Ceramic On Ceramic Hip Replacement Disadvantages

Femoral neck on the rim of the ceramic liner leading to chipping especially in.
Ceramic on ceramic hip replacement disadvantages. The ceramic on ceramic systems present the greatest risk for fracture. The alternative bearing couples such as metal on polyethylene and metal on metal are more inclined to wear and produce particulate debris. Disadvantages of ceramic hip replacement systems include the potential for the material to fracture the expense and noise. The rate of bone deterioration associated with wear is significantly lower for ceramic implants compared with metal polyethylene implants.
Advantages and disadvantages of ceramic on ceramic total hip arthroplasty. Advantages and disadvantages of ceramic on ceramic total hip arthroplasty. The two major drawbacks by comparison were a greater likelihood of squeaking and a higher risk of damage to the device during the operation. One advantage the ceramic on polyethylene carries is the lack of squeaking and less total failure compared to the all ceramic counterpart.
However rare failure of ceramic on ceramic hip implants has occurred causing the ceramic implant to shatter and scattering debris that must be removed surgically. A large disadvantage of this type of hip replacement however is the wear particles of the polyethylene. A review pubmed current coc tha leads to equivalent but not improved survivorship at 10 years follow up in comparison to the best non coc tha. Ceramic on ceramic coc total hip arthroplasty tha was developed to reduce wear debris and ac cordingly the occurrence of osteolysis and aseptic loosening especially in younger.
Ceramic parts can be used for both knee and hip replacement. Ceramic hip replacement disadvantages. Despite reports of fractures and stripe wear harder. Although the ceramics used are extremely hard and durable like diamond they are brittle.
A review jiri gallo a stuart barry goodman b jiri lostak a martin janout a a department of orthopaedics faculty of medicine and dentistry palacky university olomouc and university hospital olomouc czech republic. Advantages and disadvantages of ceramic on ceramic total hip arthroplasty. Ceramic on ceramic hip prostheses are an increasingly popular choice for hip replacement. However there are still concerns regarding fracture of sandwich ceramic liners squeaking and impingement of the.
A ceramic cup can not incorporate the lip that is a standard part of a plastic cup liner. Therefore a ceramic on poly replacement has the advantage of the lip and a ceramic on ceramic has the advantage of being tougher and permitting the use of a larger femoral head. In addition there is a small risk of a so called catastrophic failure wherein a serious fall or impact could potentially shatter the ceramic.