Ceramic-on-Ceramic Total Hip Arthroplasty

被引:18
作者
Greene, Joseph W. [1 ]
Malkani, Arthur L. [1 ]
Kolisek, Frank R. [2 ]
Jessup, Nenette M. [2 ]
Baker, Dale L. [1 ]
机构
[1] Univ Louisville, Dept Orthopaed Surg, Sch Med, Louisville, KY 40202 USA
[2] Indiana Univ, OrthoIndy & Dept Orthopaed Surg, Sch Med, Indianapolis, IN USA
关键词
ceramic-on-ceramic; total hip arthroplasty; bearing surfaces; squeaking; WEAR;
D O I
10.1016/j.arth.2009.04.029
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
Ceramic bearing Surfaces have been introduced to prevent bone loss after osteolysis seen with conventional polyethylene bearing surfaces. One hundred three ceramic-on-ceramic total hip arthroplasties in 97 patients were retrospectively reviewed. Average follow-up was 50.4 months. Preoperative Harris Hip Score was 49.5 points, which improved to 87.2 postoperatively (P< .05). Pain score improved from 13.7 points preoperatively to 40.6 points postoperatively (P < .05). Functional score improved from 30 points preoperatively to 41 points postoperatively (P < .05). No fractures, dislocations, infections, or osteolysis was observed on radiographs. Five patients (4.9%), at 11, 16, 30, 38, and 60 months postoperatively, presented with "squeaky" hips that continue to perform well. Long-term Studies will be required to determine the true efficacy of these hard bearing surfaces.
引用
收藏
页码:15 / 18
页数:4
相关论文
共 23 条
[1]
The wear pattern in metal-on-metal hip prostheses [J].
Anissian, HL ;
Stark, A ;
Good, V ;
Dahlstrand, H ;
Clarke, IC .
JOURNAL OF BIOMEDICAL MATERIALS RESEARCH, 2001, 58 (06) :673-678
[2]
ARRIS W, 2004, CLIN ORTHOP RELAT R, V429, P63
[3]
BIERBAUM BE, 2002, CLIN ORTHOP RELAT R, V405, P158
[4]
BIZOT P, 2001, CLIN ORTHOP RELAT R, V393, P85
[5]
Arthroplasty options for the young patient [J].
Bourne, RB ;
Barrack, R ;
Rorabeck, CH ;
Salehi, A ;
Good, V .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (441) :159-167
[6]
THE USE OF DENSE ALUMINA ALUMINA CERAMIC COMBINATION IN TOTAL HIP-REPLACEMENT [J].
BOUTIN, P ;
CHRISTEL, P ;
DORLOT, JM ;
MEUNIER, A ;
DEROQUANCOURT, A ;
BLANQUAERT, D ;
HERMAN, S ;
SEDEL, L ;
WITVOET, J .
JOURNAL OF BIOMEDICAL MATERIALS RESEARCH, 1988, 22 (12) :1203-1232
[7]
CLARKE IC, 2000, CLIN ORTHOP RELAT R, V379, P34
[8]
D'Antonio J., 2005, Clinical Orthopaedics and Releated Research, V436, P164
[9]
HANNOUCHE D, 2005, CLIN ORTHOP RELAT R, V430, P62
[10]
HANNOUCHE D, 2005, CLIN ORTHOP RELAT R, V417, P19