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Fracture of a Cross-Linked Polyethylene Liner Due to Impingement
Abstract We report a case of fracture at 2 years after implantation of a 50-kGy moderately cross-linked ultrahigh molecular weight polyethylene liner with an extended lip (Marathon, DePuy, Warsaw, IN). The extended lip section had fractured. The liner showed no oxidation. The articular surface was g...
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Published in: | The Journal of arthroplasty 2009, Vol.24 (1), p.158.e15-158.e19 |
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container_end_page | 158.e19 |
container_issue | 1 |
container_start_page | 158.e15 |
container_title | The Journal of arthroplasty |
container_volume | 24 |
creator | Duffy, Gavan P., MD Wannomae, Keith K., BS Rowell, Shannon L., BS Muratoglu, Orhun K., PhD |
description | Abstract We report a case of fracture at 2 years after implantation of a 50-kGy moderately cross-linked ultrahigh molecular weight polyethylene liner with an extended lip (Marathon, DePuy, Warsaw, IN). The extended lip section had fractured. The liner showed no oxidation. The articular surface was grossly deformed, likely due to wear, creep, and/or plastic deformation, and the liner showed no recovery of machining marks upon melting, indicating that some wear had occurred. Electron microscopy revealed fatigue striations on the fracture surface. The likely cause of failure was femoral neck impingement–induced wear and fatigue on the liner. |
doi_str_mv | 10.1016/j.arth.2007.12.020 |
format | article |
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The extended lip section had fractured. The liner showed no oxidation. The articular surface was grossly deformed, likely due to wear, creep, and/or plastic deformation, and the liner showed no recovery of machining marks upon melting, indicating that some wear had occurred. Electron microscopy revealed fatigue striations on the fracture surface. The likely cause of failure was femoral neck impingement–induced wear and fatigue on the liner.</description><subject>Aged, 80 and over</subject><subject>Arthralgia - diagnosis</subject><subject>Arthralgia - etiology</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>early failure</subject><subject>fatigue failure</subject><subject>Female</subject><subject>Femur Neck</subject><subject>highly cross-linked polyethylene</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>impingement</subject><subject>Orthopedics</subject><subject>Polyethylene</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>total hip arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNp9kU2LFDEQhoMo7rj6BzxIn7x1W0m68wEiLqOrCwO7sHoO6aTazWx_jEn3wvx708yA4MFcCsLzvlBPEfKWQkWBig_7ysb5oWIAsqKsAgbPyIY2nJWqBvGcbEApXjY18AvyKqU9AKVNU78kF1RTAM3Ehny-jtbNS8Ri6gpbbOOUUrkL4yP64m7qjzg_HHscsch_GIsvCxbzVNwMhzD-wgHH-TV50dk-4ZvzvCQ_r7_-2H4vd7ffbrZXu9JxDXMpWmlbXkMt0QutAYRUKIV2TklBoc1QLbxGpa3vtNSUdY3iumFSc-l9yy_J-1PvIU6_F0yzGUJy2Pd2xGlJRgjZUN3IDLIT6NZdInbmEMNg49FQMKs3szerN7N6M5SZ7C2H3p3bl3ZA_zdyFpWBjycA845PAaNJLuDo0IeIbjZ-Cv_v__RP3PVhDM72j3jEtJ-WOGZ7hpqUA-Z-vdx6OFCQn9L8DwU4kXA</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Duffy, Gavan P., MD</creator><creator>Wannomae, Keith K., BS</creator><creator>Rowell, Shannon L., BS</creator><creator>Muratoglu, Orhun K., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2009</creationdate><title>Fracture of a Cross-Linked Polyethylene Liner Due to Impingement</title><author>Duffy, Gavan P., MD ; Wannomae, Keith K., BS ; Rowell, Shannon L., BS ; Muratoglu, Orhun K., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-6b7ab34047ed69900678e769cc87610b39046d9e89adf97912f5839527937ddb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged, 80 and over</topic><topic>Arthralgia - diagnosis</topic><topic>Arthralgia - etiology</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>early failure</topic><topic>fatigue failure</topic><topic>Female</topic><topic>Femur Neck</topic><topic>highly cross-linked polyethylene</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>impingement</topic><topic>Orthopedics</topic><topic>Polyethylene</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duffy, Gavan P., MD</creatorcontrib><creatorcontrib>Wannomae, Keith K., BS</creatorcontrib><creatorcontrib>Rowell, Shannon L., BS</creatorcontrib><creatorcontrib>Muratoglu, Orhun K., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Duffy, Gavan P., MD</au><au>Wannomae, Keith K., BS</au><au>Rowell, Shannon L., BS</au><au>Muratoglu, Orhun K., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fracture of a Cross-Linked Polyethylene Liner Due to Impingement</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2009</date><risdate>2009</risdate><volume>24</volume><issue>1</issue><spage>158.e15</spage><epage>158.e19</epage><pages>158.e15-158.e19</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract We report a case of fracture at 2 years after implantation of a 50-kGy moderately cross-linked ultrahigh molecular weight polyethylene liner with an extended lip (Marathon, DePuy, Warsaw, IN). 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source | ScienceDirect Freedom Collection |
subjects | Aged, 80 and over Arthralgia - diagnosis Arthralgia - etiology Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - instrumentation early failure fatigue failure Female Femur Neck highly cross-linked polyethylene Hip Joint - diagnostic imaging Hip Joint - surgery Hip Prosthesis Humans impingement Orthopedics Polyethylene Prosthesis Failure Radiography total hip arthroplasty |
title | Fracture of a Cross-Linked Polyethylene Liner Due to Impingement |
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