Late failure of annealed highly cross-linked polyethylene acetabular liner

Daisuke Hara, Yasuharu Nakashima, Takuaki Yamamoto, Shinshichiro Higashihara, Mitsugu Todo, Masanobu Hirata, Mio Akiyama, Yukihide Iwamoto

研究成果: ジャーナルへの寄稿学術誌査読

14 被引用数 (Scopus)


Highly cross-linked polyethylene (HXPE) in total hip arthroplasty (THA) has been shown to significantly decrease wear rates compared with conventional polyethylene (CPE). However, crosslinking, thermal treatment and oxidation can decrease the mechanical properties of PE, and several cases of fracture of remelted HXPE liners were reported. We present, for the first time, unexpected failures of THA with the use of annealed HXPE liners in two patients occurring at 7 and 8 years after operation. Operative findings revealed dislocated liners from the metal shell and a fracture of the superior rim at the rim-dome junction in both liners. Scanning electron microscopy showed that the cracks initiated at the rim and propagated toward the articular surface. Both liners showed generally a low amount of oxidation (less than 1.00) at the articular surface and low wear rates; however, oxidation at the rim was relatively higher (mean 1.55). These findings suggested that decreased mechanical properties at the rim-dome junction due to cross-linking, annealing and oxidation might have been caused breakage of the HXPE liners after a long implantation time, although the annealed HXPE achieved low degree of wear.

ジャーナルJournal of the Mechanical Behavior of Biomedical Materials
出版ステータス出版済み - 12月 2013

!!!All Science Journal Classification (ASJC) codes

  • 生体材料
  • 生体医工学
  • 材料力学


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