Table of Contents
Advances in Orthopedic Surgery
Volume 2014, Article ID 863748, 6 pages
Clinical Study

Clinical and Radiological Outcome of the Newest Generation of Ceramic-on-Ceramic Hip Arthroplasty in Young Patients

1Department of Orthopaedics, McGill University, Jewish General Hospital, 3755 Cote-St.-Catherine Road, Room E-003, Montreal, QC, Canada H3T 1E2
2Medical School, University of Montreal, P.O. Box 6128, Station Centre-Ville, Montreal, QC, Canada H3C 3J7

Received 11 September 2013; Accepted 29 December 2013; Published 12 February 2014

Academic Editor: Mel S. Lee

Copyright © 2014 Avishai Reuven et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Ceramic-on-ceramic articulations have become an attractive option for total hip arthroplasty in young patients. In this study, we retrospectively evaluated the short- to midterm clinical and radiographic results in 51 consecutive patients (61 hips) using the newest generation of ceramic implants. Results obtained in our study showed positive clinical and radiological outcomes. Both HHS and UCLA activity scores doubled after surgery and tended to increase over time. There was one infection requiring a two-stage revision and a case of squeaking that began 2 years postoperatively after a mechanical fall. The overall survival rate of the implants was 98.4% at six years with revision for any reason as the end point. Based on these results, fourth generation ceramics offer a viable option for young and active patients.