{"id":"https://openalex.org/W7127620540","doi":"https://doi.org/10.1177/11207000251410114","title":"The risk of prosthetic joint infection with oxidised zirconium-on-polyethylene components in total hip arthroplasty: a comparison to conventional bearings","display_name":"The risk of prosthetic joint infection with oxidised zirconium-on-polyethylene components in total hip arthroplasty: a comparison to conventional bearings","publication_year":2026,"publication_date":"2026-02-04","ids":{"openalex":"https://openalex.org/W7127620540","doi":"https://doi.org/10.1177/11207000251410114","pmid":"https://pubmed.ncbi.nlm.nih.gov/41636045"},"language":"en","primary_location":{"id":"doi:10.1177/11207000251410114","doi":"https://doi.org/10.1177/11207000251410114","is_oa":false,"landing_page_url":"https://doi.org/10.1177/11207000251410114","pdf_url":null,"source":{"id":"https://openalex.org/S176044460","display_name":"Hip International","issn_l":"1120-7000","issn":["1120-7000","1724-6067"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HIP International","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012757806","display_name":"Benjamin C. Schaffler","orcid":"https://orcid.org/0000-0002-8610-2547","observed_orcids":["https://orcid.org/0000-0002-8610-2547"]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin C Schaffler","raw_affiliation_strings":["NYU Langone Health, Department of Orthopaedic Surgery, New York, NY, USA"],"raw_orcid":"https://orcid.org/0000-0002-8610-2547","affiliations":[{"raw_affiliation_string":"NYU Langone Health, Department of Orthopaedic Surgery, New York, NY, USA","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030173112","display_name":"Jack Zhong","orcid":"https://orcid.org/0000-0001-5857-6094","observed_orcids":["https://orcid.org/0000-0001-5857-6094"]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jack Zhong","raw_affiliation_strings":["NYU Langone Health, Department of Orthopaedic Surgery, New York, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NYU Langone Health, Department of Orthopaedic Surgery, New York, NY, USA","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Chien-Cheng Chen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chien-Cheng Chen","raw_affiliation_strings":["Smith & Nephew, Health Economics and Outcomes Research and Data Analytics, Fort Worth, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Smith & Nephew, Health Economics and Outcomes Research and Data Analytics, Fort Worth, TX, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013188923","display_name":"Leo M. Nherera","orcid":"https://orcid.org/0000-0003-1758-9504","observed_orcids":["https://orcid.org/0000-0003-1758-9504"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Leo M Nherera","raw_affiliation_strings":["Smith & Nephew, Health Economics and Outcomes Research and Data Analytics, Fort Worth, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Smith & Nephew, Health Economics and Outcomes Research and Data Analytics, Fort Worth, TX, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070624875","display_name":"Thorsten Markus Seyler","orcid":"https://orcid.org/0000-0003-1157-132X","observed_orcids":["https://orcid.org/0000-0003-1157-132X"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thorsten M Seyler","raw_affiliation_strings":["Department of Orthopaedic Surgery, Duke University, Durham, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Duke University, Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5124974580","display_name":"Ran Schwarzkof","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ran Schwarzkof","raw_affiliation_strings":["NYU Langone Health, Department of Orthopaedic Surgery, New York, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NYU Langone Health, Department of Orthopaedic Surgery, New York, NY, USA","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":6.5134,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.92266722,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"36","issue":"4","first_page":"550","last_page":"557"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9042999744415283,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9042999744415283,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.09529999643564224,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/periprosthetic-joint-infection","display_name":"periprosthetic joint infection","score":0.9120000004768372},{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.996999979019165},{"id":"https://openalex.org/keywords/ceramic-on-polyethylene-bearings","display_name":"ceramic-on-polyethylene bearings","score":0.9800000190734863},{"id":"https://openalex.org/keywords/metal-on-polyethylene-bearings","display_name":"metal-on-polyethylene bearings","score":1.0},{"id":"https://openalex.org/keywords/inflammation","display_name":"inflammation","score":0.7279999852180481},{"id":"https://openalex.org/keywords/postoperative-infection-rates","display_name":"postoperative infection rates","score":0.6480000019073486},{"id":"https://openalex.org/keywords/icd-10-codes","display_name":"ICD-10 codes","score":0.6629999876022339}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9136000275611877},{"id":"https://openalex.org/C3019025420","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip arthroplasty","level":2,"score":0.6920999884605408},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6786999702453613},{"id":"https://openalex.org/C3020453552","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip replacement","level":2,"score":0.5795000195503235},{"id":"https://openalex.org/C111335779","wikidata":"https://www.wikidata.org/wiki/Q3454686","display_name":"Reduction (mathematics)","level":2,"score":0.57669997215271},{"id":"https://openalex.org/C18555067","wikidata":"https://www.wikidata.org/wiki/Q8375051","display_name":"Joint (building)","level":2,"score":0.5662000179290771},{"id":"https://openalex.org/C3018947069","wikidata":"https://www.wikidata.org/wiki/Q1863402","display_name":"Joint arthroplasty","level":3,"score":0.5013999938964844},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.4681999981403351},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.43290001153945923},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.414000004529953},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.41040000319480896},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.39149999618530273},{"id":"https://openalex.org/C3020736514","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Hip