE: To assess the safety of large-diameter alumina ceramic matrix composites (BIOLOX® delta) ball on third-generation highly cross-linked polyethylene (Trident X3, Stryker, Mahwah, NJ) total hip arthroplasty in young patients, and to perform radiological measurements of high cross-linked polyethylene wear rate in the shortest two years after follow-up.
METHODS: From July 2008 to June 2010, wear analysis of 30 cases aged less than 60 years with 32 hips with 36-mm BIOLOX® delta ceramic femoral heads (CeramTec, Plochingen, Germany) on highly cross-linked polyethylene was performed in the 455 Hospital of Chinese PLA using Roman software (Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom). The mean age of patients was 56.8 ± 6.5 years.
RESULTS AND CONCLUSION: Follow-up was conducted from 2 to 3.7 years old. There were no imaging evidences, such as dislocation, the ball head fracture or joint loosening or osteolysis. Mean Harris score was increased from (19.9±7.3) (11-36) before replacement to (35.3±5.4) at 6 months after replacement. The mean wear rate was (0.022±0.11) mm/year after run-in period. These data indicated that large-diameter ceramic head articulation against highly cross-linked polyethylene in young patients would have high safety for joint dislocation, prosthesis fragmentation and low wear rates.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: arthroplasty, replacement, hip, ceramics, polyethylene, dislocations

CLC Number:

R318

Sun Jiu-yi, Fu Pei-liang. Large-diameter ceramic head articulation against highly cross-linked polyethylene in young patients: 2-year wear rate[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(35): 5595-5599.

Figures/Tables 3

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