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Early Dislocation Rate in Ceramic-on-Ceramic Total Hip Arthroplasty

  • Original Article
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HSS Journal

Abstract

Wear debris from metal-on-polyethylene articulation in conventional total hip arthroplasty (THA) may limit THA longevity. Bearing surfaces made of modern ceramic material, with high wear resistance and low fracture risk, have the potential to extend the longevity of THA and make the procedure more suitable for young, active patients. Concerns regarding a ceramic-on-ceramic bearing surface have included potential for a higher incidence of dislocation caused by limited modular neck length and liner options. This prospective study assessed the early dislocation incidence for a ceramic-on-ceramic THA system. Out of the 336 consecutive ceramic-on-ceramic THA performed at our institution over an 8-year (1997–2005) period, 2 (0.6%) sustained dislocation during, and none after, the first postoperative year. Both dislocations were treated with closed reduction. No component fracture or revision for any reason has occurred in this series.

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Acknowledgement

The authors would like to thank Michael Anvari, MD, for his contribution to this manuscript.

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Authors and Affiliations

  1. Division of Orthopaedics, Scripps Clinic, 10666 North Torrey Pines Road, MS116, La Jolla, CA, 92037, USA

    Kenny Mai MD, Richard H. Walker MD, Steven N. Copp MD, Kace A. Ezzet MD & Clifford W. Colwell Jr. MD

  2. Shiley Center for Orthopaedic Research and Education, Scripps Clinic, 11025 North Torrey Pines Road, Suite 140, La Jolla, CA, 92037, USA

    Mary E. Hardwick MSN & Clifford W. Colwell Jr. MD

Authors
  1. Kenny Mai MD
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  2. Mary E. Hardwick MSN
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  3. Richard H. Walker MD
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  4. Steven N. Copp MD
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  5. Kace A. Ezzet MD
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  6. Clifford W. Colwell Jr. MD
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Corresponding author

Correspondence to Clifford W. Colwell Jr. MD.

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Level of Evidence: Level II Prospective cohort study

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Mai, K., Hardwick, M.E., Walker, R.H. et al. Early Dislocation Rate in Ceramic-on-Ceramic Total Hip Arthroplasty. HSS Jrnl 4, 10–13 (2008). https://doi.org/10.1007/s11420-007-9060-5

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  • DOI: https://doi.org/10.1007/s11420-007-9060-5

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