Review Article

Fracture of Ceramic Bearing Surfaces following Total Hip Replacement: A Systematic Review

Table 1

Rate of ceramic head fractures in the literature (the percentage was calculated on the basis of nontraumatic head fractures).

AuthorType of ceramicNo. of hipsNo. of fractures (traumatic)%

Lee et al. [20]3rd generation (BIOLOX FORTE)862 (1)1.1
Mannan et al. [21]Unspecified (surgery 1989–1992)10022
Aldrian et al. [22]2nd generation (BIOLOX)10732.8
Koo et al. [23]3rd generation (BIOLOX FORTE)36751.4
Fayard et al. [24]Unspecified (surgery 1991-1992)1022 (2)0
Park et al. [25]3rd generation (BIOLOX FORTE)35720.6
Yoo et al. [26]3rd generation (BIOLOX FORTE)722 (1)1.4
Jeong et al. [27]3rd generation (BIOLOX FORTE)1001 (1)0
Toni et al. [28]1st generation (ALUMINA)8222.4
Callaway et al. [29]Unspecified 18442.2
Nizard et al. [30]Unspecified (surgery 1977–1979)8755.7