Ceramic-on-ceramic total hip arthroplasty: A new standard—Opposes

This article reviews the performance characteristics of ceramic-on-ceramic as a bearing surface in total hip arthroplasty. Ceramic has superior wear properties but has yet to demonstrate decreased rate of revision compared to other bearings. There are no data to support ceramic-on-ceramic as a more cost-effective bearing surface. Conversely, it may be more costly to revise, and fracture of the latest generation ceramic heads may cause taper damage that necessitates stem removal in addition. A well-positioned ceramic-on-ceramic total hip is likely to perform well, but there is no evidence to support its use as a new standard for total hip arthroplasty.