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Published in: Archives of Orthopaedic and Trauma Surgery 9/2014

01-09-2014 | Hip Arthroplasty

Ceramic on ceramic hip prostheses: a review of past and modern materials

Authors: Nathanael Macdonald, Marcus Bankes

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2014

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Abstract

Ceramic on ceramic hip prostheses are an increasingly popular choice for hip replacement. Modern manufacturing techniques and developments have increased the strength and reliability of ceramic materials. The alternative bearing couples such as metal-on-polyethylene and metal-on-metal are more inclined to wear and produce particulate debris. Despite reports of fractures and stripe wear, harder, more inert and more wear resistant, modern ceramic–ceramic hip replacements provide a strong alternative to traditional bearings.
Literature
2.
go back to reference Sumit Pramanik AKAaKNR (2005) Chronology of total hip joint replacement and materials development. Trends Biomater Artif Organs 19(1):15–26 Sumit Pramanik AKAaKNR (2005) Chronology of total hip joint replacement and materials development. Trends Biomater Artif Organs 19(1):15–26
3.
go back to reference Baw S (1969) Ivory hip replacements for ununited fractures of the neck of femur. In: Paper presented at the British orthopaedic association meeting, London, Sept Baw S (1969) Ivory hip replacements for ununited fractures of the neck of femur. In: Paper presented at the British orthopaedic association meeting, London, Sept
6.
go back to reference Jolles BM, Bogoch ER (2004) Surgical approach for total hip arthroplasty: direct lateral or posterior? J Rheumatol 31(9):1790–1796 (0315162X-31-1790)PubMed Jolles BM, Bogoch ER (2004) Surgical approach for total hip arthroplasty: direct lateral or posterior? J Rheumatol 31(9):1790–1796 (0315162X-31-1790)PubMed
9.
go back to reference Berry DJ, Harmsen WS, Cabanela ME, Morrey BF (2002) Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: factors affecting survivorship of acetabular and femoral components. J Bone Jt Surg Am 84-A(2):171–177 Berry DJ, Harmsen WS, Cabanela ME, Morrey BF (2002) Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: factors affecting survivorship of acetabular and femoral components. J Bone Jt Surg Am 84-A(2):171–177
10.
go back to reference Harris WH, Schiller AL, Scholler JM, Freiberg RA, Scott R (1976) Extensive localized bone resorption in the femur following total hip replacement. J Bone Jt Surg Am 58(5):612–618 Harris WH, Schiller AL, Scholler JM, Freiberg RA, Scott R (1976) Extensive localized bone resorption in the femur following total hip replacement. J Bone Jt Surg Am 58(5):612–618
12.
go back to reference Kurtz SM (2004) The UHMWPE handbook: ultra-high molecular weight polyethylene in total joint replacement. Academic, Oxford Kurtz SM (2004) The UHMWPE handbook: ultra-high molecular weight polyethylene in total joint replacement. Academic, Oxford
14.
go back to reference Pollard TCB, Baker RP, Eastaugh-Waring SJ, Bannister GC (2006) Treatment of the young active patient with osteoarthritis of the hip—a five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Jt Surg Br 88B(5):592–600. doi:10.1302/0301-620x.88b5.17354 CrossRef Pollard TCB, Baker RP, Eastaugh-Waring SJ, Bannister GC (2006) Treatment of the young active patient with osteoarthritis of the hip—a five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Jt Surg Br 88B(5):592–600. doi:10.​1302/​0301-620x.​88b5.​17354 CrossRef
15.
go back to reference Malviya A, Holland JP (2009) Pseudotumours associated with metal-on-metal hip resurfacing: 10-year Newcastle experience. Acta Orthop Belg 75(4):477–483PubMed Malviya A, Holland JP (2009) Pseudotumours associated with metal-on-metal hip resurfacing: 10-year Newcastle experience. Acta Orthop Belg 75(4):477–483PubMed
16.
