Keywords
total knee arthroplasty
ceramics
polyethylene
surface bearing
How to Cite
Abstract
Summary. Total hip arthroplasty (THA) currently provides durable long-term outcomes, but osteolysis secondary to polyethylene wear debris remains a fundamental cause of aseptic loosening and revision. Conventional polyethylene failed to provide a suitable bearing for young active patients requiring joint replacement because of the significant demands they place on such bearings. Strategies to reduce friction and wear debris lead to the development of ceramic bearings in THA. The next decade is unlikely to see a paradigm shift in the materials used for THA. Instead, the challenges will be aimed at improving surgical technique in terms of component orientation to improve reproducibility and achieve superior patient outcomes. The optimum bearing surface is one with very low wear rates, a low coefficient of friction, scratch resistance, and is biologically inert. It is also one that can safely accommodate larger femoral head sizes to minimize dislocation rates without damaging the taper junction. Such a material already exists with modern ceramic bearings.
References
Huet R, Sakona A, Kurtz SM. Strength and reliability of alumina ceramic femoral heads: Review of design, testing, and retrieval anal- ysis. J Mech Behav Biomed Mater 2011;4(3):476-83.
Walter WL, Oʼtoole GC, Walter WK, Ellis A, Zicat BA. Squeaking in ceramic-on-ceramic hips: the importance of acetabular component orientation. Journal of Arthroplasty 2007;22:496–503.
Szymanski C, Gueriot S, Boniface O, Deladerriere JY, Luneau S, Maynou C. Sandwich type ceramic liner fracture rate with the Atlas III socket: A study of 144 primary total hip replacements at a mean 74 months’ follow-up. Orthop Traumatol Surg Res 2011;97(5):494- 500.
Hamilton WG, McAuley JP, Dennis DA, Murphy JA, Blumenfeld TJ, Politi J. THA with Delta ceramic on ceramic: results of a multicenter investigational device exemption trial. Clin Orthop Relat Res 2010;468(2):358-66.
Willmann G. Ceramic femoral head retrieval data. Clinical Ortho- paedics and Related Research 2000;379:22–8.
Sadoghi P, Pawelka W, Liebensteiner MC, et al. The incidence of implant fractures after total hip arthroplasty. International Ortho- paedics 2014; 38:39–46.
Sexton SA, Yeung E, Jackson MP, Rajaratnam S, Martell JM, Walter WL, Zicat BA, Walter WK. The role of patient factors and implant position in squeaking of ceramic-on-ceramic total hip replacements. J Bone Joint Surg Br 2011; 93(4):439-42.
Stanat SJ, Capozzi JD. Squeaking in third- and fourth-generation ceramic-on-ceramic total hip arthroplasty: meta-analysis and systematic review. J Arthroplasty 2012;27(3):445-53. Epub 2011 Jun 14. Review.
Restrepo C, Post ZD, Kai B, Hozack WJ. The effect of stem design on the prevalence of squeaking following ceramic-on-ceramic bearing total hip arthroplasty. J Bone Joint Surg Am 2010;92(3):550-7.
Glaser D, Komistek RD, Cates HE, Mahfouz MR. Clicking and squeaking: in vivo correlation of sound and separation for different bearing surfaces. J Bone Joint Surg Am 2008;90 Suppl 4:112-20.
Currier JH, Anderson DE, Van Citters DW. A proposed mecha- nism for squeaking of ceramic-on-ceramic hips. Wear 2010;269(11- 12):782-9.
Stafford GH, Islam SU, Witt JD. Early to mid-term results of ceramic-on-ceramic total hip replacement: analysis of bearing-sur- face-related complications. J Bone Joint Surg Br 2011;93(8):1017- 20.
Hamilton WG, McAuley JP, Dennis DA, et al. THA with Delta ceramic on ceramic results of a multicenter investigational de- vice exemption trial. Clinical Orthopaedics and Related Research 2010;468:358.
Kim YH, Park JW, Kim JS. Alumina Delta-on-Alumina Delta bearing in cementless total hip arthroplasty in patients aged 50 years. Journal of Arthroplsty 2016;31(10):2209–14 [pii: S0883- S5403(16)30763-X].
DʼAntonio JA, Capello WN, Naughton M. Ceramic bearings for total hip arthroplasty have high survivorship at 10 years. Clinical Orthopaedics and Related Research 2012;470:373–81.
Walter WL, Insley GM, Walter WK, Tuke MA. Edge loading in third generation alumina ceramic-on-ceramic bearings: stripe wear. Journal of Arthroplasty 2004;19:402–13.
Higuchi Y, Hasegawa Y, Seki T, Komatsu D, Ishiguro N. Signifi- cantly lower wear of ceramic-on-ceramic bearings than metal-on-highly cross-linked polyethylene bearings: a 10- to 14- year follow- up study. Journal of Arthroplasty 2016;31:1246–50.
Beaupre LA, Al-Houkail A, Johnston DW. A randomized trial comparing ceramic-on-ceramic bearing vs ceramic-on-crossfire-polyethylene bearing surfaces in total hip arthroplasty. Journal of Arthroplasty 2016;31:1240–5.
Kim YH, Park JW, Kulkarni SS, Kim YH. A randomised pro- spective evaluation of ceramic-on-ceramic and ceramic-on-highly cross-linked polyethylene bearings in the same patients with pri- mary cementless total hip arthroplasty. International Orthopaedics 2013;37:2131–7.
