Primary Cementless Total Hip Arthroplasty with an Alumina Ceramic-on-Ceramic Bearing Results After a Minimum of Twenty Years of Follow-up

被引:62
|
作者
Petsatodis, George E. [1 ]
Papadopoulos, Pericles P. [1 ]
Papavasiliou, Kyriakos A. [1 ]
Hatzokos, Ippokratis G. [1 ]
Agathangelidis, Filon G. [1 ]
Christodoulou, Anastasios G. [1 ]
机构
[1] Aristotle Univ Thessaloniki, Orthopaed Dept 1, G Papanikolaou Gen Hosp, Sch Med, Thessaloniki 57010, Greece
来源
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME | 2010年 / 92A卷 / 03期
关键词
YOUNG-PATIENTS; WEAR; DISLOCATION; STEM;
D O I
10.2106/JBJS.H.01829
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
摘要
Background: The biological problems related to wear debris after total hip arthroplasty have stimulated renewed interest in alternatives to meta I-on-polyethylene bearing surfaces. Methods: We retrospectively evaluated the clinical and radiographic results of 100 patients who had undergone a total of 109 primary total hip arthroplasties with a cementless alumina ceramic-on-ceramic prosthesis between January 1985 and December 1989. The mean age of the patients at the time of the index arthroplasty was forty-six years. Clinical evaluation was performed with use of the Charnley modification of the Merle d'Aubigne-Postel scale. Seventy-eight patients who had had a total of eighty-five arthroplasties were available for follow-up evaluation at an average of 20.8 years. The patients' average age at the time of the latest follow-up was 66.8 years. Results: Six hips (six acetabular cups and one femoral stem) in six patients underwent revision. Aseptic loosening of the cup combined with focal osteolysis was the cause of all six revisions. In one patient, the stem was also revised because of aseptic loosening. At the time of final follow-up, the result was excellent (according to the Merle d'Aubigne-Postel scale) in 68% of the hips, good in 19%, fair in 9%, and poor in 4%. The mean Merle d'Aubigne-Postel score improved from 7.9 points preoperatively to 16.9 points postoperatively (p < 0.001). The cumulative rate of survival of the prostheses was 84.4% at 20.8 years. Conclusions: The results of these cementless ceramic-on-ceramic total hip arthroplasties continued to be satisfactory at a minimum of twenty years postoperatively. The improved design of contemporary prostheses and the new generation of ceramic-on-ceramic bearing surfaces may lead to even better long-term results.
引用
收藏
页码:639 / 644
页数:6
相关论文
共 50 条
  • [21] Cementless total hip arthroplasties using ceramic-on-ceramic articulation in young patients - A minimum 5-year follow-up study
    Huo, MH
    Martin, RP
    Zatorski, LE
    Keggi, KJ
    JOURNAL OF ARTHROPLASTY, 1996, 11 (06): : 673 - 678
  • [22] Hip Squeaking after Ceramic-on-ceramic Total Hip Arthroplasty
    Wu, Guo-Liang
    Zhu, Wei
    Zhao, Yan
    Ma, Qi
    Weng, Xi-Sheng
    CHINESE MEDICAL JOURNAL, 2016, 129 (15) : 1861 - 1866
  • [23] Increase in Benign Squeaking Rate at Five-Year Follow-Up: Results of a Large Diameter Ceramic-on-Ceramic Bearing in Total Hip Arthroplasty
    Goldhofer, Markus I.
    Munir, Selin
    Levy, Yadin D.
    Walter, William K.
    Zicat, Bernard
    Walter, William L.
    JOURNAL OF ARTHROPLASTY, 2018, 33 (04): : 1210 - 1214
  • [24] Hip Squeaking after Ceramic-on-ceramic Total Hip Arthroplasty
    Guo-Liang Wu
    Wei Zhu
    Yan Zhao
    Qi Ma
    Xi-Sheng Weng
    中华医学杂志英文版, 2016, 129 (15) : 1861 - 1866
  • [25] Ceramic-on-Ceramic or Metal-on-Polyethylene: The Bearing of Choice after Ceramic Component Fracture in Total Hip Arthroplasty along with Concise Follow-Up of the Previous Cohort
    Kim, Hong Seok
    Lee, Han Jin
    Lee, Soong Joon
    Yoo, Jeong Joon
    ORTHOPAEDIC SURGERY, 2023, 15 (11) : 2864 - 2871
  • [26] Serum Ion Levels after Ceramic-on-Ceramic and Metal-on-Metal Total Hip Arthroplasty: 8-Year Minimum Follow-up
    Savarino, Lucia
    Padovanni, Giovanni
    Ferretti, Massimo
    Greco, Michelina
    Cenni, Elisabetta
    Perrone, Giorgio
    Greco, Francesco
    Baldini, Nicola
    Giunti, Armando
    JOURNAL OF ORTHOPAEDIC RESEARCH, 2008, 26 (12) : 1569 - 1576
  • [27] Cementless total hip arthroplasty with ceramic-on-ceramic bearing in patients younger than 45 years with femoral-head osteonecrosis
    Young-Hoo Kim
    Yoowang Choi
    Jun-Shik Kim
    International Orthopaedics, 2010, 34 : 1123 - 1127
  • [28] Natural history of noise and squeaking in cementless ceramic-on-ceramic total hip arthroplasty
    Inagaki, Kenta
    Iida, Satoshi
    Miyamoto, Shuichi
    Suzuki, Chiho
    Nakatani, Takushi
    Shinada, Yoshiyuki
    Kawarai, Yuya
    Hagiwara, Shigeo
    Nakamura, Junichi
    Orita, Sumihisa
    Ohtori, Seiji
    JOURNAL OF ORTHOPAEDICS, 2020, 21 : 544 - 549
  • [29] Cementless total hip arthroplasty with ceramic-on-ceramic bearing in patients younger than 45 years with femoral-head osteonecrosis
    Kim, Young-Hoo
    Choi, Yoowang
    Kim, Jun-Shik
    INTERNATIONAL ORTHOPAEDICS, 2010, 34 (08) : 1123 - 1127
  • [30] Quarter Century Outcomes of Alumina Ceramic-on-Ceramic Total Hip Arthroplasty
    Kim, Hong Seok
    Yoo, Jeong Joon
    JOURNAL OF ARTHROPLASTY, 2025, 40 (04): : 992 - 998