Cementless Total Hip Arthroplasty Using a Ceramic on Ceramic Bearing Surface - The Clinical Results of a Minimum 10-year Follow-up for Patients with Short Term Follow-up -

Gyu Min Kong; Joo Yong Kim; Jang Seok Choi; Ki Chan An; Dae Hyun Park; Jae Yong Kwak; Kwang Hun An

doi:10.5371/hp.2013.25.4.254

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Kong, Kim, Choi, An, Park, Kwak, and An: Cementless Total Hip Arthroplasty Using a Ceramic on Ceramic Bearing Surface - The Clinical Results of a Minimum 10-year Follow-up for Patients with Short Term Follow-up -

Original Article

Hip & Pelvis 2013; 25(4): 254-259.

Published online: 31 December 2013

DOI: https://doi.org/10.5371/hp.2013.25.4.254

Cementless Total Hip Arthroplasty Using a Ceramic on Ceramic Bearing Surface - The Clinical Results of a Minimum 10-year Follow-up for Patients with Short Term Follow-up -

Gyu Min Kong, MD, Joo Yong Kim, MD, Jang Seok Choi, MD, Ki Chan An, MD, Dae Hyun Park, MD, Jae Yong Kwak, MD, Kwang Hun An, MD

Department of Orthopaedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.

Address reprint request to Gyu Min Kong, MD. Department of Orthopaedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, 75 Bokji-ro, Busanjin-gu, Busan 614-735, Korea. TEL: +82-51-890-6257, FAX: +82-51-890-6619, docos@naver.com

Received 19 July 2013 Revised 20 November 2013 Accepted 20 November 2013

(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 purpose of this study is to report on the clinical results of more than 10 years of follow-up after ceramic articulation total hip arthroplasty in patients younger than 50 years old who had reported a result of short-term follow-up.

Materials and Methods

We studied 25 patients who underwent cementless THA using ceramic on ceramic articulation between Jan 1998 and Dec 2001. They were followed up for 2-4 years, with good results, and could be followed up for more than 10 years. The evaluation of clinical results included Harris hip score (HHS) and occurrence of thigh pain. Radiologic evaluation was based on osteolysis and the stability of components.

Results

The mean HHS improved from 57.7 to 93.3 during the period of 2-4 years of follow-up and 91.0 at more than 10 years of follow-up. Two patients experienced thigh pain during the period of 2-4 years of follow-up and none of the patients had thigh pain at more than 10 years of follow-up. On the last radiographs, stable fixation was observed in all cases, except for one case of ceramic fracture.

Conclusion

Clinical and radiologic observations of cementless ceramic on ceramic articulation THA in active patients younger than 50 years old who reported a favorable short-term result showed a satisfactory long-term result.

Keywords: Total hip replacement arthroplasty, Cementless, Ceramic-ceramic articulation, Long term follow up

Figures and Tables

Fig. 1

Cementless ceramic-on-ceramic THA was performed in 33-year old female patient with osteonecrosis of femoral head. (A) Preoperative radiograph (B) postoperative radiograph of 3-year follow-up. (C) There was no definite osteolysis or cup migration on 10-year follow-up radiograph.

Fig. 2

Cementless ceramic-on-ceramic THA was performed in 45-year old male patient with osteonecrosis of femoral head. (A) Radiograph of complication, ceramic fracture. (B) Postoperative radiograph of change of ceramic head & liner.

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