Highly crosslinked polyethylene decreases wear in total hip arthroplasty

Clin Orthop Relat Res. 2010 Dec;468(12):3228-33. doi: 10.1007/s11999-010-1379-4

Lower 5-year wear with vitamin-E infused HXLPE liner versus standard crosslinked liner in THA

Bone Joint J. 2018 Dec;100-B(12):1592-1599. doi: 10.1302/0301-620X.100B12.BJJ-2018-0371.R1

AAOS2019: Comparison of 7yr wear between vit E-diffused HXLPE and moderate XLPE liners in THA

AAOS2017: Clinical outcome and survivorship of HXLPE vs. conventional PE inserts in TKA

COA 2016: Long-term data of ceramic-on-ceramic vs highly-crosslinked-polyethylene in THA

COA/ICORS2019: Majority of 10-year wear with XLPE liners occurs within first 6-12 weeks after THA

Highly cross-linked polyethylene used in TKA does not reduce early polyethylene wear

J Arthroplasty. 2013 Sep;28(8):1333-7

HXLPE has less steady-state wear than UHMWPE in THA

Clin Orthop Relat Res. 2015 Feb;473(2):432-8.

Highly cross-linked polyethylene acetabular liner has better wear properties than UHMWP

J Bone Joint Surg Br. 2008 May;90(5):556-61.

Interim analysis of highly cross-linked polyethylene versus standard liners in TKA

Clin Orthop Relat Res. 2016 Jan;474(1):88-95

THA: Highly crosslinked polyethylene reduces wear but has no effect on other outcomes

Clin Orthop Relat Res. 2012 Nov;470(11):3083-93. doi: 10.1007/s11999-012-2400-x

THA: HXLPE vs. UHMWPE liners; tantalum vs. titanium acetabular cups

J Bone Joint Surg Am. 2015 Apr 15;97(8):627-34

EFORT: Vit-E dosed HXL polyethylene liner reduces wear vs. control UHMWPE liner

COA 2015: HXPE liner has better wear & total penetration rates than PE after 13 yrs in THA

Similar long-term clinical outcomes between CoHXLPE and CoC bearing surfaces in THA

J Arthroplasty. 2016 Jun;31(6):1240-5

Creep and early wear reduced with vitamin E-infused HXLPE cup versus UHMWPE cup in THA

J Bone Joint Surg Am. 2018 Jan 17;100(2):107-114

AAOS 2016: Highly cross-linked polyethylene with/without vit E report similar penetration

Lower incidence of osteolysis development with HLXPE vs. standard polyethylene over 12-yr follow-up

J Arthroplasty. 2017 Apr;32(4):1186-1191

No difference in 5-year PE wear between oxinium and cobalt chromium femoral heads in THA

Bone Joint J. 2015 Nov;97-B(11):1463-9

Highly cross-linked polyethylene liners significantly reduce wear in THA

J Bone Joint Surg Am. 2009 Apr;91(4):773-82