This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow [Supplementary Material]
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hamadouche, M.
Right arrow Articles by Sedel, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hamadouche, M.
Right arrow Articles by Sedel, L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 84:69-77 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Scientific Article

Alumina-on-Alumina Total Hip Arthroplasty

A Minimum 18.5-Year Follow-up Study

Moussa Hamadouche, MD, PhD, Pierre Boutin, MD, Jacques Daussange, MD, Mark E. Bolander, MD and Laurent Sedel, MD

Investigation performed at the Orthopaedic Research Laboratory, Université D. Diderot Paris, Paris, France

Moussa Hamadouche, MD, PhD
Laboratoire de Recherches Orthopédiques, Faculté de Médicine Lariboisière St. Louis, Université D. Diderot Paris VII, UPRES A CNRS 7052, 10, avenue de Verdun, 75010 Paris, France. E-mail address for M. Hamadouche: moussah{at}club-internet.fr

Laurent Sedel, MD
Service de Chirurgie Orthopédique, Hôpital Lariboisière, 2, rue Ambroise Paré, F-75475 Paris CEDEX 10, France

Pierre Boutin, MD
Deceased

Jacques Daussange, MD
Clinique Marzet, 40 boulevard Alsace Lorraine, 64000 Pau, France

Mark E. Bolander, MD
Orthopaedic Research Laboratory, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905

In support of their research or preparation of this manuscript, one or more of the authors received grants or outside funding from Ceraver Osteal, Roissy, France. In addition, one or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity (Ceraver Osteal, Roissy, France). Also, a commercial entity (Ceraver Osteal, Roissy, France) paid or directed, or agreed to pay or direct, benefits to a research fund, foundation, educational institution, or other charitable or nonprofit organization with which one or more of the authors are affiliated or associated.

A commentary is available with the electronic versions of this article, on our web site (www.jbjs.org) and on our quarterly CD-ROM (call our subscription department, at 781-449-9780, to order the CD-ROM).

Background: The purpose of this retrospective study was to report the results, after a minimum of 18.5 years of follow-up, in a consecutive series of total hip arthroplasties performed with an alumina-on-alumina combination.

Methods: One hundred and eighteen consecutive total hip arthroplasties were performed in 106 patients between 1979 and 1980. The prostheses combined a 32-mm alumina head and an all-alumina socket. Both components were cemented in eighty-five hips, both components were implanted without cement in twenty-nine, and only the stem was cemented in four. The mean age of the patients at the time of the index arthroplasty was 62.2 years (range, thirty-two to eighty-nine years).

Results: At the 18.5 to 20.5-year follow-up evaluation, forty-five patients (fifty-one hips) were alive and had not had a revision, twenty-five patients (twenty-five hips) had undergone revision of one or both components, twenty-seven patients (thirty hips) had died, and nine patients (twelve hips) had been lost to follow-up. The mean Merle d’Aubigné hip score (and standard deviation) was 16.2 &plusmn; 1.8 points at the latest follow-up evaluation. The rate of survival at twenty years, with revision for any reason as the end-point, was 85.6% for the cementless cups compared with 61.2% for the cemented cups and 84.9% for the cementless stems compared with 87.3% for the cemented stems. Wear of the prosthetic components was undetectable on plain radiographs. Periprosthetic cystic or scalloped lesions requiring the use of allograft bone during revision were present in three of the twenty-five revised hips. In addition, seven hips had moderate acetabular osteolysis treated with a 4-mm-larger cup. No fracture of the alumina socket or head was recorded. The mean acetabular wear rate in this series was <0.025 mm/yr.

Conclusion: With the alumina-on-alumina total hip arthroplasty, minimal wear rates and limited osteolysis can be expected up to twenty years after the operation, provided that sound acetabular component fixation is obtained.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
P.J. Lusty, C.C. Tai, R.P. Sew-Hoy, W.L. Walter, W.K. Walter, and B.A. Zicat
Third-Generation Alumina-on-Alumina Ceramic Bearings in Cementless Total Hip Arthroplasty
J. Bone Joint Surg. Am., December 1, 2007; 89(12): 2676 - 2683.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
K. W. Nam, J. J. Yoo, Y. Lae Kim, Y.-M. Kim, M.-H. Lee, and H. J. Kim
Alumina-Debris-Induced Osteolysis in Contemporary Alumina-on-Alumina Total Hip Arthroplasty. A Case Report
J. Bone Joint Surg. Am., November 1, 2007; 89(11): 2499 - 2503.
[Full Text] [PDF]

Home page
 JBJSHome page
A. Toni, F. Traina, S. Stea, A. Sudanese, M. Visentin, B. Bordini, and S. Squarzoni
Early Diagnosis of Ceramic Liner Fracture. Guidelines Based On a Twelve-Year Clinical Experience
J. Bone Joint Surg. Am., December 1, 2006; 88(suppl_4): 55 - 63.
[Full Text] [PDF]

Home page
 JBJSHome page
T. M. Seyler, P. M. Bonutti, J. Shen, M. Naughton, and M. Kester
Use of an Alumina-on-Alumina Bearing System in Total Hip Arthroplasty for Osteonecrosis of the Hip
J. Bone Joint Surg. Am., November 1, 2006; 88(suppl_3): 116 - 125.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
K. J. Bozic, S. Morshed, M. D. Silverstein, H. E. Rubash, and J. G. Kahn
Use of Cost-Effectiveness Analysis to Evaluate New Technologies in Orthopaedics. The Case of Alternative Bearing Surfaces in Total Hip Arthroplasty
J. Bone Joint Surg. Am., April 1, 2006; 88(4): 706 - 714.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
Y.-S. Park, S.-K. Hwang, W.-S. Choy, Y.-S. Kim, Y.-W. Moon, and S.-J. Lim
Ceramic Failure After Total Hip Arthroplasty with an Alumina-on-Alumina Bearing
J. Bone Joint Surg. Am., April 1, 2006; 88(4): 780 - 787.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
R. Nizard, L. Sedel, D. Hannouche, M. Hamadouche, and P. Bizot
Alumina pairing in total hip replacement
J Bone Joint Surg Br, June 1, 2005; 87-B(6): 755 - 758.
[Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
Y.-G. Kim, S.-Y. Kim, S.-J. Kim, B.-C. Park, P.-T. Kim, and J.-C. Ihn
The use of cementless expansion acetabular component and an alumina-polyethylene bearing in total hip arthroplasty for osteonecrosis
J Bone Joint Surg Br, June 1, 2005; 87-B(6): 776 - 780.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. J. Yoo, Y.-M. Kim, K. S. Yoon, K.-H. Koo, W. S. Song, and H. J. Kim
Alumina-on-Alumina Total Hip Arthroplasty. A Five-Year Minimum Follow-up Study
J. Bone Joint Surg. Am., March 1, 2005; 87(3): 530 - 535.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. Heisel, M. Silva, and T. P. Schmalzried
Bearing Surface Options for Total Hip Replacement in Young Patients
J. Bone Joint Surg. Am., July 3, 2003; 85(7): 1366 - 1379.
[Full Text] [PDF]

Home page
 JBJSHome page
M. H. Huo
What's New in Hip Arthroplasty
J. Bone Joint Surg. Am., October 10, 2002; 84(10): 1894 - 1905.
[Full Text] [PDF]