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Article: Review article: Polyethylene wear and osteolysis in total hip arthroplasty

TitleReview article: Polyethylene wear and osteolysis in total hip arthroplasty
Authors
KeywordsOsteolysis
Polyethylene
Total hip arthroplasty
Wear
Issue Date2001
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
Citation
Journal Of Orthopaedic Surgery, 2001, v. 9 n. 1, p. 91-99 How to Cite?
AbstractPolyethylene wear has been accepted as a major cause of osteolysis in total hip arthroplasty. Submicron particles, which are secondary to abrasive wear, migrate into the effective joint space and stimulate a foreign-body response resulting in bone loss which is mainly mediated by macrophages. Diagnosis depends on serial radiographic evaluation and frequent follow-up. Polyethylene wear and osteolysis can be prevented by reducing the wear such as using a small femoral head, adaptive polyethylene thickness, suitable surgical techniques, non-polyethylene articulation, etc. The presence of cement or circumferential coatings may also retard the distal migration of particles. Medicines such as NSAIDs and bisphosphonate appear to inhibit the progress of osteolysis. As far as treatment, revision surgery is able to reconstruct the joint by replacing partial or total prosthesis and repair the defect by bone grafting according to intraoperative assessment.
Persistent Identifierhttp://hdl.handle.net/10722/79592
ISSN
2015 Impact Factor: 0.542
2015 SCImago Journal Rankings: 0.458
References

 

DC FieldValueLanguage
dc.contributor.authorZhu, YHen_HK
dc.contributor.authorChiu, KYen_HK
dc.contributor.authorTang, WMen_HK
dc.date.accessioned2010-09-06T07:56:23Z-
dc.date.available2010-09-06T07:56:23Z-
dc.date.issued2001en_HK
dc.identifier.citationJournal Of Orthopaedic Surgery, 2001, v. 9 n. 1, p. 91-99en_HK
dc.identifier.issn1022-5536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79592-
dc.description.abstractPolyethylene wear has been accepted as a major cause of osteolysis in total hip arthroplasty. Submicron particles, which are secondary to abrasive wear, migrate into the effective joint space and stimulate a foreign-body response resulting in bone loss which is mainly mediated by macrophages. Diagnosis depends on serial radiographic evaluation and frequent follow-up. Polyethylene wear and osteolysis can be prevented by reducing the wear such as using a small femoral head, adaptive polyethylene thickness, suitable surgical techniques, non-polyethylene articulation, etc. The presence of cement or circumferential coatings may also retard the distal migration of particles. Medicines such as NSAIDs and bisphosphonate appear to inhibit the progress of osteolysis. As far as treatment, revision surgery is able to reconstruct the joint by replacing partial or total prosthesis and repair the defect by bone grafting according to intraoperative assessment.en_HK
dc.languageengen_HK
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/en_HK
dc.relation.ispartofJournal of Orthopaedic Surgeryen_HK
dc.subjectOsteolysisen_HK
dc.subjectPolyethyleneen_HK
dc.subjectTotal hip arthroplastyen_HK
dc.subjectWearen_HK
dc.titleReview article: Polyethylene wear and osteolysis in total hip arthroplastyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1022-5536&volume=9&issue=1&spage=91&epage=99&date=2001&atitle=Review+article:+Polyethylene+wear+and+osteolysis+in+total+hip+arthroplastyen_HK
dc.identifier.emailChiu, KY:pkychiu@hkucc.hku.hken_HK
dc.identifier.authorityChiu, KY=rp00379en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-0034761342en_HK
dc.identifier.hkuros63011en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034761342&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume9en_HK
dc.identifier.issue1en_HK
dc.identifier.spage91en_HK
dc.identifier.epage99en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridZhu, YH=7406072268en_HK
dc.identifier.scopusauthoridChiu, KY=7202988127en_HK
dc.identifier.scopusauthoridTang, WM=7403430820en_HK

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