Ceramic-on-ceramic versus ceramic-on-polyethylene in total hip arthroplasty: a comparative study at a minimum of 13 years follow-up

Autor: Malerba Giuseppe, Basilico Mattia, Bonfiglio Nadia, Vitiello Raffaele, Ruberto Pasquale, D’ Adamio Stefano, Sirgiovanni Mattia, De Santis Vincenzo, Maccauro Giulio
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 22, Iss S2, Pp 1-8 (2022)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-021-04950-x
Popis: Abstract Background Nowadays hip replacement is one of the most successful surgery in terms of clinical outcome and patient’s satisfaction. Therefore, the choice of biomaterials in hip replacement is increasingly important with the aim of obtaining a long-term satisfaction of patient and a greater survivorship of the implants. Ceramic-on-polyethylene (COP) and ceramic-on-ceramic (CoC) bearings are two common coupling used in total hip arthroplasty. The aim of this retrospective study was to compare clinical and radiological outcomes between patients treated using CoC and CoP THA at a mean follow-up of 15 years. Methods 86 patients, average age 65.6, were included in the study: 43 in group A bearing CoC and 43 in group B bearing CoP. Minimum follow-up was 13 years. Primary outcome was a clinical evaluation assessed by HOOS and SF-12 questionnaires. Secondary outcome was a radiological evaluation on a A-P pelvis x-ray calculating acetabular cup inclination and anteversion and detecting osteolysis. Result After a multivariate analysis was performed, our results show clinical outcomes in group B significantly better than in group A: statistically significant value (p
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