arthroplasty","level":3,"score":0.35740000009536743},{"id":"https://openalex.org/C3019548353","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis design","level":3,"score":0.3467999994754791},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.28189998865127563},{"id":"https://openalex.org/C3017436853","wikidata":"https://www.wikidata.org/wiki/Q1863402","display_name":"Arthroplasty replacement","level":3,"score":0.28189998865127563},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.2587999999523163},{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.2513999938964844}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006622","descriptor_name":"Hip Prosthesis","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011474","descriptor_name":"Prosthesis Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015040","descriptor_name":"Zirconium","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016459","descriptor_name":"Prosthesis-Related Infections","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D016459","descriptor_name":"Prosthesis-Related Infections","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D019644","descriptor_name":"Arthroplasty, Replacement, Hip","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D019644","descriptor_name":"Arthroplasty, Replacement, Hip","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D020959","descriptor_name":"Polyethylene","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/11207000251410114","doi":"https://doi.org/10.1177/11207000251410114","is_oa":false,"landing_page_url":"https://doi.org/10.1177/11207000251410114","pdf_url":null,"source":{"id":"https://openalex.org/S176044460","display_name":"Hip International","issn_l":"1120-7000","issn":["1120-7000","1724-6067"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HIP International","raw_type":"journal-article"},{"id":"pmid:41636045","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41636045","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hip international : the journal of clinical and experimental research on hip pathology and therapy","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320332758","display_name":"Smith and Nephew Orthopaedics","ror":"https://ror.org/03agge938"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W1973891716","https://openalex.org/W2009593402","https://openalex.org/W2044020235","https://openalex.org/W2101275279","https://openalex.org/W2119758242","https://openalex.org/W2146486293","https://openalex.org/W2168988213","https://openalex.org/W2282728513","https://openalex.org/W2465286548","https://openalex.org/W2468757429","https://openalex.org/W2510986971","https://openalex.org/W2786299170","https://openalex.org/W2792223958","https://openalex.org/W2806939891","https://openalex.org/W2890318547","https://openalex.org/W2977179224","https://openalex.org/W2999446170","https://openalex.org/W3020849104","https://openalex.org/W3023312354","https://openalex.org/W3024091994","https://openalex.org/W3090680427","https://openalex.org/W3137112053","https://openalex.org/W3174028079","https://openalex.org/W3215538337","https://openalex.org/W4306765941","https://openalex.org/W4392304021"],"related_works":[],"abstract_inverted_index":{"INTRODUCTION:":[0],"Oxidised":[1],"zirconium-on-polyethylene":[2],"(OxZroP)":[3],"total":[4,89,214],"hip":[5,90,215],"arthroplasty":[6,216],"prostheses":[7],"are":[8,249],"increasing":[9],"in":[10,28,263],"popularity":[11],"as":[12],"an":[13,126,166],"alternative":[14],"to":[15,52,94,116,158,163,179,197,204,244,251],"other":[16],"bearing":[17],"types.":[18],"The":[19,46,133],"surface":[20],"characteristics":[21],"and":[22,31,58,69,108,226,235,255,267],"wear":[23,33],"properties":[24],"of":[25,41,48,56,125,135,148,187,222],"OxZroP":[26,64,141,182,210],"result":[27],"less":[29],"metal":[30],"polyethylene":[32],"which":[34],"may":[35],"be":[36,117],"protective":[37],"against":[38],"microbiological":[39],"seeding":[40],"the":[42,54,77,123,257],"synovial":[43],"joint":[44,150,224,265],"space.":[45],"purpose":[47],"this":[49,260],"study":[50,75],"was":[51,169],"compare":[53],"rates":[55,134],"infection":[57,151,188,225,266],"inflammatory":[59,153,190],"diagnoses":[60,228],"between":[61],"THAs":[62],"using":[63],"heads":[65],"with":[66,129,173,192],"ceramic-on-polyethylene":[67,230],"(CoP)":[68],"metal-on-polyethylene":[70,240],"(MoP)":[71],"designs.":[72],"METHODS:":[73],"This":[74],"queried":[76],"Premier":[78],"PINC":[79],"AI":[80],"Healthcare":[81],"Database":[82],"(PHD)":[83],"(Premier":[84],"Inc.)":[85],"for":[86,212,259],"all":[87],"primary":[88,213],"arthroplasties":[91],"from":[92],"2017":[93],"2022.":[95],"Infection-related":[96],"ICD10":[97],"codes":[98,194],"were":[99,114,138],"collected":[100],"at":[101,156,195,206,242],"30":[102],"days,":[103],"3,":[104],"6,":[105],"12":[106],"months":[107,234],"2":[109,159,245],"years":[110,160],"postoperatively.":[111],"Positive":[112],"results":[113],"noted":[115],"either":[118],"PJI-related":[119],"diagnosis":[120,193],"codes,":[121],"or":[122,152,189],"combination":[124],"arthroplasty-related":[127],"code":[128],"infection-related":[130],"procedure":[131,175],"codes.":[132,176],"infection/inflammatory":[136],"reaction":[137,154,191],"reported.":[139],"RESULTS:":[140],"THA":[142],"bearings":[143,165,211,231,241],"demonstrated":[144,183,217],"a":[145,218],"decreased":[146],"rate":[147],"prosthetic":[149,223,264],"diagnoses,":[155],"up":[157,196,243],"post-surgery,":[161],"compared":[162,178],"MoP":[164],"effect":[167],"that":[168],"maintained":[170,236],"when":[171],"cross-referenced":[172],"imaging":[174],"When":[177],"CoP":[180,205],"hips":[181],"lower":[184,237],"odds":[185,203,220,238],"reduction":[186,262],"6":[198,233],"months,":[199],"however,":[200],"showed":[201],"equal":[202],"later":[207],"timepoints.":[208],"CONCLUSIONS:":[209],"reduced":[219],"ratio":[221],"inflammatory-related":[227,268],"than":[229,239],"before":[232],"years.":[246],"Further":[247],"studies":[248],"needed":[250],"obtain":[252],"longer-term":[253],"follow-up":[254],"understand":[256],"mechanism":[258],"observed":[261],"diagnoses.":[269]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2026-02-06T00:00:00"}