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

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

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

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

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

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

HXLPE has less steady-state wear than UHMWPE in THA

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

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

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

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

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

Highly cross-linked polyethylene liners significantly reduce wear in THA

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

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

Highly cross-linked polyethylene components reduce wear rates in THA

J Arthroplasty. 2009 Jun;24(4):505-10. Epub 2008 Jun 10

Highly cross linked polyethylene liners have better wear properties in hip arthroplasty

J Bone Joint Surg Am. 2011 Apr 20;93(8):716-22.

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

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

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

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

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

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

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

AAOS: Slow liner wear rate of highly cross-linked polytheylene following THA

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

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