Total hip replacement with all alumina bearings in patients under 30 years of age

  • G. Biette
  • R. S. Nizard
  • P. Bizot
  • F. Lemonne
  • L. Sedel
Conference paper
Part of the Ceramics in Orthopaedics book series (CIO)


Total hip arthroplasty with all alumina bearings in young patients give acceptable results but it is difficult surgery. The main problem is related to socket fixation. There is an apparent improvement with metal backed alumina that needs to be confirmed with long-term results.


Radiolucent Line Biomed Mater Polyethylene Wear Particle Alumina Bearing Socket Fixation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Allen M, Brett F, Millet P, Rushton N (1996) The effects of particulate polyethylene at a weignt-bearing bone-implant interface. A study in rats. J Bone Joint Surg 78B: 32–37.Google Scholar
  2. 2.
    Bisla RS, Inglis AE, Ranawat CS (1976) Joint replacement surgery in patients under thirty. J Bone Joint Surg 58A: 1098–1104.Google Scholar
  3. 3.
    Bizot P, Banallec L, Sedel L, Nizard R (2000) Alumina-on-alumina total hip protheses in patients 40 years of age or younger. Clin Orthop 379: 68–76.PubMedGoogle Scholar
  4. 4.
    Bizot P, Larrouy M, Witvoet J, Sedel L, Nizard R (2000) Press-fit metal-backed alumina sockets. Clin Orthop 379: 134–142.PubMedGoogle Scholar
  5. 5.
    Boehler M, Knahr K, Plenk H, et al (1994) Long term results of uncemented alumina acetabular implants. J Bone Joint Surg 76B: 53–59.Google Scholar
  6. 6.
    Brooker A, Bowerman JW, Robinson RA, riley LH (1973) Ectopic ossification following total hip replacement. J Bone Joint Surg 55A: 1629–1632.Google Scholar
  7. 7.
    Chiu KY, Ng TP, tang WM, Poon KC, Ho Y, Yip D (2001) Charnley total hip arthroplasty in Chinese patients less than 40 year old. J Arthroplasty 16: 92–101.PubMedCrossRefGoogle Scholar
  8. 8.
    Christel P (1992) Biocompatibility of surgical-grade dense polycristalline alumina. Clin Orthop 282: 10–18.PubMedGoogle Scholar
  9. 9.
    Crolet J (1982) L’ancrage du composant cotyloïdien dans les prothèses totales de hanche. Université Technologique. Compiègne.Google Scholar
  10. 10.
    d’AubignéR, Postel M (1954) Functional results of hip arthroplasty with acrylic prothesis. J Bone Joint Surg 36A: 451–456.Google Scholar
  11. 11.
    DeLee JG, Charnley J: Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20–32, 1976.PubMedGoogle Scholar
  12. 12.
    Dorlot J, Christel P, Meunier A (1989) Wear analysis of retrieved alumina heads and sockets of hip prothese. J Biomed Mater Res 23:299–310.PubMedCrossRefGoogle Scholar
  13. 13.
    Dorr LD, Takei GK, Conaty JP (1983) Total hip arthroplaties in patients less than forty-five years old. J Bone Joint Surg 65A: 474–479.Google Scholar
  14. 14.
    Dunkley AB, ELDRIDGE JDJ, Lee MB Smith EJ, Learmonth ID (2000) Cementless acetabular replacement in the young. Clin Orthop 376: 149–155.PubMedCrossRefGoogle Scholar
  15. 15.
    Fenollosa J, Seminario P, Montijano C (2000) Ceramic hip protheses in young patients. Clin Orthop 379: 55–67.PubMedGoogle Scholar
  16. 16.
    Gruen TA, McNeice GM, Amstutz HC (1979) “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop 141:17–27.PubMedGoogle Scholar
  17. 17.
    Halley DK, Charnley J (1975) Results of low friction arthroplasty in patients thirty years of age or youger. Clin Orthop 112: 180–191.PubMedGoogle Scholar
  18. 18.
    Halley DK, Wroblewski BM (1986) Long-term results of low-friction arthroplasty in patients 30 years of age or younger. Clin Orthop 211: 43–50.PubMedGoogle Scholar
  19. 19.
    Harris W (1995) The problem is osteolysis. Clin Orthop 311: 46–53.PubMedGoogle Scholar
  20. 20.
    Huo MH, Martin RP, Zatorski LE, Keggi KJ (1996) Cementless total hip arthroplasties using ceramic-on-ceramic articulation in young patients. J Arthroplasty 11: 673–678.PubMedCrossRefGoogle Scholar
  21. 21.
    Howie DW, Vernon-Roberts B, Oakeshott R, Manthey B (1988) A rat model of resorption of bone at the cement-bone interface in the presence of polyethylene wear particles. J Bone Joint Surg 70A: 257–263.Google Scholar
  22. 22.