Epinette JA, Manley MT. No differences found in bearing related hip survivorship at 10-12 years follow-up between patients with ceramic on highly cross-linked polyethylene bearings compared to patients with ceramic on ceramic bearings. Journal of Arthroplasty 2014;29:1369–72.
Jeffers JR, Roques A, Taylor A, Tuke MA. The problem with large diameter metal-on-metal acetabular cup inclination. Bulletin of the NYU Hospital for Joint Diseases 2009;67:189–92.
Mayer SW, Wellman SS, Bolognesi MP, Attarian DE. Late liner disassociation of a Pinnacle system acetabular component. Ortho- pedics 2012;35:e561–5.
McDonnell SM, Boyce G, Bar J, Young D, Shimmin AJ. The incidence of noise generation arising from the large-diameter Delta Motion ceramic total hip bearing. The Bone & Joint Journal 2013;95-B:160–5.
Jarrett CA, Ranawat AS, Bruzzone M, et al. The squeaking hip: a phenomenon of ceramic-on-ceramic total hip arthroplasty. The Journal of Bone and Joint Surgery. American Volume. 2009;91- A:1344–9.
Walter WL, Kurtz SM, Esposito C, et al. Retrieval analysis of squeaking alumina ceramic-on-ceramic bearings. The Journal of Bone and Joint Surgery. British Volume 2011;93- B:1597–601.
Pierrepont JW, Feyen H, Miles BP, Young DA, Baré JV, Shimmin AJ. Functional orientation of the acetabular component in ceramic-on-ceramic total hip arthroplasty and its relevance to squeaking. The Bone & Joint Journal 2016;98-B:910–6.
Isaac GH, Dowson D, Wroblewski BM. An investigation into the origins of time- dependent variation in penetration rates with Charnley acetabular cups: wear, creep or degradation? Proceedings of the Institution of Mechanical Engineers, Part H 1996;210:209–16.
Spencer-Gardner L, Pierrepont J, Topham M, Baré JV, McMahon S, Shimmin AJ. Patient-specific instrumentation improves the accuracy of acetabular component placement in total hip arthroplasty. The Bone & Joint Journal 2016;98- B:1342–6.
Dumbleton JH, Manley MT, Edidin AA. A literature rview of the association between wear rate and osteolysis in total hip arthroplasty. Journal of Arthroplasty 2002;17:649.
Hatton A, Nevelos JE, Matthews JB, et al. Effects of clinically relevant alumina ceramic wear particles on TNF-alpha production by human peripheral blood mononuclear phagocytes. Biomaterials 2003;24:1193.
Shulman RM, Zywiel MG, Gandhi R, et al. Trunnionosis: the latest culprit in adverse reactions to metal debris following hip arthroplasty. Skeletal Radiology 2015;44:433.
Tan SC, Lau AC, Del Balso C, Howard JL, Lanting BA, Teeter MG. Tribocorrosion: ceramic and oxidized zirconium vs cobalt-chromium heads in total hip arthroplasty. Journal of Arthroplasty 2016;31:2064–71.
Lindgren JU, Brismar BH, Wikstrom AC. Adverse reaction to metal release from a modular metal-on-polyethylene hip prosthesis. The Journal of Bone and Joint Surgery. British Volume 2011;93(10):1427–30.
Pitto RP, Sedel L. Periprosthetic joint infection in hip arthroplasty: is there an association between infection and bearing surface type? Clinical Orthopaedics and Related Research 2016;474:2213–8.
Hamadouche M, Boutin P, Daussange J, Bolander ME, Sedel L. Alumina-on-alumina total hip arthroplasty: a minimum 18.5-year follow-up study. J Bone Joint Surg Am. 2002 Jan. 84 (1):69-77.
Yeung E, Bott PT, Chana R, Jackson MP, Holloway I, Walter WL, et al. Mid-term results of third-generation alumina-on-alumina ceramic bearings in cementless total hip arthroplasty: a ten-year mini- mum follow-up. J Bone Joint Surg Am. 2012 Jan 18. 94 (2):138-44.
Lau YJ, Sarmah S, Witt JD. 3-rd generation ceramic-on-ceramic cementless total hip arthroplasty: a minimum 10-year follow-up study. Hip Int. 2017 Jul. 29.
Murphy SB, Ecker TM, Tannast M. Two-to 9-year clinical results of alumina ceramic-on-ceramic THA. Clin Orthop Relat Res. 2006 Dec. 453:97-102.
D’Antonio J, Capello W, Manley M, Naughton M, Sutton K. Alu- mina ceramic bearings for total hip arthroplasty: five-year results of a prospective randomized study. Clin Orthop Relat Res. 2005 Jul. (436):164-71.
Howard DP, Wall PDH, Fernandez MA, Parsons H, Howard PW. Ceramic-on-ceramic bearing fractures in total hip arthroplasty: an analysis of data from the National Joint Registry. Bone Joint J. 2017 Aug. 99-B (8):1012-1019.
Kim YH, Park JW. Eighteen-Year Follow-Up Study of 2 Alterna- tive Bearing Surfaces Used in Total Hip Arthroplasty in the Same Young Patients. J Arthroplasty. 2020 Mar. 35 (3):824-830.
Yoo JI, Ha YC, Kim DH, Lee YK, Koo KH. Total Hip Arthroplasty Using Hybrid Ceramic Bearing: A Minimum 10-Year Follow-up Study. Indian J Orthop. 2019 Sep-Oct. 53 (5):637-640.
This work is licensed under a Creative Commons Attribution 4.0 International License.