Ceramic-on-ceramic THA Implants in Patients Younger Than 20 Years

Clinical Orthopaedics and Related Research
D HannoucheR Nizard

Abstract

Poor survival of THA implants in very young patients has been attributed to use of cemented implants, wear of conventional polyethylene, and the presence of morphologic deformities in the proximal femur or in the acetabulum. Few studies have reported the long-term results of ceramic-on-ceramic implants in THAs in patients younger than 20 years. We determined: (1) the proportion of patients who experienced complications related to the ceramic bearing (squeaking, fracture); (2) the survivorship free from loosening and free from revision for any reason; (3) whether patients with osteonecrosis had inferior survivorship compared with patients whose surgical indication was all other diagnoses including sequelae of pediatric hip disorders (developmental dysplasia of the hip, Legg-Calvé-Perthes disease, slipped capital femoral epiphysis); and (4) clinical function. Between 1979 and 2013, we performed 113 primary THAs in 91 patients younger than 20 years at the time of surgery. Of those, 105 THAs (83 patients) were done with ceramic-on-ceramic bearings (91% of the 91 patients); during that period, a ceramic-on-ceramic bearing couple was indicated in all patients younger than 20 years. In eight patients (eight hips), a cemented polyethyl...Continue Reading

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Citations

Jul 5, 2017·Archives of Orthopaedic and Trauma Surgery·Sammy A HannaPramod Achan
Feb 7, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Ishaan SwarupMark P Figgie
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Jan 27, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Stefan RahmPatrick O Zingg
Mar 17, 2021·Clinical Orthopaedics and Related Research·Kevin TaniguchiBrian Barlow
Jul 13, 2020·Morphologie : Bulletin De L'Association Des Anatomistes·P Massin
Jun 8, 2021·Journal of Pediatric Orthopedics·Eduardo N Novais
Jun 8, 2021·The Journal of Arthroplasty·Cynthia A KahlenbergMark P Figgie
Nov 16, 2021·The Journal of Bone and Joint Surgery. American Volume·Hong Seok KimKyung-Hoi Koo

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