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Bearing surfaces in primary total hip arthroplasty
Total hip arthroplasty (THA) is widely considered one of the most successful surgical procedures in orthopaedics. It is associated with high satisfaction rates and significant improvements in quality of life following surgery. On the other hand, the main cause of late revision is osteolysis and wear...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Editorial Society of Bone and Joint Surgery
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994629/ https://www.ncbi.nlm.nih.gov/pubmed/29951259 http://dx.doi.org/10.1302/2058-5241.3.180300 |
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author | Zagra, Luigi Gallazzi, Enrico |
author_facet | Zagra, Luigi Gallazzi, Enrico |
author_sort | Zagra, Luigi |
collection | PubMed |
description | Total hip arthroplasty (THA) is widely considered one of the most successful surgical procedures in orthopaedics. It is associated with high satisfaction rates and significant improvements in quality of life following surgery. On the other hand, the main cause of late revision is osteolysis and wear, often a result of failure of bearing surfaces. Currently, several options are available to the surgeon when choosing the bearing surface in THA (ceramic-on-ceramic (CoC), ceramic-on-polyethylene (CoPE), metal-on-polyethylene (MoPE)), each with advantages and drawbacks. Very few studies have directly compared the various combinations of bearings at long-term follow-up. Randomized controlled trials show similar short- to mid-term survivorship among the best performing bearing surfaces (CoC, CoXLPE and MoXLPE). Selection of the bearing surface is often ‘experience-based’ rather than ‘evidence-based’. The aim of this paper is therefore to evaluate the main advantages and drawbacks of various types of tribology in THA, while providing practical suggestions for the surgeon on the most suitable bearing surface option for each patient. Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.180300. |
format | Online Article Text |
id | pubmed-5994629 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | British Editorial Society of Bone and Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-59946292018-06-27 Bearing surfaces in primary total hip arthroplasty Zagra, Luigi Gallazzi, Enrico EFORT Open Rev Instructional Lecture: Hip Total hip arthroplasty (THA) is widely considered one of the most successful surgical procedures in orthopaedics. It is associated with high satisfaction rates and significant improvements in quality of life following surgery. On the other hand, the main cause of late revision is osteolysis and wear, often a result of failure of bearing surfaces. Currently, several options are available to the surgeon when choosing the bearing surface in THA (ceramic-on-ceramic (CoC), ceramic-on-polyethylene (CoPE), metal-on-polyethylene (MoPE)), each with advantages and drawbacks. Very few studies have directly compared the various combinations of bearings at long-term follow-up. Randomized controlled trials show similar short- to mid-term survivorship among the best performing bearing surfaces (CoC, CoXLPE and MoXLPE). Selection of the bearing surface is often ‘experience-based’ rather than ‘evidence-based’. The aim of this paper is therefore to evaluate the main advantages and drawbacks of various types of tribology in THA, while providing practical suggestions for the surgeon on the most suitable bearing surface option for each patient. Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.180300. British Editorial Society of Bone and Joint Surgery 2018-05-21 /pmc/articles/PMC5994629/ /pubmed/29951259 http://dx.doi.org/10.1302/2058-5241.3.180300 Text en © 2018 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed. |
spellingShingle | Instructional Lecture: Hip Zagra, Luigi Gallazzi, Enrico Bearing surfaces in primary total hip arthroplasty |
title | Bearing surfaces in primary total hip arthroplasty |
title_full | Bearing surfaces in primary total hip arthroplasty |
title_fullStr | Bearing surfaces in primary total hip arthroplasty |
title_full_unstemmed | Bearing surfaces in primary total hip arthroplasty |
title_short | Bearing surfaces in primary total hip arthroplasty |
title_sort | bearing surfaces in primary total hip arthroplasty |
topic | Instructional Lecture: Hip |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994629/ https://www.ncbi.nlm.nih.gov/pubmed/29951259 http://dx.doi.org/10.1302/2058-5241.3.180300 |
work_keys_str_mv | AT zagraluigi bearingsurfacesinprimarytotalhiparthroplasty AT gallazzienrico bearingsurfacesinprimarytotalhiparthroplasty |