Ceramic-on-Ceramic Total Hip Arthroplasty: Update

William N. Capello, James A. D'Antonio, Judy R. Feinberg, Michael T. Manley, Marybeth Naughton

Research output: Contribution to journalArticle

131 Scopus citations


This prospective, randomized, multicenter study of alumina ceramic-on-alumina ceramic bearing couples includes 452 patients (475 hips). Their average age was 53 years with approximately two thirds men and 82% with osteoarthritis. At an average 8-year follow-up, clinical results were excellent and cortical erosions significantly less than in the conventional polyethylene-on-metal bearing group. Nine hips have undergone revision of one or both components for any reason. Of the 380 ceramic liners, 2 (0.5%) have fractured requiring reoperation, and 3 (0.8%) ceramic patients reported a transient squeaking sound, one of which had a head and liner change due to groin pain secondary to psoas tendinitis at 5 years. With no revisions for aseptic loosening and minimal cortical erosions, alumina-ceramic bearing couples are performing in a manner superior to the polyethylene-on-metal bearing in this young, active patient population.

Original languageEnglish (US)
Pages (from-to)39-43
Number of pages5
JournalJournal of Arthroplasty
Issue number7 SUPPL.
StatePublished - Oct 1 2008


  • ceramic bearing
  • implant
  • total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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    Capello, W. N., D'Antonio, J. A., Feinberg, J. R., Manley, M. T., & Naughton, M. (2008). Ceramic-on-Ceramic Total Hip Arthroplasty: Update. Journal of Arthroplasty, 23(7 SUPPL.), 39-43. https://doi.org/10.1016/j.arth.2008.06.003