title: The Survival Analysis in Third-Generation Ceramic-On-Ceramic Total Hip Arthroplasty.
abstract: A total of 527 patients (577 hips) who underwent primary THA using third-generation ceramic-on-ceramic (CoC) articulation were retrospectively reviewed. They were followed up for an average of 5.9 years. Seven hips experienced liner fracture and 14 hips experienced head fracture. Squeaking occurred in eight hips. The revision rate in this study was 5.2%, but excluding the cases of ceramic head and liner fracture, there were nine cases (1.6%) of revision surgery. Considering revision for any reason as the end point, mean survivorship was 93% at 10 years. According to the femoral head size and neck length, 28 mm head with short neck has the worst survivorship of 89% at 10 years. Overall, our study showed a higher rate of ceramic fracture compared with other studies.
authors.affiliation: Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Republic of Korea.
authors.forename: Kyung-Soon
authors.initials: KS
authors.lastname: Park
authors.affiliation: Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Republic of Korea.
authors.forename: Jong-Keun
authors.initials: JK
authors.lastname: Seon
authors.affiliation: Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Republic of Korea.
authors.forename: Taek-Rim
authors.initials: TR
authors.lastname: Yoon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D002516:Ceramics; D005260:Female; D005270:Femur Head; D050723:Fractures, Bone; D006622:Hip Prosthesis / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016019:Survival Analysis; D055815:Young Adult
keywords: cementless; ceramic fracture; ceramic-on-ceramic; third-generation ceramic; total hip arthroplasty