go back to reference Korovessis P, Petsinis G, Repanti M, Repantis T (2006) Metallosis after contemporary metal-on-metal total hip arthroplasty—five to nine-year follow-up. J Bone Jt Surg Am 88A(6):1183–1191. doi:10.2106/Jbjs.D.02916 CrossRef Korovessis P, Petsinis G, Repanti M, Repantis T (2006) Metallosis after contemporary metal-on-metal total hip arthroplasty—five to nine-year follow-up. J Bone Jt Surg Am 88A(6):1183–1191. doi:10.​2106/​Jbjs.​D.​02916 CrossRef
19.
go back to reference Boutin P (1972) Total arthroplasty of the hip by fritted aluminum prosthesis. Experimental study and 1st clinical applications. Rev Chir Orthop Reparatrice Appar Mot 58(3):229–246PubMed Boutin P (1972) Total arthroplasty of the hip by fritted aluminum prosthesis. Experimental study and 1st clinical applications. Rev Chir Orthop Reparatrice Appar Mot 58(3):229–246PubMed
20.
go back to reference United States Congress, Office of Technology Assessment (1988) Advanced materials by design. Congress of the US For sale by the Supt. of Docs., US G.P.O, Washington United States Congress, Office of Technology Assessment (1988) Advanced materials by design. Congress of the US For sale by the Supt. of Docs., US G.P.O, Washington
21.
go back to reference Basu B, Kalin M (2011) Tribology of ceramics and composites: a materials science perspective. Wiley, HobokenCrossRef Basu B, Kalin M (2011) Tribology of ceramics and composites: a materials science perspective. Wiley, HobokenCrossRef
22.
go back to reference Nizard RS, Sedel L, Christel P, Meunier A, Soudry M, Witvoet J (1992) Ten-year survivorship of cemented ceramic-ceramic total hip prosthesis. Clin Orthop Relat Res 282:53–63PubMed Nizard RS, Sedel L, Christel P, Meunier A, Soudry M, Witvoet J (1992) Ten-year survivorship of cemented ceramic-ceramic total hip prosthesis. Clin Orthop Relat Res 282:53–63PubMed
23.
go back to reference Miller EH, Heidt RS, Welch MC, Harding WG, Heidt RS Jr, Lawhon SM (1986) Self-bearing, uncemented, ceramic total hip replacement arthroplasty. Instr Course Lect 35:188–202PubMed Miller EH, Heidt RS, Welch MC, Harding WG, Heidt RS Jr, Lawhon SM (1986) Self-bearing, uncemented, ceramic total hip replacement arthroplasty. Instr Course Lect 35:188–202PubMed
24.
go back to reference Prudhommeaux F, Hamadouche M, Nevelos J, Doyle C, Meunier A, Sedel L (2000) Wear of alumina-on-alumina total hip arthroplasties at a mean 11-year followup. Clin Orthop Relat Res 379:113–122PubMedCrossRef Prudhommeaux F, Hamadouche M, Nevelos J, Doyle C, Meunier A, Sedel L (2000) Wear of alumina-on-alumina total hip arthroplasties at a mean 11-year followup. Clin Orthop Relat Res 379:113–122PubMedCrossRef
25.
go back to reference Christel PS (1989) Zirconia: the second generation of ceramics for total hip replacement. Bull Hosp Jt Dis Orthop Inst 49(2):170–177PubMed Christel PS (1989) Zirconia: the second generation of ceramics for total hip replacement. Bull Hosp Jt Dis Orthop Inst 49(2):170–177PubMed
27.
go back to reference Willmann G, Fruh HJ, Pfaff HG (1996) Wear characteristics of sliding pairs of zirconia (Y-TZP) for hip endoprostheses. Biomaterials 17(22):2157–2162 (0142961296000427)PubMedCrossRef Willmann G, Fruh HJ, Pfaff HG (1996) Wear characteristics of sliding pairs of zirconia (Y-TZP) for hip endoprostheses. Biomaterials 17(22):2157–2162 (0142961296000427)PubMedCrossRef
28.
