Hip resurfacing is an effective procedure, enabling higher levels of activity in younger people. Issues with high levels of cobalt and chromium ions in some brands of this device have led to a serious apprehension about metal-on-metal bearings in general. Ceramic-on-ceramic bearings have been widely used for decades in total hip arthroplasty, and the newest ceramic composite ‘Biolox Delta’ has been used for over 10 years. Endoprosthetic fixation using plasma-sprayed titanium and/or hydroxyapatite has also been widely used for over 10 years. We combined these three technologies into an anatomic cementless ceramic hip resurfacing device, H1. The contours of this device were derived from experimental work on the native hip margins, and were modified to enable manufacturing with the Delta ceramic composite. Extensive preclinical laboratory tests of the device were done, single-use instruments were developed and then clinical trials were conducted. Ninety-five patients have been operated with the ceramic resurfacing and were followed up to 2 years. So far, the outcomes are promising and the clinical trial continues.
- Hip resurfacing
- Hip arthroplasty
- Clinical trial
- Single-use instruments
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This work has been carried out by the Embody Orthopaedic team, led by Susannah Clarke, Camilla Halewood and Rob Wozencroft.
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Cobb, J. (2021). Early Experience with Ceramic-on-Ceramic Resurfacing. In: Drescher, W.R., Koo, KH., Windsor, R.E. (eds) Advances in Specialist Hip Surgery . Springer, Cham. https://doi.org/10.1007/978-3-030-61830-8_16
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Print ISBN: 978-3-030-61829-2
Online ISBN: 978-3-030-61830-8