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

Won Sik Choy; Jae Hoon Ahn; Byoung Sup Kam; Dae-Suk Yang; Yong-Han Cha; Neung-Ki Lee

doi:10.4055/jkoa.2010.45.5.342

Journal List > J Korean Orthop Assoc > v.45(5) > 1013015

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Choy, Ahn, Kam, Yang, Cha, and Lee: Ceramic on Ceramic Cementless Total Hip Arthroplasty Using a Large Diameter Head

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2010; 45(5): 342-346.

Published online: 31 October 2010

DOI: https://doi.org/10.4055/jkoa.2010.45.5.342

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

Won Sik Choy, M.D., Jae Hoon Ahn, M.D., Byoung Sup Kam, M.D., Dae-Suk Yang, M.D., Yong-Han Cha, M.D., Neung-Ki Lee, M.D.

Department of Orthopedic Surgery, Eulji University College of Medicine, Daejeon, Korea.

Correspondence to: Jae Hoon Ahn, M.D. Department of Orthopedic Surgery, Eulji University College of Medicine, 1306, Dunsan-dong, Seo-gu, Daejeon 302-799, Korea. TEL: +82-42-611-3280, FAX: +82-42-259-1289, jhahn@eulji.ac.kr

Received 12 January 2010 Accepted 16 April 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 109° (range: 100°-125°), external rotation was 42° (range: 35°-49°) and abduction was 35° (range: 30°-45°). 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.

Keywords: cementless total hip arthroplasty, ceramic on ceramic articulation, large diameter head

Figures and Tables

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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