go back to reference Fruh HJ, Willmann G, Pfaff HG (1997) Wear characteristics of ceramic-on-ceramic for hip endoprostheses. Biomaterials 18(12):873–876 (S0142961297000057)PubMedCrossRef Fruh HJ, Willmann G, Pfaff HG (1997) Wear characteristics of ceramic-on-ceramic for hip endoprostheses. Biomaterials 18(12):873–876 (S0142961297000057)PubMedCrossRef
29.
go back to reference Rahaman MN (2007) Ceramic processing. CRC/Taylor & Francis, Boca Raton Rahaman MN (2007) Ceramic processing. CRC/Taylor & Francis, Boca Raton
30.
go back to reference Rahaman MN (2003) Ceramic processing and sintering. Materials engineering, vol 23, 2nd edn. M. Dekker, New York Rahaman MN (2003) Ceramic processing and sintering. Materials engineering, vol 23, 2nd edn. M. Dekker, New York
31.
go back to reference Marlowe DE, Parr JE, Mayor MB, American Society for Testing and Materials (1997) Modularity of orthopedic implants. Stp, vol 1301. ASTM, ConshohockenCrossRef Marlowe DE, Parr JE, Mayor MB, American Society for Testing and Materials (1997) Modularity of orthopedic implants. Stp, vol 1301. ASTM, ConshohockenCrossRef
32.
go back to reference Wilmann G (2001) Biocompatibility of a new alumina matrix biocomposite. In: Proc Bioceramics 13, Bologna, pp 569–572 Wilmann G (2001) Biocompatibility of a new alumina matrix biocomposite. In: Proc Bioceramics 13, Bologna, pp 569–572
33.
go back to reference Willmann G (1997) Standardization of zirconia ceramics for hip endoprostheses. Biomed Tech (Berl) 42(12):342–346CrossRef Willmann G (1997) Standardization of zirconia ceramics for hip endoprostheses. Biomed Tech (Berl) 42(12):342–346CrossRef
34.
go back to reference Clarke IC WP, Shishido T, Good V, Oonishi H, Gustafson A. (2002) Hip simulator validation of alumina THR wear rates for run in and steady-state wear phases. Bioceram Jt Arthroplast 20–26 Clarke IC WP, Shishido T, Good V, Oonishi H, Gustafson A. (2002) Hip simulator validation of alumina THR wear rates for run in and steady-state wear phases. Bioceram Jt Arthroplast 20–26
35.
go back to reference Walther A (1997) Investigation on the wear couple BIOLOXforte-BIOLOXforte and earlier alumina materials. In: Puhl W (ed) Performance of the wear couple BIOLOXforte in hip arthroplasty pp 123–135 Walther A (1997) Investigation on the wear couple BIOLOXforte-BIOLOXforte and earlier alumina materials. In: Puhl W (ed) Performance of the wear couple BIOLOXforte in hip arthroplasty pp 123–135
36.
go back to reference Nevelos JE, Ingham E, Doyle C, Nevelos AB, Fisher J (2001) Wear of HIPed and non-HIPed alumina–alumina hip joints under standard and severe simulator testing conditions. Biomaterials 22(16):2191–2197 (S0142961200003616)PubMedCrossRef Nevelos JE, Ingham E, Doyle C, Nevelos AB, Fisher J (2001) Wear of HIPed and non-HIPed alumina–alumina hip joints under standard and severe simulator testing conditions. Biomaterials 22(16):2191–2197 (S0142961200003616)PubMedCrossRef
37.
go back to reference Nevelos J, Ingham E, Doyle C, Streicher R, Nevelos A, Walter W, Fisher J (2000) Microseparation of the centers of alumina-alumina artificial hip joints during simulator testing produces clinically relevant wear rates and patterns. J Arthroplast 15(6):793–795. doi:10.1054/arth.2000.8100 CrossRef Nevelos J, Ingham E, Doyle C, Streicher R, Nevelos A, Walter W, Fisher J (2000) Microseparation of the centers of alumina-alumina artificial hip joints during simulator testing produces clinically relevant wear rates and patterns. J Arthroplast 15(6):793–795. doi:10.​1054/​arth.​2000.​8100 CrossRef
39.
