Abstract
The purpose of this study was to evaluate the Mid-term results (minimum 5 year) of the use of 36 mm metallic femoral head coupled with 1st generation HXLPE in patients with the age of less than or equal to 50 years-old. This retrospective study included 31 cases sustained hip pain needed Total Hip Replace Arthroplasty. We used cementless stem(FMT, Zimmer, Warsaw, Indiana) at 28 cases and cement stem(Versys, Zimmer, Warsaw, Indiana) at 3 cases. We used Trilogy (Zimmer, Warsaw, Indiana) in all cases as an acetabular cup and Longevity (Zimmer, Warsaw, Indiana) in all cases as a HXLPE. Mean acetabular cup size was 52.88mm. Mean HXLPE liner thickness at 45o was 6.18mm [Fig.1]. Mean Harris hip score was 91(86–96) and all cases obtained more than 15 scores in Merle d'Aubigne and postel method at recent follow ups. All femoral stem showed stable fixation status. Mean acetabular cup Inclination was 50.6o and Anteversion was 23.1o. During follow ups, there was no complication including dislocation, osteolysis, infection and plastic fracture. Bedding-in wear rate was 0.079±0.034mm/yr. And Steady- state was 0.043±0.016mm/yr. In vitro study, 1stgeneration HXLPE showed negative mechanical property changes due to high dose radiation and remelting. So, concerns remained in using HXLPE to active patients. But we checked a good results in terms of functional scores and wear rates. And, there was no major complication during minimal 5 years check ups. So, the authors thought THRA with 36mm- metallic heads on 1st-Generation Highly Cross-linked Polyethylene as a bearing surface could be a good option in less than or equal to 50 years patients.
