Hip Pelvis.  2013 Dec;25(4):254-259. 10.5371/hp.2013.25.4.254.

Cementless Total Hip Arthroplasty Using a Ceramic on Ceramic Bearing Surface: The Clinical Results of a Minimum 10-year Follow-up for Patients with Short Term Follow-up

• Kong GM
• Kim JY
• Choi JS
• An KC
• Park DH
• Kwak JY
• An KH

• KMID: 1808132
• DOI: http://doi.org/10.5371/hp.2013.25.4.254

Abstract

PURPOSE
The purpose of this study is to report on the clinical results of more than 10 years of follow-up after ceramic articulation total hip arthroplasty in patients younger than 50 years old who had reported a result of short-term follow-up.
MATERIALS AND METHODS
We studied 25 patients who underwent cementless THA using ceramic on ceramic articulation between Jan 1998 and Dec 2001. They were followed up for 2-4 years, with good results, and could be followed up for more than 10 years. The evaluation of clinical results included Harris hip score (HHS) and occurrence of thigh pain. Radiologic evaluation was based on osteolysis and the stability of components.
RESULTS
The mean HHS improved from 57.7 to 93.3 during the period of 2-4 years of follow-up and 91.0 at more than 10 years of follow-up. Two patients experienced thigh pain during the period of 2-4 years of follow-up and none of the patients had thigh pain at more than 10 years of follow-up. On the last radiographs, stable fixation was observed in all cases, except for one case of ceramic fracture.
CONCLUSION
Clinical and radiologic observations of cementless ceramic on ceramic articulation THA in active patients younger than 50 years old who reported a favorable short-term result showed a satisfactory long-term result.

Keyword

Total hip replacement arthroplasty; Cementless; Ceramic-ceramic articulation; Long term follow up

MeSH Terms

Arthroplasty, Replacement, Hip*
Ceramics*
Follow-Up Studies*
Hip
Humans
Osteolysis
Thigh
Ursidae*
Ceramics

Figure

• 

  Fig. 1 Cementless ceramic-on-ceramic THA was performed in 33-year old female patient with osteonecrosis of femoral head. (A) Preoperative radiograph (B) postoperative radiograph of 3-year follow-up. (C) There was no definite osteolysis or cup migration on 10-year follow-up radiograph.

• 

  Fig. 2 Cementless ceramic-on-ceramic THA was performed in 45-year old male patient with osteonecrosis of femoral head. (A) Radiograph of complication, ceramic fracture. (B) Postoperative radiograph of change of ceramic head & liner.

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