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Forte ceramic-on-delta ceramic cementless total hip arthroplasty: an 8- to 15-year follow-up study

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Forte ceramic head on delta ceramic liner articulation showed satisfactory midterm results without ceramic-related complication. We aimed to investigate the clinical and radiological outcomes of cementless total hip arthroplasty (THA) with forte ceramic head on delta ceramic liner articulation.

Materials and methods

Overall, 107 patients (57 men, 50 women; 138 hips) who underwent cementless THA with forte ceramic head on delta ceramic liner articulation were enrolled. The mean follow-up duration was 11.6 years. For the clinical assessments, Harris hip score (HHS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), presence of thigh pain, and presence of squeaking were evaluated. Radiographs were assessed to search for osteolysis, stem subsidence, loosening of implants. Kaplan–Meier survival curves were evaluated.

Results

The mean HHS and WOMAC improved from 57.1 and 28.1 preoperatively to 81.4 and 13.1 at the final follow-up, respectively. Nine revisions (6.5%) were performed; 5 hips for stem loosening, 1 hip for ceramic liner fracture, 2 hips for periprosthetic fracture, and 1 hip for progressive osteolysis around cup and stem. Thirty-two patients (37 hips) complained squeaking, in which 4 cases (2.9%) were identified as ceramic-related noises. After a mean follow-up period of 11.6 years, 91% (95% CI 87.8–94.2) were free from revision of both femoral and acetabular components due to any reason.

Conclusions

Cementless THA with forte ceramic-on-delta ceramic articulation showed acceptable clinical and radiological results. Serial surveillance of these patients should be performed due to the possibility of cerami- related complications such as squeaking, osteolysis, and ceramic liner fracture.

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Data availability

The data analyzed during the current study are not publicly available due to the policy of the institutional review board of Asan Medical Center but are available from the corresponding author on reasonable request.

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Funding

The authors have no relevant financial or non-financial interests to disclose.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, College of Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University, Gwangmyeong, Republic of Korea

    Jun-Ki Moon

  2. Department of Orthopedic Surgery, Asan Medical Center, College of Medicine, Ulsan University, Asan Medical Center 88, Olympic-Ro 43-Gil, Songpa-Gu, Seoul, 05505, Republic of Korea

    Seonjeong Lee, Sunhyung Lee & Pil Whan Yoon

  3. Department of Orthopedic Surgery, College of Medicine, Chung-Ang University Hospital, Chung-Ang University, Seoul, Republic of Korea

    Chul-Ho Kim

  4. Department of Orthopedic Surgery, Dongguk University Ilsan Hospital, Ilsan, Republic of Korea

    Jae Youn Yoon

  5. Biomedical Engineering Research Center, Asan Institute For Life Sciences, Asan Medical Center, Seoul, Republic of Korea

    Kang-Sik Lee

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Contributions

All authors contributed to the study conception and design. PWY is the guarantor of submission and participated in study design, data collection, data analysis and data interpretation; J-KM participated in writing, data analysis, data interpretation, and literature search; SL and C-HK participated in data interpretation and figures; JYY participated in data collection and data analysis; SL participated in data analysis and figures; K-SL participated in data collection and data interpretation.

Corresponding author

Correspondence to Pil Whan Yoon.

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Conflict of interest

The authors, their immediate families, and any research foundations with which they are affiliated have not received any benefits from any commercial entity related to the subject of this article.

Ethical approval

This retrospective study was performed following approval from the institutional review board of Asan Medical Center (No. 2022–1062). All methods were carried out in accordance with relevant guidelines.

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Informed consent was waived by the institutional review board of Asan Medical Center.

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Moon, JK., Lee, S., Kim, CH. et al. Forte ceramic-on-delta ceramic cementless total hip arthroplasty: an 8- to 15-year follow-up study. Arch Orthop Trauma Surg 143, 5475–5483 (2023). https://doi.org/10.1007/s00402-023-04793-2

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  • DOI: https://doi.org/10.1007/s00402-023-04793-2

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