To the Editor:

      It was interesting to read the recent article by Sakoda and Voice et al, “A Comparison of the Wear and Physical Properties of Silane Cross-Linked Polyethylene and Ultra-High Molecular Weight Polyethylene,” Journal of Arthroplasty, Vol. 16, No. 8, 2001, pp 1018–1023.
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      References

        • Joyce TJ
        • Unsworth A
        • Cartwright TM
        • Monk D
        Preliminary comparison of the wear of silane XLPE with that of UHMWPE, both polymers rubbing against hard counterfaces.
        J Bone Joint Surg Br. 1999; 81: I85
        • Joyce TJ
        • Monk D
        • Scholes SC
        • Unsworth A
        A multi-directional wear screening device and preliminary results of UHMWPE articulating against stainless steel.
        Biomed Mater Eng. 2000; 10: 241
        • Wroblewski BM
        • Siney PD
        • Fleming PA
        Low friction arthroplasty of the hip using alumina ceramic and cross-linked polyethylene. A ten-year follow-up report.
        J Bone Joint Surg Br. 1999; 81: 54

      Linked Article

      • A comparison of the wear and physical properties of silane cross-linked polyethylene and ultra-high molecular weight polyethylene
        The Journal of ArthroplastyVol. 16Issue 8
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          Cross-linked polyethylenes are being introduced widely in acetabular cups in hip prostheses as a strategy to reduce the incidence of wear debris–induced osteolysis. It will be many years before substantial clinical data can be collected on the wear of these new materials. Silane cross-linked polyethylene (XLPE) was introduced into clinical practice in a limited series of acetabular cups in 1986 articulating against 22.225-mm alumina ceramic femoral heads and showed reduced wear rates compared with conventionally sterilized (gamma irradiation in air) ultra-high molecular weight polyethylene (UHMWPE).
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