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

BMC Musculoskeletal Disorders

Akihiro Sudo¹  Masahiro Hasegawa¹ 

[1] Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu City Mie 514-8507, Japan

关键词: Transformation rate;    Wear;    Highly cross-linked polyethylene;    Zirconia;    Total hip arthroplasty;   

Others  :  1132705
DOI  :  10.1186/1471-2474-14-154

 received in 2012-07-30, accepted in 2013-04-23,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Hasegawa and Sudo; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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