ArticleArchives of orthopaedic and trauma surgery2021
Preventing ceramic liner fracture after Delta ceramic-on-ceramic total hip arthroplasty.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Delayed Presentation of Ceramic Liner Fracture Following Ceramic-on-Ceramic Total Hip Arthroplasty: A Case Report.Journal of orthopaedic case reports · 2026Article
- Comparison between dual mobility and conventional total hip arthroplasty in East Asian, using nationwide database.Archives of orthopaedic and trauma surgery · 2025Article
- A ceramic liner fracture during total hip arthroplasty: a case report.Journal of surgical case reports · 2025Article
- Midterm Results of Total Hip Arthroplasty Using a Delta Ceramic Liner with a Titanium Taper Locking Band.Clinics in orthopedic surgery · 2025Article
- Ceramic fragmentation after total hip arthroplasty: two case reports and literature review.Frontiers in surgery · 2024Article
- A 10- to 12-year follow-up study of delta ceramic-on-ceramic total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Proportion of stable femoral neck fracture types in different age groups: a population-based study.The Journal of international medical research · 2022Article
- The Wear Rate and Survivorship in Total Hip Arthroplasty Using a Third-generation Ceramic Head on a Conventional Polyethylene Liner: A Minimum of 15-year Follow-up.Hip & pelvis · 2022Article
- Liner dissociation in a large-diameter ceramic-bearing acetabular component: a report of five cases.BMC musculoskeletal disorders · 2022Article
- Mid-term outcomes of the R3™ delta ceramic acetabular system in total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe results of total hip arthroplasty (THA) with use of Delta ceramic articulation were successful at medium term follow-up. The use of this newest ceramic has markedly reduced the incidence of ceramic head fractures, but not the incidence of ceramic liner fractures. We tested a hypothesis that the ceramic fractures are prevented by use of a metal shell with 18° inner taper angle and a stem design with a reduced neck geometry.
methodsWe conducted a prospective multicenter study of cementless THA with use of 32/36-mm Delta ceramic bearing, Exceed ABT metal shell and Taperloc stem. We evaluated ceramic fracture, noise, clinical results, radiological changes and survival rate at a minimum of 5-year follow-up.
resultsFrom April 2010 to February 2012, 246 patients (274 THAs) were enrolled. Among them, 224 patients (130 men and 94 women, 250 hips) were followed-up for 5-8 years (mean 6.0 years). Ceramic malseating or fracture did not occur in any patient. Eight patients (8 hips, 3.2%) reported noise. Mean Harris hip score was 84 points at the latest follow-up. All acetabular and femoral components had bone-ingrown stability. Two hips were revised due to recurrent dislocation and periprosthetic fracture. The survival rate was 99.6% at 8 years postoperatively.
conclusionCeramic fractures can be prevented by a use of (1) 32/36-mm Delta ceramic bearing, (2) metal shell with 18° taper angle, and (2) stem with a reduced neck geometry. However, noise remains a concern of the Delta ceramic bearing. LEVEL OF EVIDENCE: Therapeutic level II.
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