go back to reference Nevelos JE, Prudhommeaux F, Hamadouche M, Doyle C, Ingham E, Meunier A, Nevelos AB, Sedel L, Fisher J (2001) Comparative analysis of two different types of alumina–alumina hip prosthesis retrieved for aseptic loosening. J Bone Jt Surg Br 83(4):598–603 Nevelos JE, Prudhommeaux F, Hamadouche M, Doyle C, Ingham E, Meunier A, Nevelos AB, Sedel L, Fisher J (2001) Comparative analysis of two different types of alumina–alumina hip prosthesis retrieved for aseptic loosening. J Bone Jt Surg Br 83(4):598–603
40.
go back to reference Kaddick C PH (2000) Wear study in the alumina zirconia system. In: Willmann G (ed) Reliability and long-term results of ceramics in orthopaedics pp 146–150 Kaddick C PH (2000) Wear study in the alumina zirconia system. In: Willmann G (ed) Reliability and long-term results of ceramics in orthopaedics pp 146–150
41.
go back to reference Kaddick C PH (2002) Results of hip simulator testing with various wear couples. In: Garino JP, Willmann G (eds) Bioceramics in joint arthroplasty pp 16–20 Kaddick C PH (2002) Results of hip simulator testing with various wear couples. In: Garino JP, Willmann G (eds) Bioceramics in joint arthroplasty pp 16–20
42.
go back to reference Migaud H, Marchetti E, Bocquet D, Krantz N, Berton C, Girard J (2012) Rate and risk factors of prosthetic impingement after THA: observation of 311 cups retrievals. J Bone Jt Surg Br 94-B(SUPP XXXVII):340 Migaud H, Marchetti E, Bocquet D, Krantz N, Berton C, Girard J (2012) Rate and risk factors of prosthetic impingement after THA: observation of 311 cups retrievals. J Bone Jt Surg Br 94-B(SUPP XXXVII):340
43.
go back to reference Callaghan JJ, Rosenberg AG, Rubash HE (2007) The adult hip, 2nd edn. Lippincott Williams & Wilkins, Philadelphia Callaghan JJ, Rosenberg AG, Rubash HE (2007) The adult hip, 2nd edn. Lippincott Williams & Wilkins, Philadelphia
44.
go back to reference Callaghan JJ, Liu SS (2009) Ceramic on crosslinked polyethylene in total hip replacement: any better than metal on crosslinked polyethylene? Iowa Orthop J 29:1–4PubMedCentralPubMed Callaghan JJ, Liu SS (2009) Ceramic on crosslinked polyethylene in total hip replacement: any better than metal on crosslinked polyethylene? Iowa Orthop J 29:1–4PubMedCentralPubMed
45.
go back to reference Abraham Salehi ST, Pawar V, Sprague J, Hunter G, Varma SK, Namavar F (2006) Wettability analysis of orthopaedic materials using optical contact angle methods. Key Eng Mater 309–311:1199–1202CrossRef Abraham Salehi ST, Pawar V, Sprague J, Hunter G, Varma SK, Namavar F (2006) Wettability analysis of orthopaedic materials using optical contact angle methods. Key Eng Mater 309–311:1199–1202CrossRef
47.
go back to reference Li J, Liu Y, Hermansson L, Soremark R (1993) Evaluation of biocompatibility of various ceramic powders with human fibroblasts in vitro. Clin Mater 12(4):197–201PubMedCrossRef Li J, Liu Y, Hermansson L, Soremark R (1993) Evaluation of biocompatibility of various ceramic powders with human fibroblasts in vitro. Clin Mater 12(4):197–201PubMedCrossRef
48.
go back to reference Christel PS (1992) Biocompatibility of surgical-grade dense polycrystalline alumina. Clin Orthop Relat Res 282:10–18PubMed Christel PS (1992) Biocompatibility of surgical-grade dense polycrystalline alumina. Clin Orthop Relat Res 282:10–18PubMed
49.
