title: Cementless Revision Total Hip Arthroplasty with Ceramic Articulation.
abstract: OBJECTIVE
  The results of ceramic-on-ceramic (CoC) bearing surfaces in primary total hip arthroplasty (THA) were well known. However, it was not known in revision THA. The purpose of this study is to report the results of revision THA with ceramic articulation.
  
  
  METHODS
  A total of 112 revision THAs were evaluated. The mean age at the time of surgery was 51.6 years (27.7 to 84.2 years). The mean duration of the follow-up periods was 6.3 years (2.3 to 11.4 years).
  
  
  RESULTS
  The Harris hip scores improved from an average of 56.2 at the index surgery to an average of 93.3 at the last follow-up (P<0.001). None of hips showed osteolysis or ceramic head fracture. One hip showed aseptic loosening in the acetabular component with squeaking that caused a re-revision. There were nine cases of dislocation. The survivorship at 5 years was 94.5% (95% confidence interval, 87.9% to 97.6%) with revision for any reason as the endpoint and 100% with femoral revision.
  
  
  CONCLUSIONS
  The ceramic articulation is one of good bearing options for revision THA in patients with a long life expectancy.
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Jong-Hyuck
authors.initials: JH
authors.lastname: Yang
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Seong-Jo
authors.initials: SJ
authors.lastname: Yang
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Joon-Soon
authors.initials: JS
authors.lastname: Kang
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Kyoung-Ho
authors.initials: KH
authors.lastname: Moon
keywords: Ceramic articulation; Revision total hip arthroplasty