Highly Cross-Linked vs Conventional Polyethylene: No Differences in Rim Notching From Micromotion on Retrieved Acetabular Liners

Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We examined (1) whether notching patterns and rim cracks existed and demonstrated similar morphological properties in retrieved highly cross-linked...

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Vydáno v:	The Journal of arthroplasty Ročník 27; číslo 9; s. 1616 - 1621.e1
Hlavní autoři:	Paterson, Nicholas R., Teeter, Matthew G., MacDonald, Steven J., McCalden, Richard W., Howard, James L., Naudie, Douglas D.R.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Elsevier Inc 01.10.2012
Témata:	Acetabulum - surgery Arthroplasty, Replacement, Hip - instrumentation Cross-Linking Reagents Device Removal highly cross-linked polyethylene Hip Prosthesis Humans Orthopedics Polyethylenes - chemistry Prosthesis Design Prosthesis Failure retrieval study rim crack Surface Properties total hip arthroplasty X-Ray Microtomography total hip arthroplasty highly cross-linked polyethylene retrieval study rim crack
ISSN:	0883-5403, 1532-8406, 1532-8406
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Abstract	Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We examined (1) whether notching patterns and rim cracks existed and demonstrated similar morphological properties in retrieved highly cross-linked and non–cross-linked liners and (2) whether the dimensions of these notches correlated with their duration of implantation. We retrieved a series of 14 identical liners out to an average of 2.03 years. Liners were microscopically examined and then scanned using microcomputed tomography. All liners demonstrated identical notching patterns. Microcomputed tomographic scans demonstrated no signs of crack initiation or rim failure but were able to accurately quantify the notch dimensions. The notching patterns were likely caused by liner-cup micromotion and are better characterized as creep deformation because they did not progress markedly over longer durations of implantation.
AbstractList	Abstract Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We examined (1) whether notching patterns and rim cracks existed and demonstrated similar morphological properties in retrieved highly cross-linked and non–cross-linked liners and (2) whether the dimensions of these notches correlated with their duration of implantation. We retrieved a series of 14 identical liners out to an average of 2.03 years. Liners were microscopically examined and then scanned using microcomputed tomography. All liners demonstrated identical notching patterns. Microcomputed tomographic scans demonstrated no signs of crack initiation or rim failure but were able to accurately quantify the notch dimensions. The notching patterns were likely caused by liner-cup micromotion and are better characterized as creep deformation because they did not progress markedly over longer durations of implantation. Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We examined (1) whether notching patterns and rim cracks existed and demonstrated similar morphological properties in retrieved highly cross-linked and non-cross-linked liners and (2) whether the dimensions of these notches correlated with their duration of implantation. We retrieved a series of 14 identical liners out to an average of 2.03 years. Liners were microscopically examined and then scanned using microcomputed tomography. All liners demonstrated identical notching patterns. Microcomputed tomographic scans demonstrated no signs of crack initiation or rim failure but were able to accurately quantify the notch dimensions. The notching patterns were likely caused by liner-cup micromotion and are better characterized as creep deformation because they did not progress markedly over longer durations of implantation.Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We examined (1) whether notching patterns and rim cracks existed and demonstrated similar morphological properties in retrieved highly cross-linked and non-cross-linked liners and (2) whether the dimensions of these notches correlated with their duration of implantation. We retrieved a series of 14 identical liners out to an average of 2.03 years. Liners were microscopically examined and then scanned using microcomputed tomography. All liners demonstrated identical notching patterns. Microcomputed tomographic scans demonstrated no signs of crack initiation or rim failure but were able to accurately quantify the notch dimensions. The notching patterns were likely caused by liner-cup micromotion and are better characterized as creep deformation because they did not progress markedly over longer durations of implantation. Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We examined (1) whether notching patterns and rim cracks existed and demonstrated similar morphological properties in retrieved highly cross-linked and non–cross-linked liners and (2) whether the dimensions of these notches correlated with their duration of implantation. We retrieved a series of 14 identical liners out to an average of 2.03 years. Liners were microscopically examined and then scanned using microcomputed tomography. All liners demonstrated identical notching patterns. Microcomputed tomographic scans demonstrated no signs of crack initiation or rim failure but were able to accurately quantify the notch dimensions. The notching patterns were likely caused by liner-cup micromotion and are better characterized as creep deformation because they did not progress markedly over longer durations of implantation.
Author	Naudie, Douglas D.R. MacDonald, Steven J. Teeter, Matthew G. Howard, James L. Paterson, Nicholas R. McCalden, Richard W.
