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Erschienen in: International Orthopaedics 3/2017

11.11.2016 | Original Paper

Highly crosslinked polyethylene: a safe alternative to conventional polyethylene for dual mobility cup mobile component. A biomechanical validation

verfasst von: Matthieu Malatray, Jean-Paul Roux, Stanislas Gunst, Vincent Pibarot, Julien Wegrzyn

Erschienen in: International Orthopaedics | Ausgabe 3/2017

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Abstract

Purpose

Dual mobility cup (DMC) consists of a cobalt-chromium (CoCr) alloy cup articulated with a polyethylene (PE) mobile component capturing the femoral head in force using a snap-fit technique. This biomechanical study was the first to evaluate and compare the generation of cracks in the retentive area of DMC mobile components made of highly crosslinked PE (XLPE) or conventional ultra-high molecular weight PE (UHMWPE).

Methods

Eighty mobile components designed for a 52-mm diameter Symbol® DMC (Dedienne Santé, Mauguio, France) and a 28-mm diameter femoral head were analyzed. Four groups of 20 mobile components were constituted according to the PE material: raw UHMWPE, sterilized UHMWPE, annealed XLPE and remelted XLPE. Ten mobile components in each group were impacted with a 28-mm diameter CoCr femoral head using a snap-fit technique. The occurrence, location and area of the cracks in the retentive area were investigated using micro-CT (Skyscan 1176®, Bruker, Aarsellar, Belgium) with a 35 μm nominal isotropic voxel size by two observers blinded to the PE material and impaction or not of the mobile components.

Results

Compared to conventional UHMWPE, the femoral head snap-fit did not generate more or wider cracks in the retentive area of annealed or remelted XLPE mobile components.

