Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2006, 150(1):135-141 | DOI: 10.5507/bp.2006.021

INFLUENCE OF DEMOGRAPHIC, SURGICAL AND IMPLANT VARIABLES ON WEAR RATE AND OSTEOLYSIS IN ABG I HIP ARTHROPLASTY

Jiri Galloa, Vitezslav Havranekb, Ivana Cechovaa, Jana Zapletalovac
a Department of Orthopaedics, Faculty of Medicine Palackż University, University Hospital, Olomouc, Czech Republic
b Joint Laboratory of Optics, Faculty of Science Palackż University & Academy of Sciences of the Czech Republic, Olomouc
c Department of Biophysics, Faculty of Medicine Palackż University, Olomouc

Periprosthetic osteolysis is associated with accelerated wear rates. The goal of this study was to investigate the influence of demographic and technical variables on wear rates and size of osteolytic lesions. Eighty retrieved ABG I prostheses were analyzed according to prospectively established criteria. There were 22 men and 58 women with an average age of 52 years (34-65) at the time of revision. The average time from index surgery to revision was 67 months (26 to 106). Polyethylene wear measurements were performed using a Universal-type measuring microscope. The average linear wear and volumetric wear rate was 0.363 mm per year (0-0.939, SD 0.241) and 161 mm3 per year (0-467, SD 118.2), respectively. The wear rates were significantly higher (a) in patients with primary osteoarthritis in comparison with postdysplastic hips, (b) in hips where zirconia prosthetic heads articulated against the polyethylene liner, and (c) in cups placed laterally to Kohler's line. Risk that linear wear rate could be more than 0.2 mm per year was three times higher in patients who were operated in 1997 and later (OR 3.0, 95 % CI 1.126-7.993, p = 0.03). A strong association was revealed between magnitude of wear and size of femoral osteolysis.

Keywords: Total hip arthroplasty, ABG I prosthesis, Wear rate, Polyethylene, Periprosthetic osteolysis, Demographic variables,

Received: April 28, 2006; Accepted: May 18, 2006; Published: July 1, 2006  Show citation

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Gallo, J., Havranek, V., Cechova, I., & Zapletalova, J. (2006). INFLUENCE OF DEMOGRAPHIC, SURGICAL AND IMPLANT VARIABLES ON WEAR RATE AND OSTEOLYSIS IN ABG I HIP ARTHROPLASTY. Biomedical papers, 150(1), 135-141. doi: 10.5507/bp.2006.021
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