X-alt™ and Biolox® delta
X-alt™ and Biolox® delta
The Perfect balance between strength and wear.
Less wear is our strength.
Where is our strength?
Optimizing crosslinking parameters provide X-alt highly crosslinked polyethylene with maximum wear properties while maintaining maximum strength characteristics. Biolox delta ceramic heads provide an increase in strength over traditional ceramics with approximately half the wear of a comparably sized Cobalt Chrome head. In combination, X-alt highly crosslinked polyethylene and delta ceramics provide the perfect synergy of maximum strength and minimum wear.
- Features & Benefits
- Components
- References
Features & Benefits
X-alt™ crosslinking parameters provide an optimized balance between wear reduction and material strength. Lower wear means less chance for particle-induced osteolysis and subsequent implant loosening.
Melt-annealed for consistent material properties over time. If not removed, free radicals can bond with oxygen, causing the material to degrade. The annealing step removes free radicals, providing stability against oxidation.
Larger diameter heads increase range of motion and head “jump distance”, enhancing joint stability and helping to avoid dislocation.
Components
Standard Liners
• Neutral
• Hooded 10 degree
• Hooded 20 degree
• 28, 32, 34, 36, 40, 44mm head diameters
Offset Liners
• Neutral + 5mm
• Hooded 10 degree +5mm
• 28, 32, 34, 36, 40, 44mm head diameters
References
- Martell JM, Verner JJ, Incavo SJ. Clinical performance of a highly cross-linked polyethylene at two years in total hip arthroplasty: a randomized prospective trial, JOA, 2003, 18(1): 55-59.
- Digas G, Kärrholm J, Thanner J, Malchau H, Herberts P. The Otto Aufranc Award. Highly cross-linked polyethylene in total hip arthroplasty: randomized evaluation of penetration rate in cemented and uncemented sockets using radiostereometric analysis. Clin Orthop Relat Res. 2004 Dec;(429):6-16.
- Heisel C, Silva M, Schmalzried TP. In vivo wear of bilateral total hip replacements: conventional versus crosslinked polyethylene. Arch Orthop Trauma Surg. 2005 Oct;125(8):555-7.
- Dorr LD, Wan Z, Shahrdar C, Sirianni L, Boutary M, Yun A. J Bone Joint Surg Am. Clinical performance of a Durasul highly cross-linked polyethylene acetabular liner for total hip arthroplasty at five years 2005 Aug;87(8):1816-21.
- Geerdink CH, Grimm B, Ramakrishnan R, Rondhuis J, Verburg AJ, Tonino AJ. Crosslinked polyethylene compared to conventional polyethylene in total hip replacement: pre-clinical evaluation, in-vitro testing and prospective clinical follow-up study. Acta Orthop. 2006 Oct;77(5):719-25.
- Salineros MJ, Crowninshield RD, Laurent M, Wimmer MA, Jacobs JJ. Analysis of Retrieved Acetabular Components of Three Polyethylene Types.Clin Orthop Relat Res. 2007 Jul 12.
- Encore Hip Wear with FMP Cup, Peterson Tribology Laboratory, Loma Linda University. Data on file with DJO Surgical.
- Clarke IC, Good V, Anissian L, Gustafson A. Charnley. Wear model for validation of hip simulators—ball diameter versus polytetrafluoroethylene and polyethylene wear. Proc Instn Mech Engrs 211H:25-36
- Empirical Testing Corporation, Colorado Springs, CO. Mechanical Test Report Push-out, Lever-out Strength, and Torsional Stength 28mm, 36mm, and 44mm Highly Cross-linked XCEED Liner to FMP Shell. Dated August 22, 2007. Report on file with DJO Surgical.
- Postak PD, Ratzel AR, Greenwald AS. Highly Crosslinked Polyethylene Modular Acetabular Designs: Performance Characteristics. AAOS 2003. Available on the Cleveland Clinic website: http://www.orl-inc.com/hip_publications/2003/CrossLink2003.pdf.
- Correspondence from Dr. James Doi of SEAL Laboratories. Regarding Result-FTIR Measurement of FMP Liners. Letter dated March 8, 2007 addressed to Loma Linda University Peterson Tribology Laboratory. Data on file with DJO Surgical.
- Turner. Postoperative Total Hip Prosthetic Femoral Head Dislocations, CORR, 1994.
- Callaghan. Prevention of Dislocation After Hip Arthroplasty, CORR, 2001.
- Paterno SA, Lachiewicz PF, Kelley SS.The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement. J Bone Joint Surg Am. 1997 Aug;79(8):1202-10.
- Woo. Dislocations After Total Hip Arthroplasty, JBJS, 1982.
- Alberton GM, High WA, Morrey BF. Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Joint Surg Am. 2002 Oct;84-A(10):1788-92.
- Amstutz H, Le Duff MJ, Beaule. Prevention and treatment of dislocation after total hip replacement using large diameter balls. Clin Orthop Relat Res. 2004 Dec;(429):108-16.
- Peters CL, McPherson E, Jackson JD, Erickson JA. Reduction in early dislocation rate with large- diameter femoral heads in primary total hip arthroplasty. J Arthroplasty. 2007 Sep;22(6 Suppl 2):140-4.
- Beaule, Schmalzried, Udomkiat, Amstutz. Jumbo Femoral Head for the Treatment of Recurrent Dislocation Following Total Hip Replacement, JBJS (Am), 84(2): 256-63, 2002.
- Callaghan JJ, Heithoff BE, Goetz DD, Sullivan PM, Pedersen DR, Johnston RC. Prevention of dislocation after hip arthroplasty: lessons from long-term followup. Clin Orthop Relat Res. 2001 Dec;(393):157-62.
- Turner. Postoperative Total Hip Prosthetic Femoral Head Dislocations, CORR Apr;(301):196-204.
- Muratoglu OK, Bragdon CR, O’Connor DO. Trans Soc Biomat 1997 20:72
- Tower SS, Currier JH, Currier BH, Lyford KA, Van Citters DW, Mayor MB. Rim cracking of the cross- linked longevity polyethylene acetabular liner after total hip arthroplasty. J Bone Joint Surg Am. 2007 Oct;89(10):2212-7.
- Tested by Exponent, Philadelphia, PA. Characterization of Highly Cross-linked UHMWPE Final Report, Dated August 2006. Report on file with DJO Surgical.
- Data on file with DJO Surgical, ROM computer simulated using solid models