Wear of ultra-high molecular weight polyethylene has been incriminated in the osteolysis associated with aseptic loosening of hip implants. A variety of different factors can contribute to accelerated patterns of polyethylene wear and subsequent osteolysis. This paper examines the incidence of osteolysis observed in two different well-matched cohorts of cementless total hip arthro-plasties. The patterns of osteolysis observed, which are ascribed to the generation of polyethylene debris, are interpreted with reference to the design of the individual prostheses.
LearmonthI. D.GroblerG. P.DallD. M.Loss of bone stock with cementless hip arthroplastyJ. Arthroplasty, 1995, 10, 257–263.
4.
MaloneyW. J.JastyM.HarrisW. H.GalanteJ. O.CallaghanV.Endosteal erosions in association with stable uncemented femoral componentsJ. Bone Jt Surg., 1990, 72-A, 1025–1034.
5.
BankstonA. B.KeatingE. M.RanawatC.FarisP. M.RitterM. A.Comparison of polyethylene wear in machined versus moulded polyethyleneClin. Orthop. Rel. Res., 1995, 317, 37–43.
6.
CucklerJ. M.BearcroftJ.AsgianC. M.Femoral head technologies to reduce wear in total hip arthroplastyClin. Orthop. Rel. Res., 1995, 317, 57–63.
7.
HukO. L.BensalM.BettsF.RimnacC. M.LiebermaiJ. R.HuoM. H.SalvtiE. A.Polyethylene and metal debris generated by non-articulating surfaces of modular acetabular componentsJ. Bone Jt Surg., 1994, 76-B, 568–573.
8.
GruenT. A.McNeiceG. M.AmstutzH. C.Modes of failure of cemented stem-type femoral componentsClin. Orthop. Rel. Res., 1979, 141, 17–27.
9.
DavidsonJ. A.Characteristics of metal and ceramic total hip bearing surfaces and their effect on long-term ultra high molecular weight polyethylene wearClin. Orthop. Rel. Res., 1993, 294, 361–378.
10.
LangkamerV. G.CaseC. P.HeapP.TaylorA.CollinsC.PearseM.SolomonL.Systemic distribution of wear debris after hip replacement. A cause for concern?J. Bone Jt Surg., 1992, 74-B, 831–839.
11.
MishraA.FinnieI.An experimental study of three-body abrasive wearWear, 1983, 85, 57–68.
12.
DowsonD.DiabM.GillisB.AtkinsonJ.Influence of counterface topography on the wear of UHMWPE under wet or dry conditions In Polymer Wear and Its Control, 1985, pp. 171–187 (American Chemical Society).
13.
RichardsonM.Surface phenomena associated with polyethylene wearWear, 1972, 22, 411–412.
14.
BankstonA. B.FarisP. M.KeatingE. M.RitterM. A.Polyethylene wear in total hip arthroplasty. A comparison of stainless steel cobalt chrome and titanium bearing surfacesJ. Arthroplasty, 1993, 8, 315–322.
15.
KimY.-H.KimV. E. M.Results of the Harris-Galante cementless hip prosthesisJ. Bone Jt Surg., 1992, 74-B, 83–87.
16.
SchiralzriedT. P.JastyM.HarrisW. H.Periprosthetic bone loss in total hip arthroplastyJ. Bone Jt Surg., 1992, 74-A, 849–863.
17.
BartelD. L.BursteinA. H.TodaM. D.EdwardsD. L.The effect of conformity and plastic thickness on contact stresses in metal-backed plastic implantsJ. Biomech. Engng, 1985, 107, 193–199.
18.
BrienW. W.SalvatiE. A.WrightT. M.NelsonC. L.HungerfordD. S.GilliamD. L.Dissociation of acetabular components after total hip arthroplasty, report of four casesJ. Bone Jt Surg., 1990, 72-A, 1548–1550.
19.
BerryD. J.BarnesC. L.ScottR. D.CabanaH. E.PossR.Catastrophic failure of the polyethylene liner of uncemented acetabular componentsJ. Bone Jt Surg., 1994, 76-B, 575–578.
