Source:http://linkedlifedata.com/resource/pubmed/id/15995436
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
436
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pubmed:dateCreated |
2005-7-4
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pubmed:abstractText |
Three hundred twenty-eight ceramic bearings were implanted by six surgeons in 316 patients as a part of a prospective randomized US Investigational Device Exemption study comparing alumina ceramic bearings with cobalt chrome-on-polyethylene bearings. There was no difference between the control metal-on-polyethylene and the alumina bearing couple patient cohorts regarding demographics or clinical scores through 7 years. Revision for any reason occurred in 2.7% of the patients with alumina bearings and 7.5% of the control patients with polyethylene bearings. Osteolysis was found in 1.4% of the patients with alumina bearings and in 14.0% of the control patients. At an average followup of 5.0 years (range, 1-86 months) no ceramic fractures or ceramic bearing failures have occurred. Results of this study suggest that alumina ceramics perform as well as the metal-on-polyethylene in clinical scores, but the patients with ceramic bearings had fewer revisions and less osteolysis. These results lead us to think that this new alumina ceramic bearing provides a safe option for younger and more active patients. LEVEL OF EVIDENCE: Therapeutic study, Level I-1b (randomized controlled trial, no significant difference, but narrow confidence intervals). See the Guidelines for Authors for a complete description of levels of evidence.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0009-921X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
164-71
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15995436-Aluminum Oxide,
pubmed-meshheading:15995436-Arthroplasty, Replacement, Hip,
pubmed-meshheading:15995436-Chromium,
pubmed-meshheading:15995436-Cobalt,
pubmed-meshheading:15995436-Evidence-Based Medicine,
pubmed-meshheading:15995436-Female,
pubmed-meshheading:15995436-Follow-Up Studies,
pubmed-meshheading:15995436-Hip Prosthesis,
pubmed-meshheading:15995436-Humans,
pubmed-meshheading:15995436-Male,
pubmed-meshheading:15995436-Middle Aged,
pubmed-meshheading:15995436-Osteoarthritis, Hip,
pubmed-meshheading:15995436-Osteolysis,
pubmed-meshheading:15995436-Polyethylene,
pubmed-meshheading:15995436-Postoperative Complications,
pubmed-meshheading:15995436-Prospective Studies,
pubmed-meshheading:15995436-Prosthesis Design,
pubmed-meshheading:15995436-Reoperation,
pubmed-meshheading:15995436-Treatment Outcome
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pubmed:year |
2005
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pubmed:articleTitle |
Alumina ceramic bearings for total hip arthroplasty: five-year results of a prospective randomized study.
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pubmed:affiliation |
Greater Pittsburgh Orthopaedics Association, Moon Township, PA, USA. jadantonio@verizon.net
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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