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. 2011 Nov;35(11):1599-604.
doi: 10.1007/s00264-010-1185-3. Epub 2010 Dec 21.

Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

Christophe Chevillotte  1 , Vincent Pibarot, Jean-Paul Carret, Jacques Bejui-Hugues, Olivier Guyen
Affiliations

Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

Christophe Chevillotte et al. Int Orthop. 2011 Nov.

Abstract

The aim of this study was to evaluate the first 100 cementless ceramic-on-ceramic total hip arthroplasty (THA) performed at our institution with more than nine years of follow-up. Clinical evaluation was performed using Harris hip score. Radiological evaluation was performed by two surgeons. Four patients were lost to follow-up. Harris hip score significantly improved at latest follow-up. Radiological analysis showed calcar osteolysis for 75 patients and one cup loosening. One patient required a revision five years postoperatively for cup loosening. Based on these results and the routine use of a navigation system to optimise positioning of the implants, we advocate the use of uncemented hydroxyapatite coated ceramic-on-ceramic THA in young and active patients in our current practice.

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Figures

Fig. 1
Fig. 1
a Acetabular implant. b Stem implant
Fig. 2
Fig. 2
Aseptic loosening of the acetabulum at nine years of follow-up
Fig. 3
Fig. 3
Calcar osteolysis at nine years of follow-up
Fig. 4
Fig. 4
Survivorship with revision for any reason of either component as an end point
Fig. 5
Fig. 5
Survivorship of the acetabular implant with revision for aseptic loosening or clinical loosening as an end point
See this image and copyright information in PMC

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