Z Orthop Unfall 2007; 145: S25-S28
DOI: 10.1055/s-2007-965656
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Experiences with Bicontact Ceramic-Ceramic Total Hip Arthroplasty

E. T. Takata1 , R. Basile1 , W. M. Albertoni1
  • 1University of São Paulo, Clinic for Orthopaedics, Paulista School of Medicine, Brasil
Further Information

Publication History

Publication Date:
16 October 2007 (online)

Abstract

Aim: Mid-term result documentation of ceramic-on-ceramic cementless total hip replacement. Method: From November 1998 to December 2005, 356 patients were submitted to 419 total hip arthroplasties of the hip with a cementless, ceramic-ceramic Bicontact/Plasmacup type of prosthesis. Patients were controlled in a consecutive prospective study. Results: The average age of the patient group is 47.9 years, with an average follow-up of 48 months. There was no case with release of osteolysis of the acetabular or femoral components. There was one ceramic head fracture in an obese patient. Articular wear was negligible and could not be measured radiographically. Conclusion: The ceramic-ceramic Bicontact hip joint replacement presents a low complication rate in young patients, with very low wear.

References

  • 1 Hamadouche M, Boutin P, Daussange J, Bolander M E, Sedel L. Alumina-on-alumina total hip arthroplasty: a minimum 18.5-year follow-up study.  J Bone Joint Surg [Am]. 2002;  84 69-77
  • 2 Seyler T M, Bonutti P M, Shen J, Naughton M, Kester M. Use of an alumina-on-alumina bearing system in total hip arthroplasty for osteonecrosis of the hip.  J Bone Joint Surg [Am]. 2006;  88 (Suppl 3) 116-125
  • 3 Garino J P. Ceramic component fracture: trends and recommendations with modern components based on improved reporting methods. D'Antonio JA, Dietrich M (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. 10th Biolox Symposium, Washington DC, June 10 - 11, 2005. Darmstadt; Steinkopff Verlag 2005: 157-168
  • 4 Ha Y C, Kim S Y, Kim H J, Yoo J J, Koo K H. Ceramic liner fracture after cementless alumina-on-alumina total hip arthroplasty.  Clin Orthop Relat Res. 2007;  458 106-110
  • 5 Park Y S, Hwang S K, Choy W S, Kim Y S, Moon Y M, Lim S J. Ceramic failure after total hip arthroplasty with an alumina-on-alumina bearing.  J Bone Joint Surg [Am]. 2006;  88 780-787
  • 6 Muller F A, Hagymasi M, Greil P, Zeiler G, Schuh A. Transfer of metallic debris after dislocation of ceramic femoral heads in hip prostheses.  Arch Orthop Trauma Surg. 2006;  126 174-180
  • 7 Bal B S, Rahaman M N, Aleto T, Miller F S, Traina F, Toni A. The significance of metal staining on alumina femoral heads in total hip arthroplasty.  J Arthroplasty. 2007;  22 14-19
  • 8 McLean C R, Dabis H, Mok D. Case report - delayed fracture of the ceramic phemoral head after trauma.  J Arthroplasty. 2002;  17 503-504
  • 9 Allain J, Roudot-Thoraval F, Delecrin J, Anract P, Migaud H, Goutallier D. Revision total hip arthroplasty performed after fracture of a ceramic femoral head. A multicenter survivorship study.  J Bone Joint Surg [Am]. 2003;  85 825-830
  • 10 Walter W L, O'Toole G C, Walter W K, Ellis A, Zicat B A. Squeaking in ceramic-on-ceramic hips the importance of acetabular component orientation.  J Arthroplasty. 2007;  22 496-503
  • 11 Yoo J J, Kim Y M, Yonn K S, Koo K H, Song W S, Kim H J. Alumina-on-alumina total hip arthroplasty. A five-year minimum follow-up study.  J Bone Joint Surg [Am]. 2005;  87 530-535

Dr. MD Edmilson Takehiro Takata

Universidade Federal de São Paulo
Clínica Ortopédica
Escola Paulista de Medicina

Rua Borges Lagoa, 1065 Conj.126

Bairro Vila Clementino

04038-002 São Paulo

Brazil

Phone: + 55 11 55 73 52 97

Fax: + 55 11 55 73 52 97

Email: edmilsontakata@uol.com.br