학술논문
(iv) Bearing surfaces in the young patient: out with the old and in with the new?
Document Type
Report
Author
Source
Current Orthopaedics. June, 2008, Vol. 22 Issue 3, p177, 8 p.
Subject
Language
English
ISSN
0268-0890
Abstract
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.cuor.2008.06.003 Byline: Daniel Howcroft (a), Marcus Head (b), Niall Steele (c) Abstract: Total hip arthroplasty has been one of the most successful orthopaedic operations over the last half century, reducing pain and restoring function to millions of patients all over the world. This success has led to younger patients hoping to benefit. There is an increasing range of implant designs and bearing surface choices available for this challenging group of patients. Metal on ultra high molecular weight polyethylene (UHMWPE) remains the gold standard but predictably fails by way of osteolysis secondary to polyethylene wear, particularly in the active patient. This has prompted a resurgence in the development and use of the previously tried but forgotten ceramic and metal articulations, as well as the advent of he new highly-crosslinked polyethylene (PE). It is these bearing surface options that are discussed in this review. Author Affiliation: (a) Trauma & Orthopaedics, Worcester Royal Hospital, Charles Hastings Way, Newtown Road, Worcester WR5 1DD, United Kingdom (b) Trauma & Orthopaedics, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, SY3 8XQ, United Kingdom (c) Robert Jones & Agnes Hunt Hospital, Oswestry, Shropshire SY10 7AG, United Kingdom