Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
Search for other papers by Georgios Tsikandylakis in
Google Scholar
PubMed
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
Search for other papers by Soren Overgaard in
Google Scholar
PubMed
Search for other papers by Luigi Zagra in
Google Scholar
PubMed
Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
The Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Search for other papers by Johan Kärrholm in
Google Scholar
PubMed
a CoC articulation. None of the hips developed osteolysis. Lee et al followed 72 patients (86 THAs) with contemporary delta ceramic bearings for a minimum of five years in patients younger than 30 years. 52 Eight hips exhibited squeaking or
Search for other papers by Dongmei Wu in
Google Scholar
PubMed
Search for other papers by Rohan M Bhalekar in
Google Scholar
PubMed
Search for other papers by Jordan S Marsh in
Google Scholar
PubMed
Search for other papers by David J Langton in
Google Scholar
PubMed
Search for other papers by Alan J Stewart in
Google Scholar
PubMed
, approximately 35% of hip arthroplasty (HA) procedures involved MoM implants, and over 1 million MoM HAs have been performed worldwide so far ( 2 , 3 ). However, the usage of CoCr alloys in MoM bearings is related to the initiation of a series of complications
Search for other papers by Luigi Zagra in
Google Scholar
PubMed
Search for other papers by Enrico Gallazzi in
Google Scholar
PubMed
.5% for THA performed. 6 While THA is a successful procedure in most cases, failures are still recorded. Overall, excluding metal-on-metal (MoM) bearings from the analysis, failures due to articulating materials represent around 5% of the total
Search for other papers by Philippe Hernigou in
Google Scholar
PubMed
Search for other papers by François Roubineau in
Google Scholar
PubMed
Search for other papers by Charlie Bouthors in
Google Scholar
PubMed
Search for other papers by Charles-Henri Flouzat-Lachaniette in
Google Scholar
PubMed
superior wettability and hydrophilic surfaces aid in lubrication. Furthermore, the most recent studies have demonstrated new long-term advantages with current ceramic-bearing couples. However, the most important current concerns about CoC bearings are
Search for other papers by Luigi Zagra in
Google Scholar
PubMed
various hip implant bearings. 26 RCTs show similar short- to mid-term survivorship among ceramic-on-ceramic (CoC), ceramic-on-highly cross-linked polyethylene (XPE) and metal-on-XPE in patients younger than 65 years. 27 Standard polyethylene (PE
Search for other papers by Carsten Perka in
Google Scholar
PubMed
Orthopedics, Faculty of Medicine, Department of Clinical Sciences, Lund University, Malmö, Sweden
Search for other papers by Maziar Mohaddes in
Google Scholar
PubMed
Search for other papers by Luigi Zagra in
Google Scholar
PubMed
BG Kliniken – Klinikverbund der gesetzlichen Unfallversicherung gGmbH, Berlin, Germany
Search for other papers by Axel Ekkernkamp in
Google Scholar
PubMed
Search for other papers by Niklas Keller in
Google Scholar
PubMed
Search for other papers by Dirk Stengel in
Google Scholar
PubMed
)), less than 35 000 patients were enrolled in RCTs between 2000 and 2020 to study new developments or modifications like cementless fixation, short stems, novel bearings, etc., in a causal fashion ( 16 , 17 ). In such a situation, it is inevitable to
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Search for other papers by Georgios Tsikandylakis in
Google Scholar
PubMed
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Search for other papers by Maziar Mohaddes in
Google Scholar
PubMed
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Department of Orthopaedics, Prince Philip Hospital, HDUHB, Wales
Search for other papers by Peter Cnudde in
Google Scholar
PubMed
Finnish Arthroplasty Register, Helsinki, Finland
Search for other papers by Antti Eskelinen in
Google Scholar
PubMed
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Search for other papers by Johan Kärrholm in
Google Scholar
PubMed
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
Search for other papers by Ola Rolfson in
Google Scholar
PubMed
review, the use of 28 mm or greater head diameter in THA with metal-on-XLPE (MoXLPE), ceramic-on-XLPE (CoXLPE) and ceramic-on-ceramic (CoC) bearings is analyzed with respect to range of movement, dislocation, functional outcomes, wear, taper corrosion and
Search for other papers by J R W Crutsen in
Google Scholar
PubMed
Search for other papers by M C Koper in
Google Scholar
PubMed
Search for other papers by J Jelsma in
Google Scholar
PubMed
Search for other papers by M Heymans in
Google Scholar
PubMed
School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands
Search for other papers by I C Heyligers in
Google Scholar
PubMed
Search for other papers by B Grimm in
Google Scholar
PubMed
Search for other papers by N M C Mathijssen in
Google Scholar
PubMed
School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Search for other papers by M G M Schotanus in
Google Scholar
PubMed
cobalt concentrations are often seen after implantation of metal-on-metal (MoM) hip bearings ( 7 ). This can be due to the release of ions from the metal (cobalt–chromium) surface either directly (corrosion) or during sliding under load, which may create
Search for other papers by Didier Hannouche in
Google Scholar
PubMed
Search for other papers by Matthieu Zingg in
Google Scholar
PubMed
Search for other papers by Hermes Miozzari in
Google Scholar
PubMed
Search for other papers by Remy Nizard in
Google Scholar
PubMed
Search for other papers by Anne Lübbeke in
Google Scholar
PubMed
zirconium. 8 , 9 In this review, the long-term clinical results with third-generation pure Al-Al bearings and their complications will be presented and compared with other available ceramics. A brief history of Al ceramics in orthopaedics Al is
Search for other papers by Theofilos Karachalios in
Google Scholar
PubMed
Search for other papers by George Komnos in
Google Scholar
PubMed
Search for other papers by Antonios Koutalos in
Google Scholar
PubMed
in vivo . 11 Hard-on-hard bearings, such as ceramic-on-ceramic (CoC), with survival rates of approximately 97% at ten years, or metal-on-metal (MoM), with survival rates of approximately 90% at ten years (in the best reports), were initially