{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:13:56Z","timestamp":1789625636209,"version":"build-2803163510"},"reference-count":25,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Aseptic loosening is the leading cause of late revision in total hip arthroplasty, primarily due to degenerative oxidation of polyethylene components, leading to wear particle formation and periacetabular osteolysis. This study aimed to analyze the oxidation levels in polyethylene liners and cemented cups retrieved from revision surgeries using Fourier-transform infrared spectroscopy (FTIR) and to explore the correlation between oxidation levels and factors such as head size, head material, fixation method, and implant survival time. Methods: Polyethylene liners and cups were analyzed post-revision surgery to assess oxidation levels, which were then compared to periacetabular bone loss measured by the Paprosky classification. This study evaluated the impact of head size (28 mm vs. 32 mm), head material (ceramic vs. metal), and fixation methods on oxidation. The relationship between the mean oxidation index (OI) and implant survival time was also investigated. Results: There was a significant positive correlation between the mean oxidation index of the polyethylene components and the severity of periacetabular osteolysis according to the Paprosky scale. While the mean OI for samples articulating with ceramic heads was lower than for those with metal heads, and the mean OI for samples with a 32 mm head size was lower than for those with a 28 mm size, these differences were not statistically significant. Furthermore, the fixation method did not affect the oxidation index, and no correlation was found between OI and the survival time of the implants. Conclusions: This study confirms a direct correlation between polyethylene oxidation and periacetabular osteolysis in hip replacements, highlighting the importance of material choice and design in potentially reducing the risk of aseptic loosening. Despite the lack of significant differences in oxidation levels based on head material and size, these factors may still play a role in the long-term outcome of hip arthroplasty, warranting further investigation.<\/jats:p>","DOI":"10.3390\/jcm13102751","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T11:00:10Z","timestamp":1715079610000},"page":"2751","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Measurement of the Oxidative Index of Polyethylene Obtained during Revision Hip Arthroplasty and Assessment of Its Variability Depending on the Degree of Osteolysis, Implantation Time, as Well as the Size and Material of the Utilized Head"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8444-2572","authenticated-orcid":false,"given":"Hanna","family":"Sikora","sequence":"first","affiliation":[{"name":"Scanmed Sport Clinic, ul. Bankowa 2, 44-244 \u017bory, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4850-1608","authenticated-orcid":false,"given":"Jadwiga","family":"Gabor","sequence":"additional","affiliation":[{"name":"Faculty of Science and Technology, University of Silesia in Katowice, ul. 75 Pu\u0142ku Piechoty 1A, 41-500 Chorz\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6551-9151","authenticated-orcid":false,"given":"Robert","family":"Roczniok","sequence":"additional","affiliation":[{"name":"Department of Sport Theory and Practice, The Jerzy Kukuczka Academy of Physical Education in Katowice, ul. Miko\u0142owska 72A, 40-065 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damian","family":"Kusz","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Medical University of Silesia, ul. Zio\u0142owa 45\/47, 40-635 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6116-9510","authenticated-orcid":false,"given":"Andrzej","family":"Swinarew","sequence":"additional","affiliation":[{"name":"Faculty of Science and Technology, University of Silesia in Katowice, ul. 75 Pu\u0142ku Piechoty 1A, 41-500 Chorz\u00f3w, Poland"},{"name":"Department of Swimming and Water Rescue, Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, ul. Miko\u0142owska 72A, 40-065 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1302\/2058-5241.3.180300","article-title":"Bearing surfaces in primary total hip arthroplasty","volume":"3","author":"Zagra","year":"2018","journal-title":"EFORT Open Rev."},{"key":"ref_2","unstructured":"(2023, December 10). Swedish Arthroplasty Register 2022. Available online: https:\/\/sar.registercentrum.se\/about-the-register\/annual-reports\/p\/SJW4-ZGyo."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"6","DOI":"10.5923\/j.ijbe.20110101.02","article-title":"A Review of the History and Role of UHMWPE as A Component in Total Joint Replacements","volume":"1","author":"Musib","year":"2011","journal-title":"Int. J. Biol. 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