Hydroxyapatite Ceramic Hip Survey: Ceramic/Ceramic Bearings


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This paper describes the clinical application of alumina ceramic and, more recently, Zirconia Toughened Alumina (ZTA), to the bearing surfaces of hip implants with a maximum follow up of fifteen years. Patients are assessed pre- and post-operatively using the Harris Hip Score. [1] X-rays are taken annually and, where appropriate, post mortem histological examination is carried out. Results are discussed. Some failures of alumina ceramic components have been seen and measures to prevent such incidents are described.



Key Engineering Materials (Volumes 361-363)

Main Theme:

Edited by:

Guy Daculsi and Pierre Layrolle




J. M. Buchanan and S. Goodfellow, "Hydroxyapatite Ceramic Hip Survey: Ceramic/Ceramic Bearings", Key Engineering Materials, Vols. 361-363, pp. 1283-1286, 2008

Online since:

November 2007




[1] Harris H. Traumatic arthritis of the hip after dislocation and acetabular fracture: treatment by mold arthroplasty: an end result study using a new method of result evaluation. J Bone Joint Surg [Am] 1969; 51A: 737-55.

DOI: 10.1007/978-1-4471-5451-8_3

[2] Professor Archie Malcolm, Personal Communication.

[3] Greenwald and Garino. Alternative Bearing Surfaces: The Good, the Bad and the Ugly Supplement 2, Part 2 J Bone Joint Surg (Am) 2001; 83-A. 68-72.

[4] McNally SA, Shepperd JAN, Mann CV, Walczak JP. The Results of twelve years use of a Hydroxyapatite-Coated Femoral Stem, J Bone Joint Surg (Br), 2000, 82-B: 378-382.

DOI: 10.1302/0301-620x.82b3.10114

[5] Epinette J. -A. Hydroxyapatite-Coated Implants. Current status at 10-14 Years of Clinical Experience. Bioceramics in Joint Arthroplasty. 2001. Georg Thieme Verlag, Stuttgart.

[6] Sedel L, Nizard RS, Kerboull L et al. Alumina- Alumina hip replacement in patients younger than 50 years old. Clin Orthop 298: 175-183 (1994).

DOI: 10.1097/00003086-199401000-00023

[7] Hamadouche M. Boutin P. Daussange J. Bolander M. And Sedel L. Alumina-on-Alumina Total Hip Arthroplasty: A Minimum 18. 5-Year Follow-up Study. Journal of Bone and Joint Surgery 84A(1): 69-77, (2002).

DOI: 10.2106/00004623-200201000-00011

[8] Dr Ralf Kettner, Personal Communication.

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