Comparison of Surgical Outcomes and Implant Wear Between Ceramic-Ceramic and Ceramic-Polyethylene Articulations in Total Hip Arthroplasty

Department of Orthopaedic Surgery, University of California at Davis Medical Center, Sacramento, California 95817, USA.
The Journal of arthroplasty (Impact Factor: 2.67). 06/2011; 26(6 Suppl):72-7. DOI: 10.1016/j.arth.2011.04.032
Source: PubMed


The results of a prospective multicenter trial comparing 357 hips randomized to total hip arthroplasty with either ceramic-ceramic or ceramic-polyethylene couplings are presented. No statistically significant difference in clinical outcomes scores between the ceramic-ceramic and ceramic-polyethylene groups was observed at any time interval. The mean linear rate was statistically lower (P < .001) in the ceramic-ceramic group (30.5 μm/year) when compared with the ceramic-polyethylene group (218.2 μm/year). The rates of ceramic implant fracture (2.6%) and audible component-related noise (3.1%) were statistically higher in the ceramic-ceramic group when compared with the ceramic-polyethylene group (P < .05). Lastly, there was no statistically significant difference in the dislocation or revision rate between the groups at the time of last clinical follow-up.

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Available from: Paul Dicesare, Jan 17, 2014
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    • "However, there is a concern about ceramic head fracture, therefore, ceramic head with polyethylene liner has been introduced. Several laboratory and clinical studies6,10 found that ceramic-on-polyethylene articulations have lower wear rate than those of metal-on-polyethylene articulation. The fracture rate of ceramic head in ceramic-on-ceramic articulation has been shown to range from 0.004% to 0.05%.5 "
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