Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
436
pubmed:dateCreated
2005-7-4
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.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0009-921X
pubmed:author
pubmed:issnType
Print
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
164-71
pubmed:dateRevised
2006-11-15
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
pubmed:year
2005
pubmed:articleTitle
Alumina ceramic bearings for total hip arthroplasty: five-year results of a prospective randomized study.
pubmed:affiliation
Greater Pittsburgh Orthopaedics Association, Moon Township, PA, USA. jadantonio@verizon.net
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study