Short-term Results of Cementless Ceramic-on-ceramic Articulation Total Hip Arthroplasty.
10.5371/jkhs.2007.19.1.16
- Author:
Won Sik CHOI
1
;
Jae Hoon AHN
;
Kyu Hyun NA
;
Seung Kwon KIM
Author Information
1. Department of Orthopaedic Surgery, Eulji University College of Medicine, Daejeon, Korea. jhahn@eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Cementless total hip arthroplasty;
Ceramic on ceramic articulation;
Osteolysis
- MeSH:
Acetabulum;
Arthroplasty;
Arthroplasty, Replacement, Hip*;
Ceramics;
Follow-Up Studies;
Hip;
Osteogenesis;
Osteolysis
- From:Journal of the Korean Hip Society
2007;19(1):16-20
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study evaluated the short-term results of ceramic articulation total hip arthroplasty in cementless total hip arthroplasty. MATERIALS AND METHODS: 142 hips were followed-up for more than 2 years after cementless total hip arthroplasty using ceramic-on-ceramic articulation. The mean age and follow-up period was 58.3 years and 3.0 years, respectively. The Harris hip score and postoperative hip pain were analyzed clinically. The radiological results were assessed using various radiological indices. RESULTS: At the last follow-up, the Harris hip score improved from 58.1 points preoperatively to 93.2 points postoperatively. There were 4 cases (2.8%) of significant hip pain. Radiologically, all the stems demonstrated stable fixation. The inclination of the acetabular cup was changed significantly in 2 cases (1.4%), which were diagnosed as being loosened. A radiolucent line was observed around the stem in 9 cases (6.3%), and around the cup in 3 (2.1%). Endosteal new bone formation was observed around the stem in 50 cases (35%), and around the cup in 55 (38.5%). No osteolysis was observed around the stem and the cup. CONCLUSION: The short-term results of ceramic on ceramic articulation hip arthroplasty were excellent without osteolysis.