Author_xml	– sequence: 1 givenname: Nicholas R. surname: Paterson fullname: Paterson, Nicholas R. organization: Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada – sequence: 2 givenname: Matthew G. surname: Teeter fullname: Teeter, Matthew G. organization: Imaging Research Laboratories, Robarts Research Institute, London, Ontario, Canada – sequence: 3 givenname: Steven J. surname: MacDonald fullname: MacDonald, Steven J. organization: Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada – sequence: 4 givenname: Richard W. surname: McCalden fullname: McCalden, Richard W. organization: Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada – sequence: 5 givenname: James L. surname: Howard fullname: Howard, James L. organization: Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada – sequence: 6 givenname: Douglas D.R. surname: Naudie fullname: Naudie, Douglas D.R. organization: Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada
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Cites_doi	10.2106/JBJS.F.00758 10.1016/j.arth.2010.07.016 10.1016/j.arth.2010.07.009 10.1016/j.biomaterials.2009.07.013 10.1016/j.biomaterials.2005.09.010 10.2106/00004623-200406000-00021 10.1016/j.arth.2008.02.011 10.1615/JLongTermEffMedImplants.v20.i1.40 10.2106/JBJS.H.00244 10.1016/j.jmbbm.2010.04.002 10.2106/00004623-200404000-00025 10.1016/j.arth.2009.11.001 10.1007/s11999-010-1552-9 10.1007/s11999-010-1712-y 10.2106/JBJS.G.01304
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Keywords	total hip arthroplasty highly cross-linked polyethylene retrieval study rim crack
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References	Teeter, Naudie, Charron (bb0070) 2010; 3 Furmanski, Kraay, Rimnac (bb0025) 2011; 26 Furmanski, Anderson, Bal (bb0020) 2009; 30 McCalden, MacDonald, Rorabeck (bb0010) 2009; 91 Tower, Currier, Currier (bb0045) 2007; 89 Bradford, Baker, Graham (bb0015) 2004; 86 Blumenfeld, McKellop, Schmalzried (bb0050) 2011; 26 Teeter, Naudie, Charron (bb0065) 2010; 25 Furmanski, Rimnac (bb0030) 2011; 469 Halley, Glassman, Crowninshield (bb0040) 2004; 86 Moore, Beck, Petersen (bb0055) 2008; 90 Schroder, Kelly, Wright (bb0060) 2011; 469 Calvert, Devane, Fielden (bb0005) 2009; 24 Gencur, Rimnac, Kurtz (bb0035) 2006; 27 Teeter, Yuan, Naudie (bb0075) 2010; 20 Blumenfeld (10.1016/j.arth.2012.03.034_bb0050) 2011; 26 Schroder (10.1016/j.arth.2012.03.034_bb0060) 2011; 469 Furmanski (10.1016/j.arth.2012.03.034_bb0030) 2011; 469 Furmanski (10.1016/j.arth.2012.03.034_bb0020) 2009; 30 Halley (10.1016/j.arth.2012.03.034_bb0040) 2004; 86 Tower (10.1016/j.arth.2012.03.034_bb0045) 2007; 89 Bradford (10.1016/j.arth.2012.03.034_bb0015) 2004; 86 Calvert (10.1016/j.arth.2012.03.034_bb0005) 2009; 24 Gencur (10.1016/j.arth.2012.03.034_bb0035) 2006; 27 Teeter (10.1016/j.arth.2012.03.034_bb0075) 2010; 20 Furmanski (10.1016/j.arth.2012.03.034_bb0025) 2011; 26 Teeter (10.1016/j.arth.2012.03.034_bb0065) 2010; 25 McCalden (10.1016/j.arth.2012.03.034_bb0010) 2009; 91 Moore (10.1016/j.arth.2012.03.034_bb0055) 2008; 90 Teeter (10.1016/j.arth.2012.03.034_bb0070) 2010; 3
References_xml	– volume: 86 start-page: 1271 year: 2004 ident: bb0015 article-title: Wear and surface cracking in early retrieved highly cross-linked polyethylene acetabular liners publication-title: J Bone Joint Surg Am – volume: 469 start-page: 387 year: 2011 ident: bb0060 article-title: Retrieved highly crosslinked UHMWPE acetabular liners have similar wear damage as conventional UHMWPE publication-title: Clin Orthop Relat Res – volume: 27 start-page: 1550 year: 2006 ident: bb0035 article-title: Fatigue crack propagation resistance of virgin and highly crosslinked, thermally treated ultra-high molecular weight polyethylene publication-title: Biomaterials – volume: 89 start-page: 2212 year: 2007 ident: bb0045 article-title: Rim cracking of the cross-linked longevity polyethylene acetabular liner after total hip arthroplasty publication-title: J Bone Joint Surg Am – volume: 86 start-page: 827 year: 2004 ident: bb0040 article-title: Recurrent dislocation after revision total hip replacement with a large prosthetic femoral head. 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A case report publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.G.01304
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Snippet	Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim failure. We... Abstract Previous literature suggested highly cross-linked acetabular liners demonstrated notching patterns that may be a point of crack origin and rim...
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SubjectTerms	Acetabulum - surgery Arthroplasty, Replacement, Hip - instrumentation Cross-Linking Reagents Device Removal highly cross-linked polyethylene Hip Prosthesis Humans Orthopedics Polyethylenes - chemistry Prosthesis Design Prosthesis Failure retrieval study rim crack Surface Properties total hip arthroplasty X-Ray Microtomography
Title	Highly Cross-Linked vs Conventional Polyethylene: No Differences in Rim Notching From Micromotion on Retrieved Acetabular Liners
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