J Korean Hip Soc.  2010 Sep;22(3):183-188. 10.5371/jkhs.2010.22.3.183.

Cementless Total Hip Arthroplasty with Alumina Ceramic-on-Ceramic Articulation

• Kim DH
• Lee SH
• You JW
• Cho SW

• KMID: 1461168
• DOI: http://doi.org/10.5371/jkhs.2010.22.3.183

Abstract

PURPOSE
We wanted to evaluate the clinical and radiological results of total hip arthroplasty using a ceramic-on-ceramic articulation.
MATERIALS AND METHODS
From March 2004 to February 2006, total hip arthroplasty was performed in 21 patients and 31 hips. The mean follow up period was 56 months (range: 48~72 months). The causes for the AVN were alcohol in 12 cases, idiopathic in 10 cases, steroid in 6 cases and post-traumatic in 3 cases. The clinical results were evaluated using the Harris hip score and according to the pain on the inguinal area or thigh. The radiographic evaluation was performed to determine the level of osteolysis and instability around the acetabular cup and femoral stem, the position of the femoral stem and the wear of the articular surface.
RESULTS
At the most recent follow-up, the mean Harris hip score was 93 points with no inguinal or thigh pain. The complications included one case of peroneal nerve palsy, one case of ceramic head fracture, two cases of noise in the joint, two cases of posterior dislocation and two patients died because of complication related to liver cirrhosis. Radiologically, bone ingrowth was noted in all the cases with no migration of the acetabular component and femoral stem, changing of the position or osteolysis.
CONCLUSION
Total hip arthroplasty with ceramic on ceramic articulation shows satisfactory results at an average of 56 months follow up. There was bone ingrowth in all cases except for one ceramic head fracture. Further follow-up study should be performed to evaluate the long-term results.

Keyword

Femoral head; Avascular necrosis; Total hip arthroplasty; Ceramic on ceramic articulation

MeSH Terms

Aluminum Oxide
Arthroplasty
Ceramics
Dislocations
Follow-Up Studies
Head
Hip
Humans
Joints
Liver Cirrhosis
Noise
Osteolysis
Paralysis
Peroneal Nerve
Thigh
Aluminum Oxide
Ceramics

Figure

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  Fig. 1 65 years old male (A) Radiograph shows right hip AVN. (B,C) Fifty-one months after operation, the follow-up radiograph shows that there is no acetabular and femoral component osteolysis.

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  Fig. 2 42 year old male, (A) Radiograph shows left hip AVN. (B) Radiograph shows post-operation. (C) Radiograph shows left hip ceramic femoral head fracture thirty-nine months after operation. (D) The follow-up radiograph shows good state of hip three months after revision.

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