Abstract
The aim of this study was to evaluate the first 100 cementless ceramic-on-ceramic total hip arthroplasty (THA) performed at our institution with more than nine years of follow-up. Clinical evaluation was performed using Harris hip score. Radiological evaluation was performed by two surgeons. Four patients were lost to follow-up. Harris hip score significantly improved at latest follow-up. Radiological analysis showed calcar osteolysis for 75 patients and one cup loosening. One patient required a revision five years postoperatively for cup loosening. Based on these results and the routine use of a navigation system to optimise positioning of the implants, we advocate the use of uncemented hydroxyapatite coated ceramic-on-ceramic THA in young and active patients in our current practice.
Similar content being viewed by others
References
Charnley J (1970) Total hip replacement by low-friction arthroplasty. Clin Orthop Relat Res 72:7–21
Jasty MJ, Floyd WE 3rd, Schiller AL, Goldring SR, Harris WH (1986) Localized osteolysis in stable, non-septic total hip replacement. J Bone Joint Surg Am 68(6):912–919
Boutin P (2000) Total hip arthroplasty using a ceramic prosthesis. Pierre Boutin (1924–1989). Clin Orthop Relat Res 379:3–11
Hannouche D, Hamadouche M, Nizard R, Bizot P, Meunier A, Sedel L (2005) Ceramics in total hip replacement. Clin Orthop Relat Res 430:62–71
Hamadouche M, Boutin P, Daussange J, Bolander ME, Sedel L (2002) Alumina-on-alumina total hip arthroplasty: a minimum 18.5-year follow-up study. J Bone Joint Surg Am 84-A(1):69–77
Regis D, Sandri A, Bartolozzi P (2008) Delayed diagnosis of low-symptomatic ceramic acetabular liner fracture in ceramic-on-ceramic total hip arthroplasty. Orthopedics 31(10)
Bizot P, Hannouche D, Nizard R, Witvoet J, Sedel L (2004) Hybrid alumina total hip arthroplasty using a press-fit metal-backed socket in patients younger than 55 years. A six- to 11-year evaluation. J Bone Joint Surg Br 86(2):190–194
Sedel L (2000) Evolution of alumina-on-alumina implants: a review. Clin Orthop Relat Res 379:48–54
Charnley J, Halley DK (1975) Rate of wear in total hip replacement. Clin Orthop Relat Res 112:170–179
Gruen TA, McNeice GM, Amstutz HC (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 141:17–27
DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32
Kaplan E, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Stat Assoc 53:457–481
D'Antonio J, Capello W, Manley M (2003) Alumina ceramic bearings for total hip arthroplasty. Orthopedics 26(1):39–46
Yoo JJ, Kim YM, Yoon KS, Koo KH, Song WS, Kim HJ (2005) Alumina-on-alumina total hip arthroplasty. A five-year minimum follow-up study. J Bone Joint Surg Am 87(3):530–535
Murphy SB, Ecker TM, Tannast M (2006) Two- to 9-year clinical results of alumina ceramic-on-ceramic THA. Clin Orthop Relat Res 453:97–102
Sugano N, Nishii T, Miki H, Yoshikawa H, Sato Y, Tamura S (2007) Mid-term results of cementless total hip replacement using a ceramic-on-ceramic bearing with and without computer navigation. J Bone Joint Surg Br 89(4):455–460
Lusty PJ, Tai CC, Sew-Hoy RP, Walter WL, Walter WK, Zicat BA (2007) Third-generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty. J Bone Joint Surg Am 89(12):2676–2683
Kim YH, Choi Y, Kim JS (2010) Cementless total hip arthroplasty with ceramic-on-ceramic bearing in patients younger than 45 years with femoral-head osteonecrosis. Int Orthop 34(8):1123–1127
Bascarevic Z, Vukasinovic Z, Slavkovic N et al (2010) Alumina-on-alumina ceramic versus metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty: a comparative study. Int Orthop 34(8):1129–1135
Collis DK (1991) Long-term (twelve to eighteen-year) follow-up of cemented total hip replacements in patients who were less than fifty years old. A follow-up note. J Bone Joint Surg Am 73(4):593–597
Dorr LD, Kane TJ 3rd, Conaty JP (1994) Long-term results of cemented total hip arthroplasty in patients 45 years old or younger. A 16-year follow-up study. J Arthroplasty 9(5):453–456
Dorr LD, Lewonowski K, Lucero M, Harris M, Wan Z (1997) Failure mechanisms of anatomic porous replacement I cementless total hip replacement. Clin Orthop Relat Res 334:157–167
Engh CA, Massin P, Suthers KE (1990) Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 257:107–128
Makela K, Eskelinen A, Pulkkinen P, Paavolainen P, Remes V (2008) Cemented total hip replacement for primary osteoarthritis in patients aged 55 years or older: results of the 12 most common cemented implants followed for 25 years in the Finnish Arthroplasty Register. J Bone Joint Surg Br 90(12):1562–1569
Morshed S, Bozic KJ, Ries MD, Malchau H, Colford JM Jr (2007) Comparison of cemented and uncemented fixation in total hip replacement: a meta-analysis. Acta Orthop 78(3):315–326
Yoo JJ, Kim HJ, Kim YM (2004) Damage of an alumina-on-alumina bearing surface from a difficult reduction of a total hip arthroplasty. A report of three cases. J Bone Joint Surg Am 86-A(2):376–378
Chevillotte C, Trousdale RT, Chen Q, Guyen O, An KN (2010) The 2009 Frank Stinchfield Award: “Hip squeaking”: a biomechanical study of ceramic-on-ceramic bearing surfaces. Clin Orthop Relat Res 468(2):345–350
Author information
Authors and Affiliations
Corresponding author
Additional information
Level of evidence: Level IV, retrospective study. See guidelines online for a complete description of level of evidence
Rights and permissions
About this article
Cite this article
Chevillotte, C., Pibarot, V., Carret, JP. et al. Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty. International Orthopaedics (SICOT) 35, 1599–1604 (2011). https://doi.org/10.1007/s00264-010-1185-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-010-1185-3