期刊
JOURNAL OF ARTHROPLASTY
卷 33, 期 7, 页码 S280-S284出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2018.02.061
关键词
dual mobility; total hip arthroplasty; bearing wear; femoral head penetration; highly cross-linked polyethylene
类别
Background: Dual mobility (DM) bearings are increasingly popular and second-generation designs contain highly cross-linked polyethylene. The purpose of this study is to report head penetration rates in modern DM bearings. Methods: A review of 63 consecutive DM bearings was performed. Radiographs were analyzed for head penetration using Martell methodology at regular postoperative intervals. Results: Thirty-four DM bearings were analyzed. Mean linear head penetration was 1.59 mm/y at 1 year, 1.07 mm/y at 2 years, and 0.27 mm/y at 5 years following an exponential regression model (R-2 = 0.999). Mean volumetric wear was 783 mm(3)/y at 1 year, 555 mm(3)/y at 2 years, and 104 mm(3)/y at 5 years following an exponential regression model (R-2 = 0.986). Conclusion: Initial head penetration of DM bearings is larger than contemporary cross-linked polyethylene bearings; however, rates approach steady state after 2 years, analogous to traditional bearings. The larger bedding-in head penetration may be due to the additional convex bearing surface, creating 2 surfaces for deformation/wear. (c) 2018 Elsevier Inc. All rights reserved.
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