Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (35): 5577-5582.doi: 10.3969/j.issn.2095-4344.1002

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Factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty

Zhou Chi1, He Wei2, Liu Yuhao1, Guo Hai1, Tang Hongyu1, Zhang Gangyu1, Wang Haibin2   

  1. 1Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 2Department of Bone and Joint Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Online:2018-12-18 Published:2018-12-18
  • Contact: Wang Haibin, MD, Chief physician, Department of Bone and Joint Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • About author:Zhou Chi, MD, Attending physician, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81173284 and 81373655; the Natural Science Foundation of Guangdong Province, No. 2015A030310203; the Youth Research Talents Training Project, No. 2015QN01; the High-Level University Construction Project of Guangxi University of Chinese Medicine, No. A1-AFD018171Z11057

Abstract:

BACKGROUND: Total hip arthroplasty has become a most successful and mature surgical procedure, despite tremendous advances in material selection, phenomena such as interfacial wear, osteolysis, and prosthesis loosening severely affect long-term efficacy.

OBJECTIVE: To analyze the factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty.
METHODS: Case data were collected. The literature concerning the factors related to the fragmentation of ceramic components after fourth-generation ceramic-on-ceramic total hip arthroplasty were reviewed by searching the CNKI, PubMed and Web of science databases.
RESULTS AND CONCLUSION: (1) Although the fourth-generation ceramic-on-ceramic total hip prosthesis possesses high hardness and wear resistance, the possibility of fragmentation still exits. The causes and physical factors, mechanical factors, prosthesis selection and matching, surgery relevant factors are closely related. (2) Therefore, before performing this type of surgery, we should explain clearly to the patient and inform the risk of fragmentation. The ceramic interface joints can provide good results when ensuring proper implantation of ceramic components, especially for young and active patients. 

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

Key words: Arthroplasty, Replacement, Hip, Prosthesis Implantation, Ceramics, Tissue Engineering

CLC Number: