James W Pritchett - Polyethylene for hip resurfacing - worth a second look

Background: In the 1970s and 1980s, hip resurfacing was largely unsuccessful, due to impingement, wear, and component loosening. Today, the availability of better technique and highly cross-linked polyethylene avoids the early causes of failure and provides a successful solution to younger, active patients with advanced osteoarthritis.

Methods: The author reviewed the results of 2,154 hip resurfacing arthroplasties he performed over a 21- year period. The procedures used a cementless titanium metal-backed acetabular implant and highly crosslinked polyethylene liner.