    Joshi AB, Porter ML, Trail IA, et al (1993) Long-term results of charnley low-friction arthroplasty in young patients. J Bone Joint Surg 75B: 616–623.Google Scholar
  23. 23.
    Kim KJ, Kobayashi Y, Itoh T (1997) Osteolysis model with continuous infusion of polyethylene particles. Clin Orthop 344: 263–274.Google Scholar
  24. 24.
    Lerouge S, Huk O, Yahia L et al (1997) Ceramic-ceramic or metal-PE. A comparison of periprosthetic tissues from loosened total hip arthroplasty. J Bone Joint Surg 79B:135–139CrossRefGoogle Scholar
  25. 25.
    Mittelmeier H, Heisel J (1992) Sixteen-years experience with ceramic hip protheses. Clin Orthop 282: 64.PubMedGoogle Scholar
  26. 26.
    Murray DW, Rushton N (1990) Macrophages stimulate bone resorption when they phagocytose particles. J Bone Joint Surg 72B: 988.Google Scholar
  27. 27.
    Neumann L, Freund KG, Sorensen KH (1996) Total hip arthroplasty with the Charnley prothesis in patients fifty-five years old or less. Fifteen to twenty one years results. J Bone Joint Surg 78A: 73–79.Google Scholar
  28. 28.
    Rousseau MA, Le Mouel S, Goutallier D, Van Driesche (2004) Long-term result of alumina-on-alumina total hip arthroplasty. Rev Chir Orthop Reparatrice Appar Mot 90(8), 741–748.PubMedGoogle Scholar
  29. 29.
    Sedel L, Kerboull L, Christel et al (1990) Alumina-on-alumina hip replacement. Results and survivorship in young patients. J Bone Joint Surg 72B: 658–663.Google Scholar
  30. 30.
    Sedel L, Nizard R, Kerboull L, Witwoet J (1994) Alumina-alumina hip replacement in patients younger than 50 years old. Clin Orthop 298: 175–183.PubMedGoogle Scholar
  31. 31.
    Shanbhag AS, Jacobs JJ, Black J et al (1994) Macrophage/particle interactions: effet of size, composition and surface area. J Biomed Mater Res 28: 81–90.PubMedCrossRefGoogle Scholar
  32. 32.
    Sharp DJ, Porter KM (1985) The charnley total hip arthroplasty in patients under age 40. Clin Orthop 201: 51–56.PubMedGoogle Scholar
  33. 33.
    Sierra RJ, Trousdale RT, Cabanela ME (2005) Pregnancy and childbirth after total hip arthroplasty. J Bone Joint Surg 87Br: 21–24.Google Scholar
  34. 34.
    Smith E, Harris W (1995) Increasing prevalence of femoral lysis in cementless total hip arthroplasty. J Arthroplasty 10: 407–412.PubMedCrossRefGoogle Scholar
  35. 35.
    Sochart DH, Porter ML (1997) the long-term results of charnley low-friction arthroplasty in young patients who have congenital dislocation, degenerative osteoarthrosis, or rheumatoid arthritis. J Bone Joint Surg 79A: 1599–1617.Google Scholar
  36. 36.
    Sochart D (1999) Relationship of acetabular wear to osteolysis and loosening in total hip arthroplasty. Clin Orthop 363: 135–150.PubMedCrossRefGoogle Scholar
  37. 37.
    Sporer SM, Callaghan JJ, Olejniczak JP, et al (1998) Hybrid total hip arthroplasty in patients under the age of fifty: a five-to-ten years follow-up. J Arthroplasty 13: 485–491.PubMedCrossRefGoogle Scholar
  38. 38.
    Sullivan P, MacKenzie J, Callaghan J, Johnston R (1994) Total hip arthroplasty with cement in patients who are less than fifty years old. A sixteen to twenty years follow-up study. J Bone Joint Surg 76A: 863–869.Google Scholar
  39. 39.
    Tanzer M, Maloney W, Jasty M, Harris W (1992) The progression of femoral cortical osteolysis in association with total hip arthroplasty without cement. J Bone Joint Surg 74A: 404–410.Google Scholar
  40. 40.
    Torchia ME, Klassen RA, Bianco AJ (1996) Total hip arthroplasty with cement in patients less than twenty years old. J Bone Joint Surg 78A: 995–1003.Google Scholar
  41. 41.
    Walter A (1992) On the material and the tribology of alumina-alumina couplings for hip joint protheses. Clin Orthop 282: 31–46.PubMedGoogle Scholar
  42. 42.
    Witwoet J, Darman Z, Christel P, Fumery F (1993) total arthroplasty of the hip with a screwed titanium ring cup. Follow-up of 446 prostheses over four years. Rev Chir Orthop Reparatrice Appar Mot 79: 542–552.Google Scholar

Copyright information

© Steinkopff Verlag, Darmstadt 2006

Authors and Affiliations

  • G. Biette
  • R. S. Nizard
  • P. Bizot
  • F. Lemonne
  • L. Sedel

There are no affiliations available

Personalised recommendations