J Korean Orthop Assoc.  2010 Oct;45(5):342-346.

Ceramic on Ceramic Cementless Total Hip Arthroplasty Using a Large Diameter Head

• Choy WS
• Ahn JH
• Kam BS
• Yang DS
• Cha YH
• Lee NK

Abstract

PURPOSE
The authors evaluated the clinical and radiological results of ceramic on ceramic articulation cementless total hip arthroplasty using a large diameter head. MATERIALS AND
METHODS
Seventy-two hips were followed for more than 2 years after ceramic on ceramic articulation cementless total hip arthroplasty using a 36 mm diameter head. The mean patient age was 62 years (range: 50-85), and the mean follow-up period was 35.3 months (range: 25-53). The Harris hip score, the postoperative inguinal pain and the thigh pain were analyzed clinically. The radiological results were assessed using various radiological indices.
RESULTS
The mean Harris hip score improved from preoperative 57.5 points to postoperative 94.8 points. The postoperative mean flexion of hip was 109degrees (range: 100degrees-125degrees), external rotation was 42degrees (range: 35degrees-49degrees) and abduction was 35degrees (range: 30degrees-45degrees). There was one case of inguinal pain. Radiologically, all the stems demonstrated stable fixation without progressive subsidence of the stem or significant change in the cup obliquity. A radiolucent line was observed around the stem in 4 cases (5.6%) and around the cup in 2 cases (2.8%). Endosteal new bone formation was observed around the stem in 28 cases (38.9%) and around the cup in 26 cases (36.1%). There was no osteolysis around the stem or the cup.
CONCLUSION
The short-term results of ceramic on ceramic cementless total hip arthroplasty using a large diameter head demonstrated satisfactory results.

Keyword

cementless total hip arthroplasty; ceramic on ceramic articulation; large diameter head

MeSH Terms

Arthroplasty
Ceramics
Follow-Up Studies
Head
Hip
Humans
Osteogenesis
Osteolysis
Thigh
Ceramics

Figure

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  Figure 1 (A) An immediate postoperative radiograph of a 66-year-old male patient with avascular necrosis of right femoral head shows good position and alignment of the cup and stem. (B) A radiograph taken at postoperative 2 years and 6 months shows stable fixation of cup and stem without osteolysis.

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