The use of highly crosslinked polyethylene in total knee arthroplasty

Bone Joint J. 2017 Aug;99-B(8):996-1002. doi: 10.1302/0301-620X.99B8.BJJ-2017-0028.R1.


Advances in polyethylene (PE) in total hip arthroplasty have led to interest and increased use of highly crosslinked PE (HXLPE) in total knee arthroplasty (TKA). Biomechanical data suggest improved wear characteristics for HXLPE inserts over conventional PE in TKA. Short-term results from registry data and few clinical trials are promising. Our aim is to present a review of the history of HXLPEs, the use of HXLPE inserts in TKA, concerns regarding potential mechanical complications, and a thorough review of the available biomechanical and clinical data. Cite this article: Bone Joint J 2017;99-B:996-1002.

Keywords: Crosslinked polyethylene; Total knee arthroplasty.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Knee / methods*
  • Cross-Linking Reagents*
  • Humans
  • Knee Joint / surgery*
  • Knee Prosthesis*
  • Osteoarthritis, Knee / surgery
  • Polyethylene*
  • Prosthesis Design


  • Cross-Linking Reagents
  • Polyethylene