Ceramic-on-ceramic total hip arthroplasty in patients <60: A new standard

Ceramic-on-ceramic bearings in total hip arthroplasty (THA) have been in use for more than 3 decades, and clinical results have been excellent in patients of all ages. While metal-on-polyethylene and ceramic-on-polyethylene bearings are the most common bearings currently used, lack of long-term studies with the most recently developed polyethylene blends leave concerns about long-term results of these technologies, particularly related to frictional torque, taper corrosion, fracture, and osteolysis. The current article describes the author׳s 18-year clinical experience with alumina ceramic-on-ceramic bearings in patients less than 60 years of age.