Preventing ceramic liner fracture after Delta ceramic-on-ceramic total hip arthroplasty.

Archives of Orthopaedic and Trauma Surgery
Young-Kyun LeeKyung-Hoi Koo

Abstract

The results of total hip arthroplasty (THA) with use of Delta ceramic articulation were successful at medium term follow-up. The use of this newest ceramic has markedly reduced the incidence of ceramic head fractures, but not the incidence of ceramic liner fractures. We tested a hypothesis that the ceramic fractures are prevented by use of a metal shell with 18° inner taper angle and a stem design with a reduced neck geometry. We conducted a prospective multicenter study of cementless THA with use of 32/36-mm Delta ceramic bearing, Exceed ABT metal shell and Taperloc stem. We evaluated ceramic fracture, noise, clinical results, radiological changes and survival rate at a minimum of 5-year follow-up. From April 2010 to February 2012, 246 patients (274 THAs) were enrolled. Among them, 224 patients (130 men and 94 women, 250 hips) were followed-up for 5-8 years (mean 6.0 years). Ceramic malseating or fracture did not occur in any patient. Eight patients (8 hips, 3.2%) reported noise. Mean Harris hip score was 84 points at the latest follow-up. All acetabular and femoral components had bone-ingrown stability. Two hips were revised due to recurrent dislocation and periprosthetic fracture. The survival rate was 99.6% at 8 years posto...Continue Reading

References

Jan 1, 1987·The Journal of Bone and Joint Surgery. British Volume·C A EnghA H Glassman
Jul 1, 1996·The Journal of Bone and Joint Surgery. American Volume·H A Latimer, P F Lachiewicz
Feb 1, 1997·Journal of Biomedical Materials Research·J M DrouinG Fantozzi
Jan 12, 2005·Medical Engineering & Physics·I A AndersonT P Wyatt
Sep 5, 2006·The Journal of Arthroplasty·Matthew SquireSusan Odum
Feb 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Kyung-Hoi KooHee Joong Kim
Nov 4, 2008·Clinical Orthopaedics and Related Research·Lawrence D DorrZhinian Wan
Mar 13, 2009·Clinical Orthopaedics and Related Research·Anna N MillerDouglas E Padgett
Jun 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Christopher A JarrettChitranjan S Ranawat
Sep 22, 2009·Clinical Orthopaedics and Related Research·William G HamiltonJoel Politi
Jan 9, 2010·Orthopedics·Jaime A Carvajal AlbaHari K Parvataneni
Jul 28, 2010·The Journal of Bone and Joint Surgery. American Volume·Young-Kyun LeeHee Joong Kim
Nov 30, 2011·Clinical Orthopaedics and Related Research·James P McAuleyWilliam G Hamilton
Dec 14, 2011·The Journal of Bone and Joint Surgery. British Volume·W L WalterM A Tuke
Jul 11, 2012·Clinical Orthopaedics and Related Research·Yong-Chan HaKyung-Hoi Koo
Jul 12, 2013·BioMed Research International·Francesco TrainaCesare Faldini
Jul 2, 2015·Clinical Orthopaedics and Related Research·Seung-Hoon BaekShin-Yoon Kim
Feb 16, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Young-Kyun LeeKyung-Hoi Koo
Mar 14, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kiyokazu FukuiKazuhiro Shintani
Apr 14, 2016·The Journal of Arthroplasty·Young-Hoo KimJun-Shik Kim
Oct 19, 2016·The Journal of Arthroplasty·Young-Kyun LeeKyung-Hoi Koo
Jan 6, 2017·The Bone & Joint Journal·P P SaloA Eskelinen
Jun 2, 2017·The Bone & Joint Journal·Y K LeeK H Koo

❮ Previous
Next ❯

Citations

Jan 11, 2021·Journal of Orthopaedic Surgery and Research·Edward T DavisBranko Kopjar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.