Ten-year Survival of Ceramic-on-ceramic Total Hip Arthroplasty in Patients Younger Than 60 Years: a Systematic Review and Meta-analysis

Overview

Journal J Orthop Surg Res

Publisher Biomed Central

Specialty Orthopedics

Date 2021 Nov 19

PMID 34794457

Citations 10

Authors

Ihab Ibraheam El-Desouky

Albaraa Hassan Helal

Ali Mohamed Reda Mansour

Affiliations

Soon will be listed here.

Abstract

Background: Total hip arthroplasty (THA) with ceramic-on-ceramic (CoC) was created to minimise wear debris and aseptic loosening. A decade ago, a meta-analysis showed a 10-year survival rate of just 89%. Based on the excellent tribology of the current CoC, significant improvement of implant survivorship is expected. In patients younger than 60, we conducted a meta-analysis to assess 10-year survival and complications after using current primary CoC THA.

Materials And Methods: PubMed, Scopus, EMBASE, Virtual Health Library, and Cochrane Library were used to scan for published trials that met the inclusion criteria until January 2019. The qualified studies were subjected to a systematic review and proportional analysis, and the randomised controlled trials (RCTs) were included in a comparison meta-analysis.

Results: Thirteen studies were included 156 findings. The total number of hips was 2278. Nine studies were cohort, and four were RCTs between ceramic and polyethylene cups. The analysis revealed an average age of 44 years (range 24-54). The 10-year survival 96% (95% CI; 95.4-96.8%), aseptic loosening rate 0.516. (95% CI; 0.265-0.903), ceramic fracture rate 0.620 (95% CI; 0.34-1.034) and squeaking rate 2.687 (95% CI; 1.279-4.593). A comparison meta-analysis revealed the risk ratio (RR) for revision was 0.27 (95% CI; 0.15-0.47), and for aseptic loosening 0.15 (0.03-0.70) favouring CoC, while RR for component fracture was 1.62 (95% CI; 0.27-9.66) favouring the polyethylene.

Conclusion: In patients under sixty, current CoC THAs are correlated with better 10-year outcomes than before and have high survivorship rates.

Level Of Evidence: Level I.

Citing Articles

Comparative postoperative prognosis of ceramic-on-ceramic and ceramic-on-polyethylene for total hip arthroplasty: an updated systematic review and meta-analysis.

Wu T, Jiang Y, Shi W, Wang Y, Li T PeerJ. 2024; 12:e18139.

PMID: 39346065 PMC: 11438439. DOI: 10.7717/peerj.18139.

Age, activity, and native femoral offset are associated with articular noise in ceramic on ceramic total hip arthroplasty (THA) with custom stems.

Tourabaly I, Courtin C, Baraduc E, Nogier A Int Orthop. 2024; 48(12):3091-3099.

PMID: 39331068 DOI: 10.1007/s00264-024-06299-x.

Proof of Concept of a New Revision Procedure for Ceramic Inlays of Acetabular Cups Using a Shape-Memory Alloy Actuator System.

Rotsch C, Kemter-Esser K, Dohndorf J, Funke K, Heyde C, Drossel W Bioengineering (Basel). 2024; 11(9).

PMID: 39329611 PMC: 11440097. DOI: 10.3390/bioengineering11090868.

Etiology, Outcomes, and Complications of Total Hip Arthroplasty in Younger Patients: A Nationwide Big Data Analysis.

Maman D, Fournier L, Steinfeld Y, Berkovich Y J Clin Med. 2024; 13(15).

PMID: 39124801 PMC: 11313375. DOI: 10.3390/jcm13154535.

Influence of a Modified Procedure of Joining Ceramic Head and Adapter Sleeve on the Stem Taper in Revision: An Experimental Study.

Hunger S, Rotsch C, Gunther F, Drossel W, Heyde C Bioengineering (Basel). 2024; 11(2).

PMID: 38391656 PMC: 10886244. DOI: 10.3390/bioengineering11020170.

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