Advancements and Considerations in Ceramic Bearings for Total Hip Arthroplasty: A Narrative Review

Authors

  • Khalid M Alhomayani Orthopaedic Division, Department of Surgery, Faculty of Medicine, Taif University, Taif 26563, Saudi Arabia

DOI:

https://doi.org/10.3329/bjms.v23i3.75017

Keywords:

total hip replacement, ceramic-on-ceramic bearings, aseptic loosening, squeaking, ceramic fracture.

Abstract

Objective: Total  hip  arthroplasty  (THA)  is  a  widely  successful orthopedic  procedure  offering  relief  to  patients suffering  from  hip  joint  disorders.  Ceramic  bearings, particularly ceramic-on-ceramic (CoC) surfaces, have gained  attention  for  their  remarkable  tribological properties and biocompatibility. This article discusses the  role  of  ceramic  bearings  in  THA,  including their  historical  background,  stability,  and  potential complications.  It  explores  the  advantages  of  CoC bearings, such as their low wear rates and reduced risk of complications like aseptic loosening and prosthetic joint  infections  and  delves  into  considerations  like ceramic fracture and squeaking phenomena.

Materials and methods:This  article  is  based  on  a  rigorous  literature  search conducted  across  reputable  academic  databases, including  PubMed,  Scopus,  Web  of  Science,  and Google  Scholar,  the  succeeding  search  keywords were  applied:  “total  hip  arthroplasty”,  “ceramic- on-ceramic”,  “total  hip  arthroplasty  dislocation”, “prosthetic  joint  infections”,  “ceramic  fractures”, “aseptic loosening”, “squeaking”.

Conclusion: Ceramic-on-Ceramic (CoC) bearings, while promising, are not commonly used in primary hip arthroplasty due to  cost  concerns  and  surgical  precision  requirements. However, they are gaining ground for younger, active patients. Technological  advancements  have  reduced  the  risks of  implant  fracture.  Additionally,  noise  generation is  not  associated  with  an  increase  incomplication Nevertheless, patients should be informed about these rare risks during the preoperative consent process.

Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 617-625

Downloads

Download data is not yet available.
Abstract
216
PDF
315

Downloads

Published

2024-07-29

How to Cite

Alhomayani, K. M. (2024). Advancements and Considerations in Ceramic Bearings for Total Hip Arthroplasty: A Narrative Review. Bangladesh Journal of Medical Science, 23(3), 617–625. https://doi.org/10.3329/bjms.v23i3.75017

Issue

Vol. 23 No. 3 (2024)

Section

Review Article

License

Copyright (c) 2024 Khalid M Alhomayani

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.