Mid-Term Results of Ceramic-on-Ceramic Total Hip Arthroplasty with Sandwich Cup


Article Preview

In ceramic-on-ceramic total hip arthroplasty (THA), modular acetabular component with a sandwich insertion was developed and evaluated mid-term clinical results. 35 hips had undergone cementless ceramic-on-ceramic THA with sandwich cup (Kyocera, Kyoto, Japan). The mean duration of follow-up was 5 years. 6 hips had undergone component revisions. The reasons for revision included infection in 1 hip, dislocation with loosening in 2 hips, alumina liner fractures in 2 hips, and cup dissociation in 1 hip. All femoral and acetabular components showed no loosening in the unrevised hips at the time of the last follow-up. None of the 29 unrevised hips had osteolysis.



Key Engineering Materials (Volumes 309-311)

Main Theme:

Edited by:

Takashi Nakamura, Kimihiro Yamashita and Masashi Neo




M. Hasegawa et al., "Mid-Term Results of Ceramic-on-Ceramic Total Hip Arthroplasty with Sandwich Cup ", Key Engineering Materials, Vols. 309-311, pp. 1357-1362, 2006

Online since:

May 2006




[1] Hamadouche M, Boutin P, Daussange J, Bolander ME, Sedel L. J Bone Joint Surg Am 2002; 84: 69-77.

[2] Bizot P, Larrouy M, Witvoet J, Sedel L, Nizard R. Clin Orthop 2000; 379: 134-42.

[3] DeLee JG, Charnley J. Clin Orthop 1976; 121: 20-32.

[4] Gruen TA, McNeice GM, Amstutz HC. Clin Orthop1979; 141: 17-27.

[5] Hodgkinson JP, Shelley P, Wroblewski BM. Clin Orthop 1988; 228: 105-9.

[6] Livermore J, Ilstrup D, Morrey B. J Bone Joint Surg Am 1990; 72: 518-28.

[7] Engh CA, Bobyn JD, Glassman AH. J Bone Joint Surg Br 987; 69: 45-55.

[8] Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr. J Bone Joint Surg Am 1973; 55: 1629-32.

[9] D'Antonio J, Capello W, Manley M, Naughton M, Sutton K. Clin Orthop 2005; 436: 164-171.

[10] Hasegawa M, Sudo A, Hirata H, Uchida A. J Arthroplasty 2003; 18: 658-61.

[11] Akagi M, Nonaka T, Nishisaka F, Mori S, Fukuda K, Hamanishi C. J Arthroplasty 2004; 19: 647-51.

[12] Boehler M, Knahr K, Plenk H Jr, Walter A, Salzer M, Schreiber V. J Bone Joint Surg Br 1994; 76: 53-9.

[13] Willmann G. Clin Orthop 2000; 379: 22-8.

[14] Allain J, Roudot-Thoraval F, Delecrin J, Anract P, Migaud H, Goutallier D. J Bone Joint Surg Am 2003; 85: 825-30.

DOI: https://doi.org/10.2106/00004623-200305000-00009