Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene
Abstract The use of a large femoral head in total hip arthroplasty (THA) to stabilize and reduce the incidence of dislocation is on the increase, but concerns arise when combining them with small acetabular components due to potential mechanical failures in thin polyethylene (PE) liners. A single-in...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-50217-x |
| _version_ | 1797377082589708288 |
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| author | Min Uk Do Nam Hoon Moon Kuen Tak Suh Jung Shin Kim Sang-Min Lee Won Chul Shin |
| author_facet | Min Uk Do Nam Hoon Moon Kuen Tak Suh Jung Shin Kim Sang-Min Lee Won Chul Shin |
| author_sort | Min Uk Do |
| collection | DOAJ |
| description | Abstract The use of a large femoral head in total hip arthroplasty (THA) to stabilize and reduce the incidence of dislocation is on the increase, but concerns arise when combining them with small acetabular components due to potential mechanical failures in thin polyethylene (PE) liners. A single-institution, retrospective cohort study was conducted on 116 patients with minimum 2-year follow-up who received 36-mm femoral heads and acetabular components ≤ 52 mm, using either remelted highly cross-linked polyethylene (remelted HXLPE) or vitamin E-infused HXLPE (VEPE). Osteolysis and implant loosening were not observed in either group. Although a fracture of the PE liner was observed in each group (1.7%), the clinical outcomes were excellent, as the mean modified Harris Hip Score (mHHS) at the last follow-up was 93.5. Moreover, the mean linear wear rates measured by digital imaging software in both groups were low, with 0.035 mm/y in remelted HXLPE and 0.030 mm/y in VEPE. In conclusion, The use of a large femoral head on a thin PE liner can be a viable treatment option in patients who need to prioritize stability; however, careful attention should be paid to mechanical fractures of the PE liner. |
| first_indexed | 2024-03-08T19:48:52Z |
| format | Article |
| id | doaj.art-f12768b99c5e4654a7fc43d75dfc92b0 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T19:48:52Z |
| publishDate | 2023-12-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj.art-f12768b99c5e4654a7fc43d75dfc92b02023-12-24T12:14:29ZengNature PortfolioScientific Reports2045-23222023-12-011311810.1038/s41598-023-50217-xSafety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethyleneMin Uk Do0Nam Hoon Moon1Kuen Tak Suh2Jung Shin Kim3Sang-Min Lee4Won Chul Shin5Department of Orthopedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of MedicineDepartment of Orthopedic Surgery, Pusan National University HospitalDepartment of Orthopedic Surgery, Sehung Hospital, Pusan National University School of MedicineDepartment of Orthopedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of MedicineDepartment of Orthopedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of MedicineDepartment of Orthopedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of MedicineAbstract The use of a large femoral head in total hip arthroplasty (THA) to stabilize and reduce the incidence of dislocation is on the increase, but concerns arise when combining them with small acetabular components due to potential mechanical failures in thin polyethylene (PE) liners. A single-institution, retrospective cohort study was conducted on 116 patients with minimum 2-year follow-up who received 36-mm femoral heads and acetabular components ≤ 52 mm, using either remelted highly cross-linked polyethylene (remelted HXLPE) or vitamin E-infused HXLPE (VEPE). Osteolysis and implant loosening were not observed in either group. Although a fracture of the PE liner was observed in each group (1.7%), the clinical outcomes were excellent, as the mean modified Harris Hip Score (mHHS) at the last follow-up was 93.5. Moreover, the mean linear wear rates measured by digital imaging software in both groups were low, with 0.035 mm/y in remelted HXLPE and 0.030 mm/y in VEPE. In conclusion, The use of a large femoral head on a thin PE liner can be a viable treatment option in patients who need to prioritize stability; however, careful attention should be paid to mechanical fractures of the PE liner.https://doi.org/10.1038/s41598-023-50217-x |
| spellingShingle | Min Uk Do Nam Hoon Moon Kuen Tak Suh Jung Shin Kim Sang-Min Lee Won Chul Shin Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene Scientific Reports |
| title | Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene |
| title_full | Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene |
| title_fullStr | Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene |
| title_full_unstemmed | Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene |
| title_short | Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene |
| title_sort | safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene |
| url | https://doi.org/10.1038/s41598-023-50217-x |
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