Nine years follow-up of 100 ceramic-on-ceramic total hip arthroplasty

Int Orthop. 2011 Nov;35(11):1599-604. doi: 10.1007/s00264-010-1185-3. Epub 2010 Dec 21.


The aim of this study was to evaluate the first 100 cementless ceramic-on-ceramic total hip arthroplasty (THA) performed at our institution with more than nine years of follow-up. Clinical evaluation was performed using Harris hip score. Radiological evaluation was performed by two surgeons. Four patients were lost to follow-up. Harris hip score significantly improved at latest follow-up. Radiological analysis showed calcar osteolysis for 75 patients and one cup loosening. One patient required a revision five years postoperatively for cup loosening. Based on these results and the routine use of a navigation system to optimise positioning of the implants, we advocate the use of uncemented hydroxyapatite coated ceramic-on-ceramic THA in young and active patients in our current practice.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Arthroplasty, Replacement, Hip / adverse effects
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Arthroplasty, Replacement, Hip / methods
  • Biocompatible Materials
  • Cementation / methods
  • Ceramics*
  • Disability Evaluation
  • Female
  • Follow-Up Studies
  • Health Status
  • Hip Joint / diagnostic imaging
  • Hip Joint / physiopathology
  • Hip Joint / surgery
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / surgery
  • Prosthesis Design*
  • Prosthesis Failure
  • Radiography
  • Recovery of Function
  • Retrospective Studies
  • Severity of Illness Index
  • Time Factors
  • Young Adult


  • Biocompatible Materials