Ceramic On Polyethylene Hip Replacement

Huo et al 2 reported that total hip arthroplasty with this type of surface has a 10 year survival rate of 96 versus 91 in cases with a metal to polyethylene surface. The study was titled total hip arthroplasty bearing surface trends in the united states from 2007 to 2014. A sub type of a polyethylene hip is made with a newer plastic called cross linked polyethylene which is more durable.

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Hip implant components are made of polyethylene plastic metal ceramic or a combination of the materials.

Ceramic on polyethylene hip replacement.

Ceramic hip implants are among the newer types of prostheses being used for hip replacement offering greater resistance to damage and smooth movement of the joint. A hip prosthesis is an artificial articulation composed of a femoral stem with a head sphere and a socket cup acetabular shell and liner if any. Total hip replacement surgery substitutes the damaged bone and cartilage of the joint with polyethylene a plastic material or ceramic and metallic components. The rise of ceramic on polyethylene and appears in the january 9 2018 edition of the journal of arthroplasty.

Metal on polyethylene mop one of the most common types of hip implant metal on polyethylene has been used since the 1960s. The case for ceramic on polyethylene as the preferred bearing for a young adult hip replacement april 2014 hip international. Studies have suggested that the arthroplasty has longer survival when a ceramic to ceramic joint rather than a ceramic to polyethylene joint is used 9. Ceramic on metal com ceramic on ceramic coc ceramic on polyethylene cop ceramic hips are made of specialized and more durable versions of the same type of material that plates and bowls are made from.

Patients understand the risks that metal joints and sockets bring to their long term health and are moving away from the material. Ceramic on polyethylene is currently the most popular hip replacement material representing 50 6 of all hip replacement cases back in 2014. Many surgeons today consider them to be an improvement over traditional metal and plastic implants in which the deterioration of plastic can lead to the gradual buildup of debris. Although hip replacement is typically successful it is important to know that hip implants may need to be replaced eventually.

The journal of clinical and experimental research on hip pathology and. The ball is made of ceramic and the. The advent of adverse local tissue reactions seen in metal on metal bearings and the recent recognition of trunnionosis have led many surgeons to recommend ceramic on polyethylene articulations for primary total hip arthroplasty. However to our knowledge there has been little research that has considered whether the increased cost of ceramic provides enough benefit over cobalt.

Lieberman m d an orthopedic surgeon at keck was the senior author on the study.

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