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. 2012 Jun;94(6):735-45.
doi: 10.1302/0301-620X.94B6.28801.

Ceramic-on-ceramic bearings in hip arthroplasty: state of the art and the future

J R T Jeffers  1 , W L Walter
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Free article

Ceramic-on-ceramic bearings in hip arthroplasty: state of the art and the future

J R T Jeffers et al. J Bone Joint Surg Br. 2012 Jun.
Free article

Abstract

This systematic review of the literature summarises the clinical experience with ceramic-on-ceramic hip bearings over the past 40 years and discusses the concerns that exist in relation to the bearing combination. Loosening, fracture, liner chipping on insertion, liner canting and dissociation, edge-loading and squeaking have all been reported, and the relationship between these issues and implant design and surgical technique is investigated. New design concepts are introduced and analysed with respect to previous clinical experience.

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