Primary Total Hip Arthroplasty With Fourth-Generation Ceramic-on-Ceramic: Analysis of Complications in 939 Consecutive Cases Followed for 2-10 Years

被引:34
作者
Buttaro, Martin A. [1 ]
Zanotti, Gerardo [1 ]
Comba, Fernando M. [1 ]
Piccaluga, Francisco [1 ]
机构
[1] Italian Hosp Buenos Aires, Inst Orthopaed Carlos E Ottolenghi, Hip Surg Unit, Potosi 4247,C1199ACK, Buenos Aires, DF, Argentina
关键词
primary THA; ceramic-on-ceramic; complications; ceramic fracture; squeaking; SQUEAKING HIP; BEARINGS; THA;
D O I
10.1016/j.arth.2016.07.032
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Background: Delta ceramics may be the bearing of choice for younger and active patients due to its improved toughness and wear characteristics, provided there is no risk of fracture. However, ceramic fracture is the most serious complication related to this type of bearing. Although millions of Delta ceramics have been implanted worldwide, short to midterm results have been scarcely reported in the literature. The purpose of this study was to report the complication rate at short to midterm follow-up associated with the bearing surface used in a series of primary total hip arthroplasties with Delta ceramic-on-ceramic bearings performed in a single institution. Methods: A total of 939 cases (880 patients) undergoing primary total hip arthroplasty with fourth-generation Delta ceramic-on-ceramic bearings were retrospectively reviewed. They were followed for an average of 5.3 years (2-10 years). Results: One hip experienced a liner fracture, 2 cups presented early loosening due to friction between the acetabular screw and the backside of the liner, one femoral ball head had a fracture; one case of squeaking was reported, which is impending revision. Considering revision or impending revision in relationship with the bearing surface as the end point, the mean survival rate was 99.3% (confidence interval 95%, 98.3%-99.7%) at 2-10 years. Conclusion: This study showed a low rate of ceramic fracture compared with others; however, it was much higher than the complication rate presented by the manufacturers. The complications observed were directly related to technical errors that surgeons should avoid when using this type of surface. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:480 / 486
页数:7
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