Highly cross-linked polyethylene bearing

Seung Hoon Baek, Shin Yoon Kim

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Total hip arthroplasty (THA) is the most useful treatment in symptomatic patients with late-stage osteonecrosis of the femoral head (ONFH). Unique features of ONFH such as altered bone remodeling and high prevalence of younger patients may compromise the outcome after THA. Although recent improvements in the implant design, prosthesis fixation, and surgical technique have led to favorable outcomes after THA in patients with ONFH, the optimal choice of the bearing couple is of utmost importance for implant survival in young patients, who might outlive the prosthetic joint. Highly cross-linked polyethylene (HXLPE) bearing provided promising results with reduced wear and low prevalence of osteolysis in midterm studies. However, further studies with long-term follow-up are warranted.

Original languageEnglish
Title of host publicationAdvances in Specialist Hip Surgery
PublisherSpringer International Publishing
Number of pages7
ISBN (Electronic)9783030618308
ISBN (Print)9783030618292
StatePublished - 29 Jan 2021


  • Femoral head
  • Highly cross-linked polyethylene
  • Osteonecrosis
  • Total hip arthroplasty


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