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A 10- to 12-year follow-up study of delta ceramic-on-ceramic total hip arthroplasty

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

We previously reported five-to-seven-year results of total hip arthroplasty (THA) with the use of delta ceramic-on-ceramic (CoC) bearing. We conducted an extension study with a CT scan at a minimum of 10 years after surgery.

Methods

From March 2009 to March 2011, 273 patients (310 hips) received cementless THA with delta CoC bearing, porous-coated cup and hydroxyapatite-coated stem. In this extended study, 252 patients (144 men and 108 women) (288 hips) with a mean age of 49.7 years (16–83) at surgery were followed for a mean of 10.4 years (10–12) with CT scans in 133 hips (46.2%, 133/288). Clinical and radiographic evaluations were made at each follow-up and Kaplan–Meier survival analysis was performed with revision and reoperation as endpoints.

Results

There were no more ceramic fractures. Compared to mid-term results, the incidence of squeaking and RLLs increased to 3.1% (9/288) and 19.4% (56/288), respectively. The RLL progressed to focal osteolysis in 3 hips (5.4%, 3/56). No hip had detectable wear or prosthetic loosening. Two hips were reoperated due to periprosthetic joint infection and periprosthetic femoral fracture in each. The survivorship decreased to 98.3% (96.7–99.9%) at 12 years.

Conclusion

During the extended follow-up, no additional ceramic fracture occurred, and the incidence of squeak increased by 0.7%. The long-term survivorship of Delta CoC THA was encouraging. However, focal osteolysis occurred around the hydroxyapatite-coated stem in 1% (3/288).

Level of evidence

II (Prospective cohort study).

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

Jung-Wee Park and Hong-Seok Kim contributed equally to this work, and should be considered co-first authors.

Funding

This study is an investigator-initiated trial (IIT) supported by a research grant from Johnson & Johnson Medical Korea.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 166 Gumi-Ro, Bundang-gu, Seongnam, 463-707, South Korea

    Jung-Wee Park, Young-Kyun Lee & Kyung-Hoi Koo

  2. Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, South Korea

    Hong-Seok Kim

  3. Department of Orthopaedic Surgery, Dankook University Hospital, Cheonan, South Korea

    Ki-Choul Kim

  4. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea

    Jung-Wee Park, Hong-Seok Kim & Young-Kyun Lee

  5. Department of Orthopaedic Surgery, Seoul Bumin Hospital, Seoul, South Korea

    Yong-Chan Ha

  6. Department of Orthopaedic Surgery, Kay Joint Center, Cheil Orthopaedic Hospital, Seoul, South Korea

    Kyung-Hoi Koo

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Contributions

JWP: data curation, draft of the manuscript; HSK: visualization, manuscript revision; KCK: data curation; YKL: data analysis, manuscript revision; YCH: conceptualization, manuscript revision; KHK: supervision, manuscript revision.

Corresponding author

Correspondence to Young-Kyun Lee.

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The authors have no relevant financial or non-financial interests to disclose.

Ethics approval

The design and protocol of this prospective study were approved by the institutional review board of the local institution, and all patients provided informed consent pre-operatively.

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Park, JW., Kim, HS., Kim, KC. et al. A 10- to 12-year follow-up study of delta ceramic-on-ceramic total hip arthroplasty. Arch Orthop Trauma Surg 143, 5385–5394 (2023). https://doi.org/10.1007/s00402-022-04758-x

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