• Podcast
  • 10/03/2026
  • UK

Does The Presence Of A Lipped Highly Crosslinked Polyethylene Liner Affect The Survival Of Total Hip Arthroplasty Implants?

Description

In this episode of AI Talks with Bone & Joint, Simon and his co-host Amy discuss a paper that examines the implications of using lipped highly crosslinked polyethylene liners in total hip arthroplasty (THA). Authored by Alberto Di Martino and colleagues from the Rizzoli Orthopaedic Institute, the study focuses on the survival rates of THA implants. The researchers analyzed a significant sample size of over 15,000 primary THAs to assess the impact of lipped liners versus flat liners, specifically looking at mechanical complications like dislocations and aseptic loosening. Findings suggest that while overall revision rates were similar between the two groups, lipped liners were linked to a higher rate of failure due to dislocation. At the 15-year mark, implant survival stood at 96.9% for flat liners compared to 96.4% for lipped liners, with increased mechanical failures becoming more pronounced by the 20-year mark. The discussion highlights the importance of careful surgical placement and patient-specific factors in utilizing lipped liners to maximize their benefits while mitigating risks.

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