Alternative bearing surfaces including ceramic on polyethylene have been investigated in an effort to decrease the amount of polyethylene wear debris.
Ceramic on ceramic hip replacement complications.
These are becoming more popular for hip replacements.
The aim of this systematic review is to answer three questions.
Article in english german.
Unfortunately these hip replacements can wear out over time.
Polyethylene wear debris and the resulting inflammatory response leading to osteolysis and loosening is the primary mode of failure limiting the longevity of total hip replacements.
In an effort to reduce this wearing out of the hip replacement parts there are other materials used less commonly to replace the hip joint.
1 department of orthopaedics and trauma surgery universitätsklinikum bonn germany.
The present study aimed to evaluate the mid term results of the fourth generation of ceramic on ceramic cc bearing.
Disadvantages of ceramic hip replacement systems include the potential for the material to fracture the expense and noise.
Miki et al mid term results of cementless total hip replacement using a ceramic on ceramic bearing with and without computer navigation j bone joint surg br 89b 2007 p.
Few studies have assessed the outcomes of ceramic on ceramic total hip arthroplas ties tha by direct anterior approach daa.
Demographics surgical technique complications clinical and radiologic outcomes were analyzed in a series of 133 consecutive cc total hip arthroplasties thas with a newest generation cc bearings to determine if these provide safe and well performing bearings.
Ceramic hip replacement implants also use metal parts that fit within the bone but the bearing surface the ball and the socket can be made of the ceramic material.
Although the ceramics used are extremely hard and durable like diamond they are brittle.
1 are there risk factors for ceramic component fracture following total hip replacement.
Ceramic hip implants are designed to be the most scratch resistant and smoother which means that wear better than all of the hip replacement implants.
Fracture squeaking or dislocation.
Total hip arthroplasty for fused hips was performed in 1970s and subsequently successful surgical reconstruction of arthrodesed hip with total joint arthroplasty has been reported.
Ceramic on ceramic in total hip replacement revision.
2 is it possible to perform an early diagnosis of ceramic.
These so called alternative bearing surfaces can either be all metal no plastic or have ceramic parts.
However ceramic articulations have their own risk of unique complications.
Metal on metal hip replacement implants have the highest complication rates.
The aim was to evaluate the early complications and revision rate of ceramic on ceramic tha by daa.
Abstract available in german from the publisher cucchi d 1 gathen m 1 streicher r 2 wirtz dc 1.
4 10 11 23 fused hip secondary to diseases such as pyogenic arthritis or childhood trauma can cause.
Streicher gmbh feusisberg switzerland.
Ceramic bearing surfaces are increasingly used for total hip replacement notwithstanding that concern is still related to ceramic brittleness and its possible mechanical failure.