Syracuse

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

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Chevillotte, Christophe | Pibarot, Vincent | Carret, Jean-Paul | Bejui-Hugues, Jacques | Guyen, Olivier

Edité par CCSD ; Springer Verlag -

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-onceramic THA in young and active patients in our current practice.

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