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

Chevillotte, Christophe; Pibarot, Vincent; Carret, Jean‐Paul; Béjui-Hugues, Jacques; Guyen, Olivier

doi:10.1007/s00264-010-1185-3

Cited by 25 publications

(16 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The low incidence of osteolysis in our patients with ceramic bearings is similar to recent reports [26-29, 32, 33]. Chevoillotte et al found no osteolysis at 8.8 years, whereas Kress et al reported 1% at 10.5 years [5,26] (Table 6).…”

Section: Discussionsupporting

confidence: 77%

“…The incidence of squeaking in this ceramic study group is 1% and similar to recent reports [5, 26-28, 32, 33]. Chevoillotte et al [5] reported a 6% incidence of squeaking, whereas Park et al [33] at 9.6 years and Lewis et al [28] at 8 years reported 0%. The low incidence in our study is believed to be related to the more rigid stem design and metallurgy used in our ceramic cohorts.…”

Section: Discussionsupporting

confidence: 72%

See 1 more Smart Citation

Ceramic Bearings for Total Hip Arthroplasty Have High Survivorship at 10 Years

DʼAntonio

Capello

Naughton

2012

Clinical Orthopaedics &Amp; Related Research

109

View full text Add to dashboard Cite

Background Ceramic bearings were introduced to reduce wear and increase long-term survivorship of total hip arthroplasty. In a previous study comparing ceramic with metal-on-polyethylene at 5 to 8 years, we found higher survivorship and no osteolysis for the ceramic bearings. Questions/Purposes We asked whether ceramic bearings have equal or superior survivorship compared with that for metal-on-polyethylene at longer followup; we also determined survivorship of the implant systems, the presence or absence of radiographic osteolysis, and incidence of device squeaking.Methods Five surgeons at five sites have followed 189 patients (216 hips) for a minimum of 10 years and average of 10.3 years (range, 10-12.4 years) comparing alumina ceramic bearings (144 hips) with cobalt chromeon-polyethylene bearings (72 hips). We determined KaplanMeier survivorship of the bearing surface and implant systems and collected radiographic and clinical data. Results We observed no difference between the control metal-on-polyethylene and the alumina-bearing couple cohorts with regard to bearing-related failures (98.9% versus 99.1%). Revisions for any reason occurred in 10

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 72%

Ceramic Bearings for Total Hip Arthroplasty Have High Survivorship at 10 Years

DʼAntonio

Capello

Naughton

2012

Clinical Orthopaedics &Amp; Related Research

109

View full text Add to dashboard Cite

show abstract

“…The incidence of squeaking in the current study was similar to those reported in other recent studies. [34][35][36] In the current study, radiographic evidence of osteolysis was detected in 3 hips in the COP group and was absent in the COC group. The low incidence of osteolysis in patients with ceramic bearings was also similar to recent reports.…”

Section: A B Csupporting

confidence: 44%

Large-diameter Delta Ceramic-on-ceramic Versus Common-sized Ceramic-on-polyethylene Bearings in THA

Cai

Hu²,

Xie³

2012

Orthopedics

View full text Add to dashboard Cite

The higher failure rate of total hip arthroplasty (THA) in young, active patients remains a challenge for surgeons. Recently, larger-diameter femoral heads combined with an alumina matrix composite ceramic (BIOLOX Delta; CeramTec AG, Plochingen, Germany) articulation was developed to improve implant longevity and meet patients' activity demands while reducing the risk of component-related complications. The purpose of this study was to determine whether this new device may provide advantages for young, active patients. A prospective, randomized, controlled trial was conducted on 93 patients (113 THAs) with more than 3 years of follow-up. Patients were randomly divided into a study group (51 THAs) with a 36-mm Delta ceramic-on-ceramic (COC) articulation and a control group (62 THAs) with a common-sized alumina ceramic head on polyethylene liner (COP) articulation. Clinical and radiographic results were collected to compare the outcomes and complications, including implant-related failures, osteolysis, and noises. The large-diameter Delta COC articulation provided greater range of motion improvement (6.1° more), similar Harris Hip Scores, and similar complication rates compared with the alumina COP articulation. This study suggests that in the short term, the large-diameter Delta COC articulation results in better range of motion with no higher complication rates; however, mid-term (8-10 years) or longer follow-up is necessary to determine its superiority in young, active patients.

show abstract

“…The lack of these complications could be due to several features of the SuperPath technique including: a reduced need for soft tissue dissection with electrocautery; a lack of need to cut muscles or tendons; and the reduced need for transfusions, which have been previously linked to an increased incidence of surgical site infections [5]. The dislocation rate (0.8 %) was also decreased from those reported in some recent THA studies (2.9-6.0 %) and could help to further explain the reduced readmission rate [6][7][8].…”

Section: Thirty-day Readmission Ratementioning

confidence: 57%

Thirty-day readmission rate and discharge status following total hip arthroplasty using the supercapsular percutaneously-assisted total hip surgical technique

Gofton

Chow

Olsen

et al. 2014

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Recent studies have reported nearly 40 % of costs associated with a 30-day episode-of-care for total joint replacements are due to post-discharge activities and 81 % of those are specifically due to unplanned readmissions and discharging patients to post-acute care facilities. The purpose of this study was to determine these two key variables for total hip arthroplasty (THA) patients implanted using a tissuesparing surgical technique and to see how these values compare to those previously reported in the United States. Methods The healthcare databases at three institutions were searched for primary THA patients implanted using the supercapsular percutaneously-assisted total hip (SuperPath) surgical technique between January 2013 and July 2014. Data elements included 30-day all-cause readmission rate, discharge status, transfusion rate, complications, and length of stay (LOS). Results Data were available for 479 THAs. The 30-day allcause readmission rate, transfusion rate, and average LOS was 2.3, 3.3 %, and 1.6 days, respectively. Over 91 % of patients were discharged routinely home, 4.1 % to skilled nursing facilities, 3.8 % to home health care, and 0.6 % to inpatient rehabilitation facilities. Complications included dislocation (0.8 %), periprosthetic fracture (0.8 %), and deep vein thrombosis (0.2 %). There were no infections reported. Conclusions Patients implanted using this tissue-sparing technique experienced reduced 30-day all-cause readmission rates (2.3 % vs. 4.2 %) and more were routinely discharged home (91.5 % vs. 27.3 %) than have been previously reported for patients in the United States. Use of this tissue-sparing technique has the potential to significantly reduce post-discharge costs.

show abstract

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

Cited by 25 publications

References 27 publications

Ceramic Bearings for Total Hip Arthroplasty Have High Survivorship at 10 Years

Ceramic Bearings for Total Hip Arthroplasty Have High Survivorship at 10 Years

Large-diameter Delta Ceramic-on-ceramic Versus Common-sized Ceramic-on-polyethylene Bearings in THA

Thirty-day readmission rate and discharge status following total hip arthroplasty using the supercapsular percutaneously-assisted total hip surgical technique

Contact Info

Product

Resources

About