J Korean Orthop Assoc.  2008 Aug;43(4):495-500. 10.4055/jkoa.2008.43.4.495.

Total Hip Arthroplasty using a Ceramic on Ceramic Bearing Surfaces

• Kim DJ
• Ki SC
• Park KH
• Kim YH
• Chung YY

• KMID: 1480411
• DOI: http://doi.org/10.4055/jkoa.2008.43.4.495

Abstract

PURPOSE: To evaluate the clinical and radiological results of total hip arthroplasty using a ceramic on ceramic bearing surfaces.
MATERIALS AND METHODS
From April 1999 to April 2005, 53 hips had total hip arthroplasty with a ceramic on ceramic bearing surfaces in our hospital. Causes of total hip arthroplasty were avascular necrosis of femoral head in 47 hips, osteoarthritis in 3 hips and ankylosing spondylitis in 3hips. We used three kinds of acetabular cup and two kinds of femoral stem in this study. Follow-up period was an average of 55months (24-92). Clinical results were evaluated with Harris hip score and squeak sound. Radiological results included liner wear rate, breakage of ceramic, component loosening and osteolysis.
RESULTS
Mean Harris hip scores improved from 58 to 88.3. No breakage of ceramic liner or head occurred. No acetabular or femoral osteolysis was seen. Audible squeak sound or sensation was detected in 10 hips (18%). Revision was done in three cases (5.7%), the cause of one of them was acetabular cup loosening.
CONCLUSION
Total hip arthroplasty with a ceramic on ceramic bearing surfaces showed satisfactory clinical and radiological results in an average of 4.6 years follow-up. However, we have to study causes and adverse effect of squeaking on the total hip arthroplasty.

Keyword

Hip; Total hip arthroplasty; Ceramic on ceramic bearing surface; Squeak sound

MeSH Terms

Arthroplasty
Ceramics
Follow-Up Studies
Head
Hip
Necrosis
Osteoarthritis
Osteolysis
Sensation
Spondylitis, Ankylosing
Ursidae
Ceramics

Figure

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  Fig. 1 Fifty-six year old male underwent total hip arthroplasty with ceramic on ceramic bearing surface for avascular necrosis of the both femoral heads. Five years after THR, he complained of weir sound without pain in his right joint when he rose up from squatting position irregularly. Abduction angle of the acetabular cup was 34 degree on right side and 40 degree on left side (A). Anteversion was 30degree on right side and 15 degree on left side (B). There was no osteolysis and loosening signs on the 7 years follow-up radiographs (C).

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