The Survival Analysis in Third-Generation Ceramic-On-Ceramic Total Hip Arthroplasty

Abstract A total of 527 patients (577 hips) who underwent primary THA using third-generation ceramic-on-ceramic (CoC) articulation were retrospectively reviewed. They were followed up for an average of 5.9 years. Seven hips experienced liner fracture and 14 hips experienced head fracture. Squeaking...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-11, Vol.30 (11), p.1976-1980
Main Authors: Park, Kyung-Soon, MD, PhD, Seon, Jong-Keun, MD, PhD, Yoon, Taek-Rim, MD, PhD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - instrumentation
Biomedical materials
cementless
ceramic fracture
ceramic-on-ceramic
Ceramics
Female
Femur Head
Fracture mechanics
Fractures, Bone
Hip Prosthesis - statistics & numerical data
Hips
Humans
Liners
Male
Middle Aged
Necks
Orthopedics
Prosthesis Design
Prosthesis Failure
Reoperation - statistics & numerical data
Retrospective Studies
Surgery
Surgical implants
Survival Analysis
third-generation ceramic
total hip arthroplasty
Young Adult
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Summary:Abstract A total of 527 patients (577 hips) who underwent primary THA using third-generation ceramic-on-ceramic (CoC) articulation were retrospectively reviewed. They were followed up for an average of 5.9 years. Seven hips experienced liner fracture and 14 hips experienced head fracture. Squeaking occurred in eight hips. The revision rate in this study was 5.2%, but excluding the cases of ceramic head and liner fracture, there were nine cases (1.6%) of revision surgery. Considering revision for any reason as the end point, mean survivorship was 93% at 10 years. According to the femoral head size and neck length, 28 mm head with short neck has the worst survivorship of 89% at 10 years. Overall, our study showed a higher rate of ceramic fracture compared with other studies.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.05.017