Ceramic-on-Ceramic Bearing Total Hip Arthroplasty: Five-Year Midterm Follow-up Results

Soo Jae Yim; Mun Suk Jang; Joon Hee Yoon; Sang Hyok Lee; Hee kyung Kang

doi:10.5371/jkhs.2011.23.4.268

Journal List > J Korean Hip Soc > v.23(4) > 1048737

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Yim, Jang, Yoon, Lee, and Kang: Ceramic-on-Ceramic Bearing Total Hip Arthroplasty: Five-Year Midterm Follow-up Results

Original Article

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2011; 23(4): 268-274.

Published online: 31 December 2011

DOI: https://doi.org/10.5371/jkhs.2011.23.4.268

Ceramic-on-Ceramic Bearing Total Hip Arthroplasty: Five-Year Midterm Follow-up Results

Soo Jae Yim, MD, Mun Suk Jang, MD, Joon Hee Yoon, MD, Sang Hyok Lee, MD, Hee kyung Kang, MD

Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Address reprint request to Sang Hyok Lee, MD. Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, 1174 Jung-dong, Wonmi-gu, Bucheon 420-767, Korea. TEL: +82-32-621-5258, FAX: +82-32-621-5018, sang158@hanmail.net

Received 24 July 2011 Revised 12 December 2011 Accepted 12 December 2011

Abstract

Purpose

We believe that cemented femoral stems will relieve the stiffness of ceramic-based bearings, resulting in reduced complication of ceramic-on-ceramic bearing total hip arthroplasty (THA). The purpose of this study was to evaluate the midterm effect of ceramic-on-ceramic bearing THA using cemented femoral stems.

Materials and Methods

We studied 32cases (30 patients) of THA using ceramic-on-ceramic bearing cemented femoral stems and 33 cases (31 patients) of THA using ceramic-on-ceramic bearing cementless femoral stems. All total hip arthroplasties were performed between January 2004 and December 2005 and were followed up for more than 5 years. The clinical results and radiographic results were evaluated.

Results

The mean HHS improved from points pre-operatively to points at the last follow-up in both the cemented and cementless stem groups (P<0.05). The mean WOMAC score also improved from points pre-operatively to points at the last follow-up in both the cemented and cementless stem groups (P<0.05). But no statistically significant difference was noted between the cemented and cementless stem groups in HHS and WOMAC scores (P=0.304, P=0.769). There were 3 patients with a sense of discomfort on ambulation and 5 patients with thigh pain in the cementless stem group and no cases in the cemented stem group. There was no instance of acetabular loosening in either group. Subsidenc of the cemented femoral stem was less than 1mm in 30 cases and less than 2 mm in 2 cases. All cementless femoral stems acquired firm bony union.

Conclusion

Midterm results showed no statistical links between ceramicon-ceramic-bearing THA using cemented femoral stems or cementless femoral stems.

Keywords: Hip, Total hip arthroplasty, Ceramic-on-ceramic articulation, Cemented femoral stem

Figures and Tables

Fig. 1

68-Years old female, patient was operated by ceramic-on-ceramic total hip arthroplasty using cementless stems due to degenerative osteoarthritis. (A) Preoperative, (B) postoperative 1-year follow-up and (C) last follow-up radiography was showed. Last follow up radiography was showed remodeling trabeclula on proximal femur. But patient complained uncomfortable sense of right hip and pain of thigh on ambulation.

Fig. 2

Cemented femoral stem has showed double tapered, collarless, polished wedge design.

Table 1

Clinical Result of Cemented and Cementless Stem Group

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