Abstract
Five hundred fourteen total hip arthroplasties were performed in a prospective, randomized multicenter trial in the United States. All patients received a clinically proven hydroxyapatite (HA) coated, collarless, dual wedged titanium stem. While all acetabular shells had the same outside geometry, one third of the patients received a polyethylene liner mated with a Chrome Cobalt head and two thirds utilized a Ceramtec alumina acetabular bearing and femoral head. At the mean follow-up of 3.6 years, there were no statistical differences in the patient activity, satisfaction, or component performance. A 2.6% intraoperative insertional crack rate of the alumina liner resulted in an acetabular redesign with a second, non-randomized study of 209 additional hips. With a minimum of 24-month observation of this group, there have been no ceramic failures, and the clinical and radiographic results are not statistically different from the original control patients.
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© 2003 Steinkopff Verlag, Darmstadt
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Mesko, J.W. (2003). All Alumina Articulation in the Stryker Howmedica-Osteonics THA A United States Experience 36–60 Months Follow-up. In: Zippel, H., Dietrich, M. (eds) Bioceramics in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-85763-8_24
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DOI: https://doi.org/10.1007/978-3-642-85763-8_24
Publisher Name: Steinkopff, Heidelberg
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