Total Hip Arthroplasty using third Generation Alumina-on-Alumina Articulation
In 1970, Boutin introduced ceramic-on-ceramic total hip arthroplasty (THA) . The ceramic-on-ceramic articulation has the lowest wear rate among various articulations . Ceramic particles induced less macrophage reaction and decreased cytokine secretion compared with particles of high-density polyethylene  and THA with use of the ceramic-on-ceramic articulation showed little periprosthetic osteolysis .
KeywordsFemoral Component Acetabular Component Lower Wear Rate Periprosthetic Osteolysis Ceramic Liner
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