Metasul vs Cerasul bearings: a prospective, randomized study at 9 years.
The aims of our study were to compare metal-on-metal (Metasul) and ceramic-on-ceramic (Cerasul) bearings and to evaluate the clinical and radiographic results of these 2 different hard-on-hard bearings. We conducted a prospective, randomized study on a series of 250 cementless primary total hip arthroplasties. The prostheses were similar in all aspects except for the bearing surfaces: 50% of Metasul bearing and 50% of Cerasul bearing. All the patients were evaluated both clinically and radiographically. No patient was lost to follow-up. Clinical outcomes in both groups were similar. Considering aseptic loosening as the end point for failure, the 9-year survival rate was 100% for Cerasul and 98.4% for Metasul. Neither bearing outperformed the other both radiographically and clinically. The overall 9-year survival rate was 99.2% and 97.6% in the Cerasul and Metasul groups, respectively.
Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Service de Chirurgie Orthopédique, Traumatologique et Médecine du Sport, Pierre Bénite Cedex, France.
Romain
R
Desmarchelier
Anthony
A
Viste
Julien
J
Chouteau
Jean-Luc
JL
Lerat
Michel-Henri
MH
Fessy
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography