Modern Ceramic-on-Ceramic Total Hip Systems in the United States

Garino, Jonathan P.

doi:10.1097/00003086-200010000-00007

Cited by 155 publications

(73 citation statements)

References 4 publications

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“…The long head was used to prevent subluxation. Vertical cup placement could also enhance the edge loading [12]. In our case, the cup angle was 398.…”

Section: Discussionmentioning

confidence: 57%

Delayed Fracture of a Ceramic Insert With Modern Ceramic Total Hip Replacement

Min

Song

Kang

et al. 2007

The Journal of Arthroplasty

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“…The long head was used to prevent subluxation. Vertical cup placement could also enhance the edge loading [12]. In our case, the cup angle was 398.…”

Section: Discussionmentioning

confidence: 57%

Delayed Fracture of a Ceramic Insert With Modern Ceramic Total Hip Replacement

Min

Song

Kang

et al. 2007

The Journal of Arthroplasty

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“…Thus, orthopaedic manufacturers invested substantial resources in the commercialization of second-generation metal-on-metal [3,24,40] and ceramic-on-ceramic [14,47,107,126] hip bearings during the 1990s, culminating in the growth in the adoption of these bearings at the start of the 21st century [18]. Concurrently, polyethylene researchers at multiple institutions around the world confirmed the finding that elevated doses of radiation crosslinking would reduce wear rates by an order of magnitude during in vitro hip simulator testing [95,103,133].…”

Section: History and Development Of Hxlpementioning

confidence: 95%

“…Despite progress in understanding the reasons underlying wear and oxidation, dissatisfaction with polyethylene performance was sufficient to encourage some members of the orthopaedic community to develop alternatives for hip arthroplasty [3,14,24,40,47,107,126]. Thus, orthopaedic manufacturers invested substantial resources in the commercialization of second-generation metal-on-metal [3,24,40] and ceramic-on-ceramic [14,47,107,126] hip bearings during the 1990s, culminating in the growth in the adoption of these bearings at the start of the 21st century [18].…”

Section: History and Development Of Hxlpementioning

confidence: 99%

History and Systematic Review of Wear and Osteolysis Outcomes for First-generation Highly Crosslinked Polyethylene

Kurtz

Gawel

Patel

2011

Clinical Orthopaedics &Amp; Related Research

403

282

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Background Highly crosslinked polyethylene (HXLPE) was introduced to reduce wear and osteolysis in total joint arthroplasty. While many studies report wear and osteolysis associated with HXLPE, analytical techniques, clinical study design and followup, HXLPE formulation and implant design characteristics, and patient populations differ substantially among investigations, complicating a unified perspective. Questions/purposes Literature on first-generation HXLPE was summarized. We systematically reviewed the radiographic wear data and incidence of osteolysis for HXLPE in hip and knee arthroplasty. Methods PubMed identified 391 studies; 28 met inclusion criteria for a weighted-averages analysis of two-dimensional femoral head penetration rates. To determine the incidence of osteolysis, we estimated a pooled odds ratio using a random-effects model.Results Weighted-averages analyses of femoral head penetration rates in HXLPE liners and conventional UHMWPE liners resulted, respectively, in a mean twodimensional linear penetration rate of 0.042 mm/year based on 28 studies (n = 1503 hips) and 0.137 mm/year based on 18 studies (n = 695 hips). The pooled odds ratio for the risk of osteolysis in HXLPE versus conventional liners was 0.13 (95% confidence interval, 0.06-0.27) among studies with minimum 5-year followup. We identified two clinical studies of HXLPE in TKA, preventing systematic analysis of outcomes. Conclusions HXLPE liner studies consistently report lower femoral head penetration and an 87% lower risk of osteolysis. Reduction in femoral head penetration or osteolysis risk is not established for large-diameter ([ 32 mm) metallic femoral heads or ceramic femoral heads of any size. Few studies document the clinical performance of HXLPE in knees.

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“…At a minimum of 18.5 years followup, Hamadouche et al reported minimal wear, limited osteolysis, and a low rate of complication with COC THA [6]. The American experience at short-and midterm followup suggests similar outcomes [1,4,5,10]. However, recently described hip noise (''squeak'') associated with COC bearings has been reported and has caused concern among clinicians and patients [12,16].…”

Section: Introductionmentioning

confidence: 99%

Incidence of ‘Squeaking’ After Ceramic-on-Ceramic Total Hip Arthroplasty

Mai¹,

Verioti

Ezzet

et al. 2010

Clinical Orthopaedics &Amp; Related Research

125

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The incidence of hip ''squeak'' associated with ceramic-on-ceramic bearings has been variably reported, ranging from 0.7% to 20.9%. We determined the patients' perception of squeaking in 306 patients (336 hips) in whom ceramic-on-ceramic total hip arthroplasties (THAs) were performed between 1997 and 2005. A questionnaire regarding hip noise was obtained by telephone. With a minimum followup of 2 years (mean, 3.9 years; range, 2-10 years), 290 patients (320 or 95% of the THAs) completed the questionnaire. Patients reported hip noise in 55 of the 320 THAs (17%); noise was perceived as squeak in 32 of the 320 (10%). Most squeaking hips (29 of 32) were pain-free and symptom-free. One patient was unhappy with his squeaking hip without pain. Our data suggest a much higher incidence of squeak as perceived by patients than previously reported.

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Modern Ceramic-on-Ceramic Total Hip Systems in the United States

Cited by 155 publications

References 4 publications

Delayed Fracture of a Ceramic Insert With Modern Ceramic Total Hip Replacement

Delayed Fracture of a Ceramic Insert With Modern Ceramic Total Hip Replacement

History and Systematic Review of Wear and Osteolysis Outcomes for First-generation Highly Crosslinked Polyethylene

Incidence of ‘Squeaking’ After Ceramic-on-Ceramic Total Hip Arthroplasty

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