go back to reference Helmer JD, TD (1969) Research on bioceramics. Symp on use of ceramics as surgical implants Helmer JD, TD (1969) Research on bioceramics. Symp on use of ceramics as surgical implants
51.
go back to reference Piconi C, Maccauro G (1999) Zirconia as a ceramic biomaterial. Biomaterials 20(1):1–25 (S0142-9612(98)00010-6)PubMedCrossRef Piconi C, Maccauro G (1999) Zirconia as a ceramic biomaterial. Biomaterials 20(1):1–25 (S0142-9612(98)00010-6)PubMedCrossRef
52.
go back to reference Rack R (2000) A new ceramic material for orthopaedics. In: Willmann G, Zweimüller K (eds) Bioceramics in hip joint replacements pp 141–145 Rack R (2000) A new ceramic material for orthopaedics. In: Willmann G, Zweimüller K (eds) Bioceramics in hip joint replacements pp 141–145
53.
go back to reference Germain MA, Hatton A, Williams S, Matthews JB, Stone MH, Fisher J, Ingham E (2003) Comparison of the cytotoxicity of clinically relevant cobalt-chromium and alumina ceramic wear particles in vitro. Biomaterials 24(3):469–479 (S0142961202003605)PubMedCrossRef Germain MA, Hatton A, Williams S, Matthews JB, Stone MH, Fisher J, Ingham E (2003) Comparison of the cytotoxicity of clinically relevant cobalt-chromium and alumina ceramic wear particles in vitro. Biomaterials 24(3):469–479 (S0142961202003605)PubMedCrossRef
54.
go back to reference Hatton A, Nevelos JE, Matthews JB, Fisher J, Ingham E (2003) Effects of clinically relevant alumina ceramic wear particles on TNF-alpha production by human peripheral blood mononuclear phagocytes. Biomaterials 24(7):1193–1204 (S0142961202005100)PubMedCrossRef Hatton A, Nevelos JE, Matthews JB, Fisher J, Ingham E (2003) Effects of clinically relevant alumina ceramic wear particles on TNF-alpha production by human peripheral blood mononuclear phagocytes. Biomaterials 24(7):1193–1204 (S0142961202005100)PubMedCrossRef
55.
go back to reference Matthews JB, Green TR, Stone MH, Wroblewski BM, Fisher J, Ingham E (2001) Comparison of the response of three human monocytic cell lines to challenge with polyethylene particles of known size and dose. J Mater Sci Mater Med 12(3):249–258PubMedCrossRef Matthews JB, Green TR, Stone MH, Wroblewski BM, Fisher J, Ingham E (2001) Comparison of the response of three human monocytic cell lines to challenge with polyethylene particles of known size and dose. J Mater Sci Mater Med 12(3):249–258PubMedCrossRef
56.
go back to reference Fritsch E (1996) Biocompatibility of alumina ceramic in total hip replacement. In: Puhl W (ed) Die Keramikpaarung BIOLOX® in der Hüftendoprotetik pp 12–17 Fritsch E (1996) Biocompatibility of alumina ceramic in total hip replacement. In: Puhl W (ed) Die Keramikpaarung BIOLOX® in der Hüftendoprotetik pp 12–17
57.
go back to reference Willert HG, Broback LG, Buchhorn GH, Jensen PH, Koster G, Lang I, Ochsner P, Schenk R (1996) Crevice corrosion of cemented titanium alloy stems in total hip replacements. Clin Orthop Relat Res 333:51–75PubMed Willert HG, Broback LG, Buchhorn GH, Jensen PH, Koster G, Lang I, Ochsner P, Schenk R (1996) Crevice corrosion of cemented titanium alloy stems in total hip replacements. Clin Orthop Relat Res 333:51–75PubMed
58.
go back to reference De Santis E MG, Proietti L, et al. (2001) Histologic and ultrastructural analysis of alumina wear debris. In: Giannini S, Moroni A (eds) Proc Bioceramics 13 Con pp 995–998 De Santis E MG, Proietti L, et al. (2001) Histologic and ultrastructural analysis of alumina wear debris. In: Giannini S, Moroni A (eds) Proc Bioceramics 13 Con pp 995–998
59.
