Large Femoral Heads With Small Acetabular Components: An Examination of 10-Year Polyethylene Wear.

Publication/Presentation Date

1-1-2024

Abstract

Highly cross-linked polyethylene (HXLPE) has improved polyethylene (PE) wear rates while decreasing osteolysis and aseptic loosening. However, concerns exist regarding the risk of mechanical failure with thin HXLPE liners in total hip arthroplasty (THA). Our purpose was to evaluate long-term outcomes and PE wear rates in primary THAs pairing large femoral heads with small acetabular components and thin HXLPE liners. We retrospectively reviewed 29 patients who underwent 33 primary THAs using large femoral heads (32 or 36 mm) with small acetabular components (48 or 50 mm) and thin HXLPE liners (3.9 or 5.9 mm) at minimum 10-year follow-up. PE liner wear was measured using a validated radiographic technique. Mean age was 66 years, 97% of the patients were women, and mean body mass index was 26.3 kg/m

Volume

47

Issue

2

First Page

118

Last Page

122

ISSN

1938-2367

Disciplines

Medicine and Health Sciences

PubMedID

37561101

Department(s)

Department of Surgery

Document Type

Article

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