Wear of a Highly Cross-Linked Polyethylene Liner: A Preliminary RSA Study

David Campbell, Graham Mercer, Kjell-Gunnar Nilsson, Vanessa Wells, John Field, S Callary

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    6 Citations (Scopus)


    Wear induced peri-prosthetic osteolysis and aseptic loosening remain the major contributing factors to failure of total hip arthroplasty. To reduce wear particles from acetabular liners, the process of polyethylene crosslinking has been modiWed. In this study, we examine the wear of Marathon acetabular liners using Radiostereometric Analysis. Thirty patients were enrolled in a prospective cohort study. Femoral head penetration was calculated for 25 patients at 6 months, 1 and 2 years postoperatively. The mean proximal head penetration was 0.067 mm at 6 months, 0.113 mm at 1 year and 0.120 mm at 2 years. The mean three-dimensional femoral head penetration was 0.240 mm at 6 months, 0.230 mm at 1 year and 0.232 mm at 2 years. For both parameters, there was no measurable wear between 1 and 2 years, and the mean annual linear wear was less than 0.06 mm/year, which is less than the suggested osteolysis threshold for polyethylene. All patients demonstrated a dramatic improvement in clinical scores. These results were comparable with other studies that used alternative techniques with conventional radiography to evaluate wear for Marathon. Long-term studies using the RSA method are recommended to further quantify the clinical performance of this polyethylene liner.

    Original languageEnglish
    Article numberPublications Data Collection
    Pages (from-to)23-27
    Number of pages5
    JournalEuropean Journal of Orthopaedic Surgery and Traumatology
    Issue number1
    Publication statusPublished - 1 Jan 2010


    • Cross-linked
    • Hip
    • Polyethylene
    • Radiostereometric analysis
    • RSA
    • Wear


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