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Erschienen in: HSS Journal ® 3/2012

01.10.2012 | Current Topics Concerning Joint Preservation and Minimally Invasive Surgery of the Hip

Ceramic-Ceramic Bearing: Too Unpredictable to Use it Regularly

verfasst von: Edwin P. Su, MD

Erschienen in: HSS Journal ® | Ausgabe 3/2012

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Abstract

Background:

Ceramic-on-ceramic (CoC) bearings have excellent tribologic properties because of the smoothness, hardness, and wettability of the material. Therefore, their use has been proposed in younger, active patients who may wear out a traditional metal-on-polyethylene bearing. The same material properties that are beneficial to tribology may also create problems, however. For example, squeaking and fracture of the bearing materials have been reported to occur.

Purpose:

The purpose of this paper was to investigate the literature reporting the complications of ceramic bearings and attempt to provide insight into their implications.

Methods:

The US National Library of Medicine Database (PubMed) was searched using the terms “ceramic-ceramic total hip replacement,” “complications,” “squeaking,” and “fracture.” Only clinical studies with a clear reporting of the incidence of these complications were included.

Results:

The literature reports that squeaking of the CoC bearing occurs in a certain percentage of patients and is likely indicative of edge loading and excessive wear. Other factors, such as patient height, weight, range of motion, and implant design, may contribute to the propensity for squeaking. Fracture is a unique risk of the CoC articulation that requires revision surgery. Though improvements in manufacturing techniques have reduced the fracture risk to a very low percentage, the ceramic material remains susceptible to this complication by impingement and component malposition.

Conclusions:

Because of these possible negative outcomes associated with the ceramic material, the CoC bearing is too unpredictable to use regularly, and its use should be limited to patients who would benefit the most from it.
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Metadaten
Titel
Ceramic-Ceramic Bearing: Too Unpredictable to Use it Regularly
verfasst von
Edwin P. Su, MD
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
HSS Journal ® / Ausgabe 3/2012
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-012-9289-5

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