Wear analysis in tha utilizing oxidized zirconium and crosslinked polyethylene

Kevin L. Garvin, Curtis W. Hartman, Jimmi Mangla, Nathan Murdoch, John M. Martell

Research output: Contribution to journalArticlepeer-review

61 Scopus citations


Oxidized zirconium, a material with a ceramic surface on a metal substrate, and highly cross-linked polyethylene are two materials developed to reduce wear. We measured in vivo femoral head penetration in patients with these advanced bearings. We hypothesized the linear wear rates would be lower than those published for cobalt-chrome and standard polyethylene. We retrospectively reviewed a select series of 56 THAs in a relatively young, active patient population utilizing oxidized zirconium femoral heads and highly cross-linked polyethylene acetabular liners. Femoral head penetration was determined using the Martell computerized edge-detection method. All patients were available for 2-year clinical and radiographic followup. True linear wear was 4 μm/year (95% confidence intervals, ± 59 μm/year). The early wear rates in this cohort of relatively young, active patients were low and we believe justify the continued study of these alternative bearing surfaces. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish (US)
Pages (from-to)141-145
Number of pages5
JournalClinical Orthopaedics and Related Research
Issue number1
StatePublished - Jan 2009

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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