Conclusion

This biomechanical study suggests that XLPE in DMC could be a safe alternative to conventional UHMWPE regarding the generation of cracks in the retentive area related to the femoral head snap-fit.
Literatur
2.
Zurück zum Zitat Noyer D (2003) La troisième articulation des prothèses de hanche à double mobilité. Maîtrise Orthopédique 121:20–22 Noyer D (2003) La troisième articulation des prothèses de hanche à double mobilité. Maîtrise Orthopédique 121:20–22
7.
Zurück zum Zitat Loving L, Herrera L, Banerjee S, Effernan C, Nevelos JE, Markel DC, Mont MA (2015) Dual mobility bearings withstand loading from steeper cup-inclinations without substantial wear. J Orthop Res 33:398–404. doi:10.1002/jor.22774 CrossRefPubMed Loving L, Herrera L, Banerjee S, Effernan C, Nevelos JE, Markel DC, Mont MA (2015) Dual mobility bearings withstand loading from steeper cup-inclinations without substantial wear. J Orthop Res 33:398–404. doi:10.​1002/​jor.​22774 CrossRefPubMed
11.
Zurück zum Zitat D’Apuzzo MR, Nevelos J, Yeager A, Westrich GH (2014) Relative head size increase using an anatomic dual mobility hip prosthesis compared to traditional hip arthroplasty: impact on hip stability. J Arthroplasty 29:1854–1856. doi:10.1016/j.arth.2014.04.035 CrossRefPubMed D’Apuzzo MR, Nevelos J, Yeager A, Westrich GH (2014) Relative head size increase using an anatomic dual mobility hip prosthesis compared to traditional hip arthroplasty: impact on hip stability. J Arthroplasty 29:1854–1856. doi:10.​1016/​j.​arth.​2014.​04.​035 CrossRefPubMed
12.
Zurück zum Zitat Caton JH, Prudhon JL, Ferreira A, Aslanian T, Verdier R (2014) A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess whether a dual mobility cup has a decreased dislocation risk. Int Orthop 38:1125–1129. doi:10.1007/s00264-014-2313-2 CrossRefPubMedPubMedCentral Caton JH, Prudhon JL, Ferreira A, Aslanian T, Verdier R (2014) A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess whether a dual mobility cup has a decreased dislocation risk. Int Orthop 38:1125–1129. doi:10.​1007/​s00264-014-2313-2 CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Paxton EW, Inacio MCS, Namba RS, Love R, Kurtz SM (2015) Metal-on-conventional polyethylene total hip arthroplasty bearing surfaces have a higher risk of revision than metal-on-highly crosslinked polyethylene: results from a US registry. Clin Orthop Relat Res 473:1011–1021. doi:10.1007/s11999-014-4105-9 CrossRefPubMedPubMedCentral Paxton EW, Inacio MCS, Namba RS, Love R, Kurtz SM (2015) Metal-on-conventional polyethylene total hip arthroplasty bearing surfaces have a higher risk of revision than metal-on-highly crosslinked polyethylene: results from a US registry. Clin Orthop Relat Res 473:1011–1021. doi:10.​1007/​s11999-014-4105-9 CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Glyn-Jones S, Thomas GE, Garfjeld-Roberts P, Gundle R, Taylor A, McLardy-Smith P, Murray DW (2015) The John Charnley Award: highly crosslinked polyethylene in total hip arthroplasty decreases long-term wear: a double-blind randomized trial. Clin Orthop Relat Res 473:432–438. doi:10.1007/s11999-014-3735-2 Glyn-Jones S, Thomas GE, Garfjeld-Roberts P, Gundle R, Taylor A, McLardy-Smith P, Murray DW (2015) The John Charnley Award: highly crosslinked polyethylene in total hip arthroplasty decreases long-term wear: a double-blind randomized trial. Clin Orthop Relat Res 473:432–438. doi:10.​1007/​s11999-014-3735-2
20.
Zurück zum Zitat Sirimamilla A, Furmanski J, Rimnac C (2013) Peak stress intensity factor governs crack propagation velocity in crosslinked ultrahigh-molecular-weight polyethylene. J Biomed Mater Res B Appl Biomater 101:430–435. doi:10.1002/jbm.b.32850 PubMed Sirimamilla A, Furmanski J, Rimnac C (2013) Peak stress intensity factor governs crack propagation velocity in crosslinked ultrahigh-molecular-weight polyethylene. J Biomed Mater Res B Appl Biomater 101:430–435. doi:10.​1002/​jbm.​b.​32850 PubMed
21.
Zurück zum Zitat Baker DA, Bellare A, Pruitt L (2003) The effects of degree of crosslinking on the fatigue crack initiation and propagation resistance of orthopedic-grade polyethylene. J Biomed Mater Res A 66:146–154. doi:10.1002/jbm.a.10606 CrossRefPubMed Baker DA, Bellare A, Pruitt L (2003) The effects of degree of crosslinking on the fatigue crack initiation and propagation resistance of orthopedic-grade polyethylene. J Biomed Mater Res A 66:146–154. doi:10.​1002/​jbm.​a.​10606 CrossRefPubMed
22.
Zurück zum Zitat Medel FJ, Peña P, Cegoñino J, Gómez-Barrena E, Puértolas JA (2007) Comparative fatigue behavior and toughness of remelted and annealed highly crosslinked polyethylenes. J Biomed Mater Res B Appl Biomater 83:380–390. doi:10.1002/jbm.b.30807 CrossRefPubMed Medel FJ, Peña P, Cegoñino J, Gómez-Barrena E, Puértolas JA (2007) Comparative fatigue behavior and toughness of remelted and annealed highly crosslinked polyethylenes. J Biomed Mater Res B Appl Biomater 83:380–390. doi:10.​1002/​jbm.​b.​30807 CrossRefPubMed
23.
Zurück zum Zitat Ast MP, John TK, Labbisiere A, Robador N, Valle AG (2014) Fractures of a single design of highly cross-linked polyethylene acetabular liners: an analysis of voluntary reports to the United States Food and Drug Administration. J Arthroplasty 29:1231–1235. doi:10.1016/j.arth.2013.12.022 CrossRefPubMed Ast MP, John TK, Labbisiere A, Robador N, Valle AG (2014) Fractures of a single design of highly cross-linked polyethylene acetabular liners: an analysis of voluntary reports to the United States Food and Drug Administration. J Arthroplasty 29:1231–1235. doi:10.​1016/​j.​arth.​2013.​12.​022 CrossRefPubMed
24.
26.
Zurück zum Zitat Kurtz SM, Austin MS, Azzam K, Sharkey PF, MacDonald DW, Medel FJ, Hozack WJ (2010) Mechanical properties, oxidation, and clinical performance of retrieved highly cross-linked Crossfire liners after intermediate-term implantation. J Arthroplasty 25:614–623. doi:10.1016/j.arth.2009.04.022 CrossRefPubMed Kurtz SM, Austin MS, Azzam K, Sharkey PF, MacDonald DW, Medel FJ, Hozack WJ (2010) Mechanical properties, oxidation, and clinical performance of retrieved highly cross-linked Crossfire liners after intermediate-term implantation. J Arthroplasty 25:614–623. doi:10.​1016/​j.​arth.​2009.​04.​022 CrossRefPubMed
27.
Zurück zum Zitat Kurtz SM, Manley M, Wang A, Taylor S, Dumbleton J (2002–2003) Comparison of the properties of annealed crosslinked (Crossfire) and conventional polyethylene as hip bearing materials. Bull Hosp Jt Dis 61:17–26 Kurtz SM, Manley M, Wang A, Taylor S, Dumbleton J (2002–2003) Comparison of the properties of annealed crosslinked (Crossfire) and conventional polyethylene as hip bearing materials. Bull Hosp Jt Dis 61:17–26
Metadaten
Titel
Highly crosslinked polyethylene: a safe alternative to conventional polyethylene for dual mobility cup mobile component. A biomechanical validation
verfasst von
Matthieu Malatray
Jean-Paul Roux
Stanislas Gunst
Vincent Pibarot
Julien Wegrzyn
Publikationsdatum
11.11.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 3/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3334-9

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