Total Hip Replacement: Ceramic-on-Ceramic

Interest in ceramic-on-ceramic hip replacement is increasing as a result of the realization of osteolysis associated with wear debris generation in conventional metal-on-polyethylene bearings and metallosis associated with metal-on-metal articulations. We look at the evolution of ceramics, their material properties and address the concerns regarding breakage and squeaking. We believe that ceramic-on-ceramic is now the bearing of choice in young active patients.