Preventing ceramic liner fracture after Delta ceramic-on-ceramic total hip arthroplasty
DC Field | Value | Language |
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dc.contributor.author | Lee Y.-K. | - |
dc.contributor.author | Lim J.-Y. | - |
dc.contributor.author | Ha Y.-C. | - |
dc.contributor.author | Kim T.-Y. | - |
dc.contributor.author | Jung W.-H. | - |
dc.contributor.author | Koo K.-H. | - |
dc.date.available | 2020-08-03T06:24:45Z | - |
dc.date.issued | 2021-07 | - |
dc.identifier.issn | 0936-8051 | - |
dc.identifier.issn | 1434-3916 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/42712 | - |
dc.description.abstract | Background: The results of total hip arthroplasty (THA) with use of Delta ceramic articulation were successful at medium term follow-up. The use of this newest ceramic has markedly reduced the incidence of ceramic head fractures, but not the incidence of ceramic liner fractures. We tested a hypothesis that the ceramic fractures are prevented by use of a metal shell with 18° inner taper angle and a stem design with a reduced neck geometry. Methods: We conducted a prospective multicenter study of cementless THA with use of 32/36-mm Delta ceramic bearing, Exceed ABT metal shell and Taperloc stem. We evaluated ceramic fracture, noise, clinical results, radiological changes and survival rate at a minimum of 5-year follow-up. Results: From April 2010 to February 2012, 246 patients (274 THAs) were enrolled. Among them, 224 patients (130 men and 94 women, 250 hips) were followed-up for 5–8 years (mean 6.0 years). Ceramic malseating or fracture did not occur in any patient. Eight patients (8 hips, 3.2%) reported noise. Mean Harris hip score was 84 points at the latest follow-up. All acetabular and femoral components had bone-ingrown stability. Two hips were revised due to recurrent dislocation and periprosthetic fracture. The survival rate was 99.6% at 8 years postoperatively. Conclusion: Ceramic fractures can be prevented by a use of (1) 32/36-mm Delta ceramic bearing, (2) metal shell with 18° taper angle, and (2) stem with a reduced neck geometry. However, noise remains a concern of the Delta ceramic bearing. Level of evidence: Therapeutic level II. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Springer | - |
dc.title | Preventing ceramic liner fracture after Delta ceramic-on-ceramic total hip arthroplasty | - |
dc.type | Article | - |
dc.identifier.doi | 10.1007/s00402-020-03515-2 | - |
dc.identifier.bibliographicCitation | Archives of Orthopaedic and Trauma Surgery, v.141, no.7, pp 1155 - 1162 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000539905000001 | - |
dc.identifier.scopusid | 2-s2.0-85086327880 | - |
dc.citation.endPage | 1162 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1155 | - |
dc.citation.title | Archives of Orthopaedic and Trauma Surgery | - |
dc.citation.volume | 141 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Ceramic fracture | - |
dc.subject.keywordAuthor | Delta ceramic-on-ceramic total hip arthroplasty | - |
dc.subject.keywordAuthor | Noise | - |
dc.subject.keywordAuthor | Taper angle | - |
dc.subject.keywordAuthor | Zimmer biomet | - |
dc.subject.keywordPlus | FOLLOW-UP | - |
dc.subject.keywordPlus | REPLACEMENT | - |
dc.subject.keywordPlus | BEARING | - |
dc.subject.keywordPlus | DISLOCATION | - |
dc.subject.keywordPlus | SQUEAKING | - |
dc.subject.keywordPlus | MINIMUM | - |
dc.subject.keywordPlus | ARTHRITIS | - |
dc.subject.keywordPlus | FIXATION | - |
dc.subject.keywordPlus | DECREASE | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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