Ten to 13-Year Results of Delta Ceramic-on-Ceramic Total Hip Arthroplasty in Patients Less Than 30 Years Old

J Bone Joint Surg Am. 2023 May 17;105(10):789-796. doi: 10.2106/JBJS.22.01291. Epub 2023 Mar 22.

Abstract

Background: We previously reported mid-term results of total hip arthroplasty (THA) using Delta ceramic-on-ceramic (CoC) bearings in 72 patients (86 hips) who were <30 years old. Noise was noted in 8 (9.3%) of the hips, no osteolysis or loosening was detected, and no patient required reoperation. The purpose of this study was to assess clinical and radiographic outcomes, complications, and survivorship at >10 years after THA using Delta CoC bearings in patients who were <30 years old.

Methods: Cementless THA with a Delta CoC bearing was performed between March 2008 and January 2012 in 91 hips of 76 patients who were <30 years old. Eighty-five hips in 71 patients (44 men and 27 women) with a mean age of 25.9 years (range, 16 to 29 years) at surgery were followed for a mean of 10.9 years (range, 10 to 13 years).

Results: No ceramic bearings fractured. The incidence of squeaking increased to 5.9% (5 of 85), but the squeaking was not reproducible within individual patients. Periprosthetic osteolysis developed in 3 hips (3 patients): around the stem in 2 and around the metal shell in 1. The stem in 1 hip underwent revision because of a Vancouver type-B2 periprosthetic femoral fracture. One patient with systemic lupus erythematosus underwent irrigation and debridement for periprosthetic joint infection. Survivorship free of reoperation for any reason was 92.4% (95% confidence interval, 82.4% to 100%) at 13 years.

Conclusions: The long-term results and survivorship of Delta CoC THA in patients <30 years old were favorable.

Level of evidence: Therapeutic Level II . See Instructions for Authors for a complete description of levels of evidence.

MeSH terms

  • Adult
  • Arthroplasty, Replacement, Hip* / adverse effects
  • Ceramics
  • Female
  • Hip Joint / surgery
  • Hip Prosthesis* / adverse effects
  • Humans
  • Male
  • Osteolysis* / epidemiology
  • Osteolysis* / etiology
  • Osteolysis* / surgery
  • Periprosthetic Fractures* / etiology
  • Periprosthetic Fractures* / surgery
  • Prosthesis Design
  • Prosthesis Failure
  • Reoperation / adverse effects
  • Treatment Outcome