Alumina-on-alumina ceramic versus metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty: a comparative study

Baščarević, Zvezdana; Vukašinović, Zoran; Slavković, Nemanja; Dulic, B.; Trajković, Goran; Bascarevic, V.; Timotijevic, Sladjan

doi:10.1007/s00264-009-0899-6

Cited by 61 publications

(44 citation statements)

References 21 publications

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“…In this series, cementless fully hydroxyapatite coated implants with ceramic and ceramic bearings provided very encouraging results at medium follow-up. This study is in line with previous reports with shorter or similar follow-up [13,15,18,19].…”

Section: Discussionsupporting

confidence: 83%

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Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

Chevillotte

Pibarot

Carret

et al. 2010

International Orthopaedics (SICOT)

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The aim of this study was to evaluate the first 100 cementless ceramic-on-ceramic total hip arthroplasty (THA) performed at our institution with more than nine years of follow-up. Clinical evaluation was performed using Harris hip score. Radiological evaluation was performed by two surgeons. Four patients were lost to follow-up. Harris hip score significantly improved at latest follow-up. Radiological analysis showed calcar osteolysis for 75 patients and one cup loosening. One patient required a revision five years postoperatively for cup loosening. Based on these results and the routine use of a navigation system to optimise positioning of the implants, we advocate the use of uncemented hydroxyapatite coated ceramic-onceramic THA in young and active patients in our current practice.

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Section: Discussionsupporting

confidence: 83%

“…To date, limited data is available regarding medium-to long-term follow-up of ceramic-on-ceramic uncemented total hip arthroplasty [5,7,[13][14][15][16][17][18][19] (Table 1). The longest follow-up reported with ceramic-on-ceramic bearing is 18.5 years [5], including different designs of implants: cemented, uncemented and hybrid implants.…”

Section: Discussionmentioning

confidence: 99%

Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

Chevillotte

Pibarot

Carret

et al. 2010

International Orthopaedics (SICOT)

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“…Strategies to reduce wear have focused on improvements in the bearing surface such as ceramic-onceramic or ceramic-on-highly cross-linked polyethylene bearings. Several studies have demonstrated that contemporary ceramic-on-ceramic or ceramic-on-highly cross-linked polyethylene bearings are associated with low prevalence of osteolysis in young and active patients [3][4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

A randomised prospective evaluation of ceramic-on-ceramic and ceramic-on-highly cross-linked polyethylene bearings in the same patients with primary cementless total hip arthroplasty

Kim

Park

Kulkarni

et al. 2013

International Orthopaedics (SICOT)

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Purpose Very few studies have compared alumina-onalumina ceramic and alumina-on-highly cross-linked polyethylene bearings in the same patient. The purpose of this prospective randomised study was to compare the clinical and radiographic results and the prevalence of osteolysis in cementless total hip arthroplasty using an alumina-on-alumina and alumina-on-highly cross-linked polyethylene bearings in young active patients. Methods We prospectively compared the results of 100 patients (200 hips) who had undergone a cementless total hip arthroplasty with an alumina-on-alumina ceramic bearing in one hip and an alumina-on-highly cross-linked polyethylene in the other. There were 66 men and 34 women with a mean age of 45.3 years (range, 21-49 years) at the time of surgery. The mean follow-up was 12.4 years (range, 11-13 years). The patients were assessed clinically and radiographically at three months, one year, and annually thereafter. Results Harris hip, Western Ontario and McMaster Universities Osteoarthritis Index, and University of California, Los Angeles activity scores did not show statistically significant differences between the two groups of bearings preoperatively or at the time of final follow-up. Radiographic findings of the component were not significantly different between the two groups. The mean polyethylene linear penetration was 0.031±0.004 mm per year. No hips in either group displayed osteolysis. The Kaplan-Meier survivorship with revision as the end point at 12.4 years was 100 % (95 % confidence interval [CI], 94-100 %) for the femoral component in both groups and 99 % (95 %CI, 93-100 %) for the acetabular component. Conclusion The clinical and radiographic results of using an alumina-on-alumina ceramic and alumina-on-highly crosslinked polyethylene bearings were similar.

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“…At both stages of selection, we estimated chance-adjusted agreement statistics among reviewers with a j statistic (j = 0.917 for abstract review; j = 1.000 for full-text review), and all disagreements were settled by the opinion of a third senior reviewer (GAN-M). Eleven articles [2,4,5,8,14,22,28,33,40,41,49] were deemed eligible through this process and seven studies [9,[16][17][18][19][20][21] were added following a manual search of the bibliographies of the 11 chosen articles for a final study cohort of 18 manuscripts (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

There Are No Differences in Short- to Mid-term Survivorship Among Total Hip-bearing Surface Options: A Network Meta-analysis

Wyles

Jiménez-Almonte

Murad

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Total hip arthroplasty (THA) is increasingly being performed in patients with long life expectancies and active lifestyles. Newer implant bearing surfaces, with superior wear characteristics, often are used in this cohort with the goal of improving longevity of the prosthesis, but comparisons across the numerous available bearing surfaces are limited, so the surgeon and patient may have difficulty deciding which implants to use. Questions/purposes The purpose of this study was to answer the following question: Is there a short-to mid-term survivorship difference between common THA bearings used in patients younger than age 65 years? Methods We conducted a systematic review to identify randomized clinical trials (RCTs) published after 2000 that reported survivorship of ceramic-on-ceramic (CoC), ceramic-on-highly crosslinked polyethylene (CoPxl), or metalon-highly crosslinked polyethylene (MoPxl) bearings. To qualify for our review, RCTs had to have a minimum 2-year followup and study patients were required to have an average age younger than 65 years. Direct-comparison meta-analysis and network meta-analysis were performed to combine direct and indirect evidence. IN, USA). One of the authors certifies that he (RTT), or a member of his immediate family, has received or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from MAKO Surgical Corp, USD 10,000 to USD 100,000 from DePuy Orthopaedics, Inc, and less than USD 10,000 from Wright Medical Technology, Inc. One of the authors certifies that he (RJS), or a member of his immediate family, has received or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 from Biomet Inc. 123Clin Orthop Relat Res (2015) 473:2031-2041 DOI 10.1007 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons® the three implant types, demonstrating the following probabilities of most effective implant with 95% credible intervals (CrI): CoC = 64.6% (0%-100%); CoPxl = 24.9% (0%-100%); and MoPxl = 9.9% (0%-100%). The CrIs ranged from 0% to 100% for all three bearing surfaces. Direct-comparison meta-analysis allowed for pooling of five RCTs, including 779 THAs, whereas network metaanalysis (before post hoc analysis) enabled pooling of 18 RCTs, including 2599 THAs. Conclusions Current published evidence does not support survivorship differences among commonly used bearing surfaces in patients younger than age 65 years undergoing THA at short-to mid-term followup. Long-term RCT data will be needed to determine if a survivorship benefit is realized in younger, more active patients over time. Level of Evidence Level I, therapeutic study.

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Alumina-on-alumina ceramic versus metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty: a comparative study

Cited by 61 publications

References 21 publications

Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

A randomised prospective evaluation of ceramic-on-ceramic and ceramic-on-highly cross-linked polyethylene bearings in the same patients with primary cementless total hip arthroplasty

There Are No Differences in Short- to Mid-term Survivorship Among Total Hip-bearing Surface Options: A Network Meta-analysis

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