Metal on Polyethylene in Total Hip Arthroplasty

Joon-Soon Kang; Ryuh Sup Kim

doi:10.5371/jkhs.2010.22.4.241

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Kang and Kim: Metal on Polyethylene in Total Hip Arthroplasty

Review Article

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2010; 22(4): 241-246.

Published online: 31 December 2010

DOI: https://doi.org/10.5371/jkhs.2010.22.4.241

Metal on Polyethylene in Total Hip Arthroplasty

Joon-Soon Kang, MD, Ryuh Sup Kim, MD

Department of Orthopedic Surgery, College of Medicine, Inha University, Incheon, Korea.

Address reprint request to Joon-Soon Kang, MD. Department of Orthopaedic Surgery, Inha University Hospital, 7-206 Sinheung-dong 3-ga, Jung-gu, Incheon 400-711, Korea. TEL: +82-32-890-3666, FAX: +82-32-890-3099, kangjoon@inha.ac.kr

Received 17 August 2010 Revised 4 November 2010 Accepted 4 November 2010

Abstract

Conventional gamma sterilization could induce substantial oxidative degradation during subsequent storage of the PE component in air and during their use in vivo. This oxidative degradation may induce high wear rates, delamination and/or gross fracture of the affected PE component. An improved understanding of the effects of cross-linking and oxidation on ultra high molecular weight polyethylene (UHMWPE) has lead to the common use of oxygen-protected packing during radiation sterilization and shelf storage. More recently, methods to deliberately highly cross link UHMWPE while reducing the material's potential to oxidize have been develop in the form of highly cross linked UHMWPE. We reviewed the manufacturing, sterilization, cross linking methods and clinical results of the new polyethylene.

Keywords: Hip, Arthroplasty, Polyethylene

Figures and Tables

Fig. 1

Table 1

Highly Cross-Linked Polyethylenes

Table 2

Percent Wear Reductions in Early and Midterm Clinical Studies of Highly Cross-Linked Polyethylene Acetabular Liners Compared with Previously Used Polyethylenes

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