Prospective Randomized Trial Comparing Alumina Ceramic-on-Ceramic With Ceramic-On-Conventional Polyethylene Bearings in Total Hip Arthroplasty

ArticleinThe Journal of arthroplasty 25(3):392-7 · February 2009with4 Reads
Impact Factor: 2.67 · DOI: 10.1016/j.arth.2009.01.013 · Source: PubMed

    Abstract

    This prospective randomized study aims to compare the outcome between an alumina ceramic-on-ceramic (CC) articulation with a ceramic on ultra-high-molecular-weight polyethylene articulation (CP). Fifty-six hips in 55 patients with mean age 42.2 (range, 19-56) each received uncemented components, a 28-mm alumina head with randomization of acetabular liner. Mean St Michael's outcome score for each group with up to 10 years follow-up (median, 8 years; range, 1-10) was 22.8 and 22.9, respectively (P = .819). Wear was identified in all but 1 CP replacement, but only 12 of the 23 CC. Mean wear in the CP group was 0.11 mm/y and 0.02 mm/yr in the CC group (P < .001). Other than significantly greater wear in the polyethylene group, there was no significant difference in midterm outcome between the 2 groups.