HSS Journal

, Volume 4, Issue 1, pp 10–13

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


  • Kenny Mai
    • Division of OrthopaedicsScripps Clinic
  • Mary E. Hardwick
    • Shiley Center for Orthopaedic Research and EducationScripps Clinic
  • Richard H. Walker
    • Division of OrthopaedicsScripps Clinic
  • Steven N. Copp
    • Division of OrthopaedicsScripps Clinic
  • Kace A. Ezzet
    • Division of OrthopaedicsScripps Clinic
    • Division of OrthopaedicsScripps Clinic
    • Shiley Center for Orthopaedic Research and EducationScripps Clinic
Original Article

DOI: 10.1007/s11420-007-9060-5

Cite this article as:
Mai, K., Hardwick, M.E., Walker, R.H. et al. HSS Jrnl (2008) 4: 10. doi:10.1007/s11420-007-9060-5


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.

Key words

total hip arthroplastydislocationceramic-on-ceramic

Copyright information

© Hospital for Special Surgery 2007