A 10- to 12-year follow-up study of delta ceramic-on-ceramic total hip arthroplasty

Park, Jung-Wee; Kim, Hong-Seok; Kim, Ki-Choul; Lee, Yong Seuk; Ha, Yong‐Chan; Koo, Kyung‐Hoi

doi:10.1007/s00402-022-04758-x

Cited by 5 publications

(7 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the 18 studies included, only 2 reported the preoperative HHS ( 18 , 19 ), while 12 mentioned only the postoperative HHS ( 20 - 22 , 25 - 27 , 29 , 30 , 31 - 34 ), and 4 did not report the HHS ( 23 , 24 , 28 , 31 ). The postoperative HHS had an average value of 78.1 [20–100].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of modular stem for the treatment of periprosthetic femoral fracture: a systematic review of the literature

Cacciola,

Braconi,

Bosco

et al. 2023

Ann Joint

View full text Add to dashboard Cite

Background Periprosthetic femoral fractures (PFFs) are a frequent complication after total hip arthroplasty (THA). Both modular and non-modular tapered fluted titanium (TFT) stems could be used in total hip revisions (THRs). Nevertheless, the most appropriate femoral stem type is still under debate. The current systematic review aims to analyze the survival rate and all causes of stem revision, the overall complication rate and reason for reoperation, and patient reported outcome measures (PROMs) in THR for PFF using the modular tapered titanium stems (MTTS). Methods A comprehensive search in four databases, PubMed, Scopus, Embase, and the Cochrane Database of Systematic Reviews databases, was performed, and following the PRISMA guidelines, a systematic review was conducted. Strict inclusion and exclusion criteria were applied, starting from 1,259 studies. The risk of bias was analyzed according to the MINORS tool system. Descriptive statistical analysis was performed for all data extracted. Results Eighteen clinical studies were included in the qualitative analysis for a total of 775 patients enrolled. A mean MINORS criteria score of 9.8 [8–12] was reported. The overall survival of MTTS for PFF treatment was 95.4%, with an overall reintervention rate of 10.3% at an average follow-up of 4.5 years. Despite the use of modular components, postoperative hip instability remains the most frequent complication and cause of reintervention in these patients. In addition, a mean postoperative Harris Hip Score (HHS) of 78.1 was reported, which was considered acceptable given the high mean age of 74.1 years at the time of the revision. Conclusions Several therapeutic approaches and a wide variety of implants have been described in the literature for PFF management; however, no one solution has proven superior to others in the PFF treatment. MTTS has become a commonly used treatment option for Vancouver B2 and B3 fractures because they provide good clinical and radiological results with a reasonable survival rate. However, the complication rate of MTTS is still high.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The postoperative HHS had an average value of 78.1 [20–100]. In the two studies ( 18 , 19 ) that reported both preoperative and postoperative HHS, improvements in HHS were observed from an average of 37.5 [5–60] points before surgery to an average of 81.4 [46–94] points at final follow-up.…”

Section: Resultsmentioning

confidence: 99%

Outcomes of modular stem for the treatment of periprosthetic femoral fracture: a systematic review of the literature

Cacciola,

Braconi,

Bosco

et al. 2023

Ann Joint

View full text Add to dashboard Cite

show abstract

“…Ceramic fracture is another serious concern in CoC THA. The reported incidence of ceramic fracture has ranged from 0% to 0.9% 3,5,7,10,[42][43][44] . We attributed the absence of ceramic fracture in our study to not using 28-mm short-neck ceramic heads, which have been reported to have a risker of fracture in the previous generation of ceramic heads 45 .…”

Section: Discussionmentioning

confidence: 99%

“…Modern alumina ceramic-on-ceramic (CoC) bearings were introduced in the 1990s to minimize this problem, and the newest ceramic composite, Delta ceramic (BIOLOX Delta; CeramTec), was developed in the early 2000s 2 . Prior studies have reported successful outcomes of Delta CoC THA 3-7 . Nevertheless, there is a paucity of studies reporting the results of CoC THA in very young patients, who have a high activity level and long life expectancy 8,9 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Ten to 13-Year Results of Delta Ceramic-on-Ceramic Total Hip Arthroplasty in Patients Less Than 30 Years Old

Park

Lee

et al. 2023

Journal of Bone and Joint Surgery

Self Cite

View full text Add to dashboard Cite

Background:We previously reported mid-term results of total hip arthroplasty (THA) using Delta ceramic-on-ceramic (CoC) bearings in 72 patients (86 hips) who were <30 years old. Noise was noted in 8 (9.3%) of the hips, no osteolysis or loosening was detected, and no patient required reoperation. The purpose of this study was to assess clinical and radiographic outcomes, complications, and survivorship at >10 years after THA using Delta CoC bearings in patients who were <30 years old.Methods:Cementless THA with a Delta CoC bearing was performed between March 2008 and January 2012 in 91 hips of 76 patients who were <30 years old. Eighty-five hips in 71 patients (44 men and 27 women) with a mean age of 25.9 years (range, 16 to 29 years) at surgery were followed for a mean of 10.9 years (range, 10 to 13 years).Results:No ceramic bearings fractured. The incidence of squeaking increased to 5.9% (5 of 85), but the squeaking was not reproducible within individual patients. Periprosthetic osteolysis developed in 3 hips (3 patients): around the stem in 2 and around the metal shell in 1. The stem in 1 hip underwent revision because of a Vancouver type-B2 periprosthetic femoral fracture. One patient with systemic lupus erythematosus underwent irrigation and debridement for periprosthetic joint infection. Survivorship free of reoperation for any reason was 92.4% (95% confidence interval, 82.4% to 100%) at 13 years.Conclusions:The long-term results and survivorship of Delta CoC THA in patients <30 years old were favorable.Level of Evidence:Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.

show abstract

Wear and Friction Mechanism Study in Knee and Hip Rehabilitation: A Comprehensive Review

Choudhari,

Gupta,

Kumar

et al. 2024

Applications of Biotribology in Biomedical Systems

View full text Add to dashboard Cite

A 10- to 12-year follow-up study of delta ceramic-on-ceramic total hip arthroplasty

Cited by 5 publications

References 48 publications

Outcomes of modular stem for the treatment of periprosthetic femoral fracture: a systematic review of the literature

Outcomes of modular stem for the treatment of periprosthetic femoral fracture: a systematic review of the literature

Ten to 13-Year Results of Delta Ceramic-on-Ceramic Total Hip Arthroplasty in Patients Less Than 30 Years Old

Wear and Friction Mechanism Study in Knee and Hip Rehabilitation: A Comprehensive Review

Contact Info

Product

Resources

About