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Introduction Ceramic-on-Ceramic (CoC) articulating surfaces are well known to combine properties of a high-strength, scratch-resistant material with very low coefficients of friction averaging 0.02, mimicking those of a normal joint. Their
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ranges from small asymptomatic cysts to large soft tissue masses (pseudotumours). 37 Ceramic-on-ceramic articulations After MoM, ceramic-on-ceramic (CoC) articulation, developed in France by Boutin in 1970, 38 was the second ‘alternative
Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
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Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
The Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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standard in many countries. 4 Introduction of metal-on-metal articulations, ceramic-on-ceramic and, above all later on, highly cross-linked polyethylene opened the possibility for the use of bigger head sizes, but recent studies have suggested limited
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heads (MoPE or CoPE). XLPE has been reported with less wear (MoXLPE or CoXLPE), but also with a decrease in mechanical proprieties; ceramic-on-ceramic (CoC) is related to much less wear and the highest bio-tolerability but carries the risk of breakage
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School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands
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School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
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MoP Fracture CoC implant Low Good C/P, central and peripheral; CoC, ceramic-on-ceramic; CoP, ceramic-on-polyethylene; MoM, metal-on-metal; MoP, metal-on-polyethylene; NOS, Newcastle–Ottawa Scale; P, plasma; ppb, parts per billion; S
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.025%, respectively, according to the manufacturer. Similar findings have been reported by Howard et al 35 in the largest independent study on fractures of ceramic-on-ceramic bearings. The study included 111 681 ceramic-on-ceramic THAs (79 442 AMC and 31 982 Al
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Orthopedics, Faculty of Medicine, Department of Clinical Sciences, Lund University, Malmö, Sweden
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BG Kliniken – Klinikverbund der gesetzlichen Unfallversicherung gGmbH, Berlin, Germany
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–zirconia-ceramics-on-highly cross-linked polyethylene with or without antioxidants, HXLPE) and hard-on-hard (i.e. ceramic-on-ceramic) pairings are the most common in use, all of which have distinct risk–benefit profiles ( 7 , 8 ). The idea of using alumina ceramics as a fabric
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three studies ( n = 94) specified the bearing surfaces used. There were 28 metal-on-polyethylene, 23 ceramic-on-ceramic, nine ceramic-on-polyethylene and 35 metal-on-metal. The demographics of the patients in the studies are summarized in Table 1
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Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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will be illustrated based on a study by Varnum et al 9 published in 2015: the aim was to compare cementless THA with ceramic-on-ceramic (CoC) bearings with metal-on-polyethylene (MoP) bearings in patients identified from the DHR. This was a
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece
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Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece
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Department of Trauma and Orthopaedics, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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risk, with ceramic-on-polyethylene being the most beneficial, followed by ceramic-on-ceramic, metal-on-polyethylene and finally by metal-on-metal bearing surfaces ( 51 , 52 , 53 , 54 , 55 ). Acetabular screws favor primary stability and ensure