Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report

Abstract Background Highly cross-linked polyethylene (HXLPE) enhances the anti-wear characteristics of the conventional polyethylene (PE). Early failure for wear after ceramic-on-highly cross-linked polyethylene (CoHXLPE) total hip arthroplasty (THA) is extremely rare. Case presentation We described...

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Main Authors: Chenkai Li, Haining Zhang
Format: Article
Language:English
Published: BMC 2020-10-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-020-03697-1
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spelling doaj-bfde2a36607e430d9faaca95beed331e2020-11-25T03:53:47ZengBMCBMC Musculoskeletal Disorders1471-24742020-10-012111410.1186/s12891-020-03697-1Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case reportChenkai Li0Haining Zhang1Department of Joint Surgery, the Affiliated Hospital of Qingdao UniversityDepartment of Joint Surgery, the Affiliated Hospital of Qingdao UniversityAbstract Background Highly cross-linked polyethylene (HXLPE) enhances the anti-wear characteristics of the conventional polyethylene (PE). Early failure for wear after ceramic-on-highly cross-linked polyethylene (CoHXLPE) total hip arthroplasty (THA) is extremely rare. Case presentation We described the case of a 60-year-old man who underwent right CoHXLPE THA because of the developmental dysplasia hip (DDH) complained pain 32 months after this procedure. Plain radiographs showed that eccentric wear existed at the polyethylene insert. However, the patient refused surgery at that time and did not stop weight-bearing. The right hip pain continued for 7 months. Plain radiographs of the pelvis showed that the HXLPE liner was penetrated and partial inner wall of acetabular shell was worn. Acetabular cup revision was performed, and the ceramic head and HXLPE were exchanged. Conclusions Difficult reduction during primary THA, especially for DDH, can result in higher abductor tension, which may lead to early eccentric wear of the prosthesis. Whenever eccentric wear of HXLPE liner was found, weight-bearing must be stopped to avoid the accelerated wear and adverse reactions to metal debris (ARMD).http://link.springer.com/article/10.1186/s12891-020-03697-1Dysplasia dysfunction of the hipCeramic-on-highly cross-linked polyethyleneTotal hip arthroplastyCase report
collection DOAJ
language English
format Article
sources DOAJ
author Chenkai Li
Haining Zhang
spellingShingle Chenkai Li
Haining Zhang
Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
BMC Musculoskeletal Disorders
Dysplasia dysfunction of the hip
Ceramic-on-highly cross-linked polyethylene
Total hip arthroplasty
Case report
author_facet Chenkai Li
Haining Zhang
author_sort Chenkai Li
title Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
title_short Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
title_full Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
title_fullStr Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
title_full_unstemmed Early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
title_sort early failure for wear after ceramic-on-highly cross-linked polyethylene total hip arthroplasty: a case report
publisher BMC
series BMC Musculoskeletal Disorders
issn 1471-2474
publishDate 2020-10-01
description Abstract Background Highly cross-linked polyethylene (HXLPE) enhances the anti-wear characteristics of the conventional polyethylene (PE). Early failure for wear after ceramic-on-highly cross-linked polyethylene (CoHXLPE) total hip arthroplasty (THA) is extremely rare. Case presentation We described the case of a 60-year-old man who underwent right CoHXLPE THA because of the developmental dysplasia hip (DDH) complained pain 32 months after this procedure. Plain radiographs showed that eccentric wear existed at the polyethylene insert. However, the patient refused surgery at that time and did not stop weight-bearing. The right hip pain continued for 7 months. Plain radiographs of the pelvis showed that the HXLPE liner was penetrated and partial inner wall of acetabular shell was worn. Acetabular cup revision was performed, and the ceramic head and HXLPE were exchanged. Conclusions Difficult reduction during primary THA, especially for DDH, can result in higher abductor tension, which may lead to early eccentric wear of the prosthesis. Whenever eccentric wear of HXLPE liner was found, weight-bearing must be stopped to avoid the accelerated wear and adverse reactions to metal debris (ARMD).
topic Dysplasia dysfunction of the hip
Ceramic-on-highly cross-linked polyethylene
Total hip arthroplasty
Case report
url http://link.springer.com/article/10.1186/s12891-020-03697-1
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AT hainingzhang earlyfailureforwearafterceramiconhighlycrosslinkedpolyethylenetotalhiparthroplastyacasereport
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