Primary ceramic-on-ceramic total hip replacement versus metal-on-metal hip resurfacing in young active patients

Orthopedics. 2008 Nov;31(11):1078. doi: 10.3928/01477447-20081101-23.

Abstract

The purpose of this study was to compare clinical outcomes between ceramic-on-ceramic total hip replacement and metal-on-metal hip resurfacing arthroplasty in comparable groups of young active patients at a 3- to 6-year follow-up. The first 250 patients (mean age, 49.54 years) of a series of 930 resurfacing arthroplasties were compared clinically and functionally with a series of 190 patients (mean age, 46.76 years) with ceramic-on-ceramic uncemented total hip prostheses. The total Harris hip score was 97.9 in the resurfacing group vs 92.1 in the ceramic group. In the resurfacing group, 60.71% had a strenuous activity level vs 30.43% in the ceramic group.

Publication types

  • Comparative Study

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Adult
  • Aged
  • Arthritis, Rheumatoid / physiopathology
  • Arthritis, Rheumatoid / surgery
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Arthroplasty, Replacement, Hip / methods
  • Ceramics*
  • Equipment Failure Analysis
  • Female
  • Femur Head Necrosis / physiopathology
  • Femur Head Necrosis / surgery
  • Health Status Indicators
  • Hip Injuries / physiopathology
  • Hip Injuries / surgery
  • Hip Joint / physiopathology
  • Hip Prosthesis*
  • Humans
  • Male
  • Metals*
  • Middle Aged
  • Osteoarthritis, Hip / physiopathology
  • Osteoarthritis, Hip / surgery
  • Prospective Studies
  • Prosthesis Design*
  • Prosthesis Failure
  • Recovery of Function
  • Young Adult

Substances

  • Metals