Third-generation ceramic-on-ceramic bearing surfaces in revision total hip arthroplasty.
With an increase of revision total hip arthroplasty (THA), the choice of bearing surface becomes more important. Wear debris by conventional metal-on-polyethylene articulations may cause extensive osteolysis, especially in young patients. We analyzed the clinical and radiographic outcomes after revision THA using third-generation ceramic-on-ceramic bearing surfaces in 42 hips. The mean age of the patients was 48.8 years (32-59 years), and the mean duration of follow-up monitoring was 5.4 years (3.2-8.0 years). At final follow-up examination, the average Harris Hip Score was 91.3. Although minor complications were observed in 6 hips (14.3%), no hips required additional revision surgery. No hip showed radiolucent lines, acetabular cup migration, or osteolysis. Our data show that clinical and radiographic outcomes after revision THA using third-generation ceramic-on-ceramic bearing surfaces are favorable. Ceramic-on-ceramic bearing surfaces can be preferentially considered for revision THA, especially in young patients. Further studies with long-term follow-up data are warranted.
Chang
Jun-Dong
JD
Department of Orthopaedic Surgery, Hallym University College of Medicine, Hangang Sacred Heart Hospital, Seoul, Republic of Korea.
Kamdar
Rutuj
R
Yoo
Je-Hyun
JH
Hur
Mina
M
Lee
Sang-Soo
SS
D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D001672:Biocompatible Materials; D002516:Ceramics; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation
D001672:Biocompatible Materials