60.
go back to reference Koo KH, Ha YC, Jung WH, Kim SR, Yoo JJ, Kim HJ (2008) Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty. J Bone Jt Surg Am 90(2):329–336. doi:10.2106/JBJS.F.01489 CrossRef Koo KH, Ha YC, Jung WH, Kim SR, Yoo JJ, Kim HJ (2008) Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty. J Bone Jt Surg Am 90(2):329–336. doi:10.​2106/​JBJS.​F.​01489 CrossRef
61.
go back to reference Park YS, Hwang SK, Choy WS, Kim YS, Moon YW, Lim SJ (2006) Ceramic failure after total hip arthroplasty with an alumina-on-alumina bearing. J Bone Jt Surg Am 88(4):780–787. doi:10.2106/JBJS.E.00618 CrossRef Park YS, Hwang SK, Choy WS, Kim YS, Moon YW, Lim SJ (2006) Ceramic failure after total hip arthroplasty with an alumina-on-alumina bearing. J Bone Jt Surg Am 88(4):780–787. doi:10.​2106/​JBJS.​E.​00618 CrossRef
62.
65.
go back to reference Walter WL, Insley GM, Walter WK, Tuke MA (2004) Edge loading in third generation alumina ceramic-on-ceramic bearings: stripe wear. J Arthroplast 19(4):402–413 (S088354030400066X)CrossRef Walter WL, Insley GM, Walter WK, Tuke MA (2004) Edge loading in third generation alumina ceramic-on-ceramic bearings: stripe wear. J Arthroplast 19(4):402–413 (S088354030400066X)CrossRef
66.
go back to reference Lombardi AV Jr, Mallory TH, Dennis DA, Komistek RD, Fada RA, Northcut EJ (2000) An in vivo determination of total hip arthroplasty pistoning during activity. J Arthroplast 15(6):702–709. doi:10.1054/arth.2000.6637 CrossRef Lombardi AV Jr, Mallory TH, Dennis DA, Komistek RD, Fada RA, Northcut EJ (2000) An in vivo determination of total hip arthroplasty pistoning during activity. J Arthroplast 15(6):702–709. doi:10.​1054/​arth.​2000.​6637 CrossRef
69.
go back to reference Walter WL, Lusty PJ, Watson A, O’Toole G, Tuke MA, Zicat B, Walter WK (2006) Stripe wear and squeaking in ceramic total hip bearings. Semin Arthroplast 17(3):190–195CrossRef Walter WL, Lusty PJ, Watson A, O’Toole G, Tuke MA, Zicat B, Walter WK (2006) Stripe wear and squeaking in ceramic total hip bearings. Semin Arthroplast 17(3):190–195CrossRef
70.
go back to reference Sieber HP, Rieker CB, Kottig P (1999) Analysis of 118 second-generation metal-on-metal retrieved hip implants. J Bone Jt Surg Br 81(1):46–50CrossRef Sieber HP, Rieker CB, Kottig P (1999) Analysis of 118 second-generation metal-on-metal retrieved hip implants. J Bone Jt Surg Br 81(1):46–50CrossRef
71.
go back to reference Charnley J (1979) Low friction arthroplasty of the hip. Berlin Charnley J (1979) Low friction arthroplasty of the hip. Berlin
72.
go back to reference Back DL, Dalziel R, Young D, Shimmin A (2005) Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. J Bone Jt Surg Br 87(3):324–329CrossRef Back DL, Dalziel R, Young D, Shimmin A (2005) Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. J Bone Jt Surg Br 87(3):324–329CrossRef
79.
go back to reference CeramtecAG (2007) Biolox promotional materials; BIOLOX®delta—nanocomposite for arthroplasty CeramtecAG (2007) Biolox promotional materials; BIOLOX®delta—nanocomposite for arthroplasty
Metadata
Title
Ceramic on ceramic hip prostheses: a review of past and modern materials
Authors
Nathanael Macdonald
Marcus Bankes
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-014-2020-x

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