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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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 chenkaili earlyfailureforwearafterceramiconhighlycrosslinkedpolyethylenetotalhiparthroplastyacasereport AT hainingzhang earlyfailureforwearafterceramiconhighlycrosslinkedpolyethylenetotalhiparthroplastyacasereport |
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