Five-year experience with Crossfire® highly cross-linked polyethylene

James A. D'Antonio, Michael T. Manley, William N. Capello, Benjamin E. Bierbaum, Rama Ramakrishnan, Marybeth Naughton, Kate Sutton

Research output: Contribution to journalArticle

122 Scopus citations


Our purpose was to compare the clinical wear performance of highly cross-linked (Crossfire®) polyethylene with conventional (N2Vac™) polyethylene total hip bearings. We implanted 56 hips (47 patients) with Crossfire® acetabular bearing liners and compared their wear performance with 53 conventional polyethylene inserts. Wear and clinical data were collected retrospectively at a minimum 4-year and average 5-year followup. The linear femoral head penetration rate measured from plain radiographs was 0.055 mm/year ± 0.022 mm/year for the Crossfire® polyethylene and 0.138 mm/year ± 0.073 mm/year for the control, a reduction of 60% for the Crossfire® components. Calculated annual wear was 0.036 mm/year for the Crossfire® components and 0.131mm/year for the controls, a reduction of 72%. Radiographic review at most recent followup showed a reduction in erosive osteolytic lesions of the proximal femur for the Crossfire® components compared with controls, also suggesting a reduction in debris release for the Crossfire® components. Complications leading to revision were not seen in the Crossfire® or control groups. These clinical findings suggest that this particular highly cross-linked polyethylene can provide wear reduction and an alternate bearing surface for active patient populations.

Original languageEnglish (US)
Pages (from-to)143-150
Number of pages8
JournalClinical Orthopaedics and Related Research
Issue number441
StatePublished - Dec 2005

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    D'Antonio, J. A., Manley, M. T., Capello, W. N., Bierbaum, B. E., Ramakrishnan, R., Naughton, M., & Sutton, K. (2005). Five-year experience with Crossfire® highly cross-linked polyethylene. Clinical Orthopaedics and Related Research, (441), 143-150.