ArticleBMC musculoskeletal disorders2015
Long-term durability of alumina ceramic heads in THA.
Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- "Squeaky Hip": Are Noises Important?Arthroplasty today · 2026Article
- Case Report: Pseudotumor due to Trunnionosis in Ceramic-on-Ceramic THA Monoblock Acetabular Cup Disengagement.Case reports in orthopedics · 2026Article
- Lower Rates of Ceramic Femoral Head Use in Non-White Patients in the United States, a National Registry Study.The Journal of arthroplasty · 2022Article
- Bone defect reconstruction with a novel biomaterial containing calcium phosphate and aluminum oxide reinforcement.Journal of orthopaedic surgery and research · 2020Article
- Non-traumatic Ceramic Head Fracture in Total Hip Arthroplasty with Ceramic-on-Ceramic Articulation at Postoperative 16th Years.Hip & pelvis · 2019Article
- Bearing surfaces in primary total hip arthroplasty.EFORT open reviews · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal type of bearing for hip arthroplasty remains a matter of debate. Ceramic-on-polyethylene (CoP) bearings are frequently used in younger and more active patients to reduce wear and increase biocompatibility compared to Metal-on-Polyethylene (MoP) bearings. However, in comparison to metal heads, the fracture risk of ceramic heads is higher. In addition, ceramic head fractures pose a serious complication which often necessitates major revision surgery. To date, there are no long-term data (>20 years of follow-up) reporting fracture rates of the ceramic femoral heads in CoP bearings. The purpose of this research was to investigate long-term CoP fracture rate.
methodsWe evaluated the clinical and radiographic results of 348 cementless THAs treated with 2nd generation Biolox Al₂O₃ Ceramic-on-Polyethylene (CoP) bearings consecutively implanted between January 1985 and December 1989. The mean age at implantation was 57 years. The patients were followed for a minimum of 20 years. At the final 111 had died, and 5 were lost to follow-up. The cumulative incidence of ceramic head fractures in the long-term was estimated using a competing risk analysis.
resultsThe cumulative incidence of ceramic head fracture after 22-years was estimated with a competing risk analysis at 0.29% after 22-years (SE = 2.09%; 95% - CI: 0.03-1.5%). The radiographic analysis revealed no impending failures at final follow-up. DISCUSSION/
conclusionThe fracture rate of second-generation ceramic heads using a CoP articulation remains very low into the third decade after cementless THA.
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