AAHS 2015: Waterproof cast liners reduce sweat, odor, and more preferred by patients

Cross-linked liners wear at a lower rate than non–cross-linked polyethylene liners

J Arthroplasty. 2006 Sep; 21(6 Suppl 2):17-25.

Cross-linked polyethylene liners improve THA outcomes

J Arthroplasty. 2012 Sep;27(8 Suppl):2-7.e1. Epub 2012 Jun 6.

Vitamin E vs Conventional HXLPE liners in THA: no significant difference after 24 months

Int Orthop. 2015 Aug;39(8):1499-505

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

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

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

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

HXLPE acetabular liners have 40% lower wear rate compared to UHMWPE at 2 years after THA

J Arthroplasty. 2008 Apr;23(3):337-43.

Highly cross-linked polyethylene liners significantly reduce wear in THA

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

EFORT: THA: HXLPE vs. UHMWPE liners in combination with Ox or CoCr femoral heads

Highly cross-linked polyethylene liners reduce femoral head penetration in THA

J Bone Joint Surg Br. 2008 Feb;90(2):149-53

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

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

AAOS 2015: Lower osteolysis and wear rates with HXLPE vs UHMWPE liners in THA

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

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

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

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

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

COA/AOA:Effect of oxinium or cobalt-chrome w/standard or cross-linked polyethylene on wear

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

Decreased penetration rate with cross-linked polyethylene liner insert in hip replacement

J Bone Joint Surg Br. 2007 Nov;89(11):1439-45

Analysis of various THA interventions for the treatment of end stage arthritis of the hip

PLoS One. 2014 Jul 8;9(7):e99804