Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series
Despite the fact that total hip replacement is one of the most successful surgical procedures for treatment of a variety of end-stage hip diseases, the process of osteolysis and implant loosening remains a significant problem, especially in young and high-demand patients. More than 40 years ago, cer...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Composites Science |
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| Online Access: | https://www.mdpi.com/2504-477X/5/12/320 |
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| author | Giuseppe Solarino Antonio Spinarelli Antonio Virgilio Filippo Simone Marco Baglioni Biagio Moretti |
| author_facet | Giuseppe Solarino Antonio Spinarelli Antonio Virgilio Filippo Simone Marco Baglioni Biagio Moretti |
| author_sort | Giuseppe Solarino |
| collection | DOAJ |
| description | Despite the fact that total hip replacement is one of the most successful surgical procedures for treatment of a variety of end-stage hip diseases, the process of osteolysis and implant loosening remains a significant problem, especially in young and high-demand patients. More than 40 years ago, ceramic bearings were introduced due to their mechanical advantage in order to obtain a reduction in wear debris, and due to the conviction that it was possible to minimize friction and wear owing to their mechanical hardness, high chemical stability, surface lubrication by fluids and low friction coefficient. Together with excellent mechanical properties, ceramics have a biological inertness: eventual ceramic debris will lead to a reactive response with a high predominance of fibrocystic cells, rather than macrophagic cells, and absence of giant cells, which is ideal from a biological perspective. As a consequence, they will not trigger the granulomatous reaction necessary to induce periprosthetic osteolysis, and this clearly appears to be of great clinical relevance. In recent years, tribology in manufacturing ceramic components has progressed with significant improvements, owing to the development of the latest generation of ceramic composites that allow for an increased material density and reduced grain size. Currently, ceramic-on-ceramic bearings are considered the attractive counterparts of ceramic- or metal-on-polyethylene ones for patients with a long life expectancy. The aim of this paper is to report the results of total hip replacements performed with a ceramic-on-ceramic articulation made from a ceramic composite in a single center, focusing on its usefulness in specific preoperative diagnosis. |
| first_indexed | 2024-03-10T03:49:43Z |
| format | Article |
| id | doaj.art-636e0b58c8294dd4b4171c2fd957ead8 |
| institution | Directory Open Access Journal |
| issn | 2504-477X |
| language | English |
| last_indexed | 2024-03-10T03:49:43Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Composites Science |
| spelling | doaj.art-636e0b58c8294dd4b4171c2fd957ead82023-11-23T08:59:23ZengMDPI AGJournal of Composites Science2504-477X2021-12-0151232010.3390/jcs5120320Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center SeriesGiuseppe Solarino0Antonio Spinarelli1Antonio Virgilio2Filippo Simone3Marco Baglioni4Biagio Moretti5Department of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari “Aldo Moro”, 70124 Bari, ItalyDespite the fact that total hip replacement is one of the most successful surgical procedures for treatment of a variety of end-stage hip diseases, the process of osteolysis and implant loosening remains a significant problem, especially in young and high-demand patients. More than 40 years ago, ceramic bearings were introduced due to their mechanical advantage in order to obtain a reduction in wear debris, and due to the conviction that it was possible to minimize friction and wear owing to their mechanical hardness, high chemical stability, surface lubrication by fluids and low friction coefficient. Together with excellent mechanical properties, ceramics have a biological inertness: eventual ceramic debris will lead to a reactive response with a high predominance of fibrocystic cells, rather than macrophagic cells, and absence of giant cells, which is ideal from a biological perspective. As a consequence, they will not trigger the granulomatous reaction necessary to induce periprosthetic osteolysis, and this clearly appears to be of great clinical relevance. In recent years, tribology in manufacturing ceramic components has progressed with significant improvements, owing to the development of the latest generation of ceramic composites that allow for an increased material density and reduced grain size. Currently, ceramic-on-ceramic bearings are considered the attractive counterparts of ceramic- or metal-on-polyethylene ones for patients with a long life expectancy. The aim of this paper is to report the results of total hip replacements performed with a ceramic-on-ceramic articulation made from a ceramic composite in a single center, focusing on its usefulness in specific preoperative diagnosis.https://www.mdpi.com/2504-477X/5/12/320hipalumina matrix compositeAMChip prosthesisprosthesiscase series |
| spellingShingle | Giuseppe Solarino Antonio Spinarelli Antonio Virgilio Filippo Simone Marco Baglioni Biagio Moretti Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series Journal of Composites Science hip alumina matrix composite AMC hip prosthesis prosthesis case series |
| title | Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series |
| title_full | Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series |
| title_fullStr | Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series |
| title_full_unstemmed | Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series |
| title_short | Outcomes of Ceramic Composite in Total Hip Replacement Bearings: A Single-Center Series |
| title_sort | outcomes of ceramic composite in total hip replacement bearings a single center series |
| topic | hip alumina matrix composite AMC hip prosthesis prosthesis case series |
| url | https://www.mdpi.com/2504-477X/5/12/320 |
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