3^rd generation ceramic-on-ceramic cementless total hip arthroplasty: a minimum 10-year follow-up study

Abstract

The good clinical and radiographic results for this series of patients are similar to other recent long-term studies looking at 3 generation ceramic-on-ceramic THA. The results compare favourably with other bearing surfaces. The lack of osteolysis associated with this articulation is encouraging and may also make it a good choice for younger patients requiring total hip replacement.

Ceramic Bearings Are Associated With a Significantly Reduced Revision Rate in Primary Hip Arthroplasty: An Analysis From the National Joint Registry for England, Wales, Northern Ireland, and the Isle of Man

“…Potential reasons for this include their excellent tribological properties and good biomechanics. 18,23 Additionally less osteolysis with decreased wear has been observed in a number of clinical studies [3][4][5][6][7][8][9][10] and taper corrosion is seen less in ceramic femoral head-neck junctions compared to metal heads 7 10 . Based on this evidence, it would be expected that joint replacements with ceramic bearings would have lower long-term revision rates.…”

Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis

“…That leaves us with 13 records available for data extraction and quantitative synthesis. Figure 1 These studies included four RCTs and nine cohort studies; five studies were prospective, four studies were retrospective, and all were published in peer-review journals between 2006 and 2018 [6,[12][13][14][15][16][17][18][19][20][21][22][23]. The total number of the included hips was 2278.…”

Long-term follow-up of total hip arthroplasty using polyethylene-ceramic composite (sandwich) liner

“…[3][4][5][6][7] Nonetheless, first-generation CoC bearing couples have high fracture (breakage) rates; furthermore, although the fracture risk remains their main complication, 4,8 this risk has dropped considerably in subsequent alumina ceramics generations. [9][10][11][12] Survival rates at 11 years reach 100%, 13 and after 20 years, 84.4%; 14 outstanding clinical outcomes have also been reported, 15,16 even in in series with a minimum follow-up of 20 years. 17 In this high-fracture-rate scenario associated with firstgeneration CoC bearing couples, polyethylene-ceramic composite (sandwich-type) liners were developed to address this issue.…”