Table 1: Summary of Significant Clinical Studies Confirming a Wear Rate Decrease with 1st Generation HXLPE in the Mid-Term Follow-Up

Study Design and Follow-up HXLPE HEAD Follow-Up Mean Wear Rate mm/yr (After Bedding-In) Wear Rate Decrease
Dorr et al. JBJS A 2005 Prospective, cohorts37 hips/37 Durasul95 kGy, remelted 28 mm CrCo 5 years 0.029 vs 0.065 45%
D’Antonio et al. CORR 2005 Retrospective, comparative56 hips/53 Crossfire105 KGy, annealed 28 mm CrCo Mean 5 yr (min 4) 0.036 vs 0.131 72%
Engh et al. J Arthr 2006 Prospective, randomized 208 hips Marathon50 kGy, remelted 28 mm CrCo 5.7 yr(4.1-7.2) 0.01 vs 0.19 95%
Olyslaegers et al. J Arthr 2008 Case-control with historical60 hips/20 Longevity100 KGy, remelted 28 mm CrCo XLPE 5.06 yr (52-69 mo),Std PE 5.1 yr (55-79) 0.05 vs 0.101 50%
García-Rey et al. J BJS-B 2008 Prospective, randomized45 hips/45 Durasul95 kGy, remelted 28 mm CrCo 66.3 mo(60-92) 0.006 vs 0.038 84.3%
Geerdink et al. CORR 2009 Randomized, double blind17 hips/23 Duration30 KGy,annealed 28 mm CrCo Mean 8yr(7-9) 0.088 vs 0.142 38%