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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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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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-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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required. Recently, the Australian National Joint Replacement Registry reported a significantly lower revision rate for HXLPE compared with standard PE for metal-on-HXLPE, and the 14-year cumulative revision rate decreased from 9.9% to 5.4%. For ceramic-on
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and Japan 20 in terms of prosthetic hip design, material quality and fixation methods. The introduction of Morse taper technology to orthopaedic surgery in 1974 was a key step for successful attachment of the ceramic head on the femoral component
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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
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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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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(MoM, CoC, metal-on-polyethylene (MoP) and ceramic-on-polyethylene (CoP)) and any type of hip arthroplasty design (hip resurfacing arthroplasty (HRA), short stem hip arthroplasty, and ‘conventional’ stemmed total hip arthroplasty, both uncemented and
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an situation, even so it might look corroded due to the Co and Cr debris from the inside head taper. After careful cleaning it is possible in most cases to maintain the stem and put on a ceramic head with a Ti-alloy adapter sleeve. 54 Both CoCr
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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Finnish Arthroplasty Register, Helsinki, Finland
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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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
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suggests that ceramic-on-ceramic (CoC) bearing surfaces may be associated with lower levels of infection compared with more commonly used metal-on-polyethylene (MoP) articulations. 108 – 110 An analysis of 623,253 patients who underwent primary hip
