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Mechanical Properties, Oxidation, and Clinical Performance of Retrieved Highly Cross-Linked Crossfire Liners After Intermediate-Term Implantation
Journal article   Open access   Peer reviewed

Mechanical Properties, Oxidation, and Clinical Performance of Retrieved Highly Cross-Linked Crossfire Liners After Intermediate-Term Implantation

Steven M. Kurtz, Matthew S. Austin, Khalid Azzam, Peter F. Sharkey, Daniel W. MacDonald, Francisco J. Medel and William J. Hozack
The Journal of arthroplasty, v 25(4), pp 614-623
2010
PMID: 19520545
url
https://europepmc.org/articles/pmc2876196View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

highly cross-linked ultra–high molecular weight polyethylene hip arthroplasty mechanical properties oxidation wear
Sixty Crossfire (Stryker Orthopaedics, Mahwah, NJ) liners were consecutively revised after an average of 2.9 years (range, 0.01-8.0 years) for reasons unrelated to wear or mechanical performance of the polyethylene. Femoral head penetration was measured directly from 42 retrievals implanted for more than 1 year. Penetration rate results (0.04 mm/y, on average; range, 0.00-0.13 mm/y) confirmed decreasing wear rates with longer in vivo times. Overall, we observed oxidation levels at the bearing surface of the 60 liners (0.5, on average; range, 0.1-1.7) comparable to those of nonimplanted liners (0.5, on average; range, 0.3-1.1) and preservation of mechanical properties. We also measured elevated oxidation of the rim (3.4, on average; range, 0.2-8.8) that was correlated with implantation time. Rim surface damage, however, was observed in only 3 (5%) of 60 cases. Retrieval analysis of the 3 rim-damaged liners did not reveal an association between surface damage and the reasons for revision.

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56 citations in Scopus

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Orthopedics
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