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Primary total hip arthroplasty in patients less than 50 years of age at a mean of 16 years: Highly crosslinked polyethylene significantly reduces the risk of revision

Journal of Arthroplasty Mar 14, 2019

Bryan AJ, et al. - Researchers analyzed 309 individuals with THA to estimate the clinical and radiographic consequences among cases less than 50 years of age undergoing primary THA at a minimum of 10 years. They recorded 6 revisions for wear in the non-highly crosslinked polyethylene (HXLPE) group (10.5%) as compared to none in the HXLPE group. They noted significantly higher endpoint at 16 years in the XLPE group with 93.0% survivorship with revision for any reason as compared to 85.7% in the non-HXLPE group. They also involved 6 for instability (2.8%), 5 secondary to infection (2.4%), and 3 stem failures (1.4%), additional revisions in the HXLPE group. An improvement in the Mean Harris Hip Scores for the entire cohort from a mean of 46.2 points preoperatively to 89.8 points at most recent follow-up was also recorded.
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