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Years ahead. @ Since 1974

In the current medical environment, the demand for advanced, biocompatible joint replacement solutions for patients is high, paralleled by the increasing pressures on healthcare systems. The necessity for innovative, cost-effective medical products is undeniably urgent. 

CeramTec is dedicated to providing superior but cost-effective solutions tailored to address the needs of modern patients and today’s healthcare challenges. 

With a legacy dating back to 1974, CeramTec has supplied over 27 million BIOLOX® components globally, establishing a track record of indeniable performance and proven effectiveness, as supported by substantial clinical evidence. 

Nevertheless, our ambitions do not stop here. Our mission does not stop here. We are advancing further, and our commitment to innovation has been acknowledged with breakthrough device designations by the FDA for our pioneering products: ceramic on ceramic resurfacing and the new BIOLOX CERAMIC knee implants. 

Experience the future and explore new frontiers with us.

Evolution of BIOLOX® ceramic products - ceramic implants in orthopedics
BIOLOX® Product Lineup
BIOLOX® Ceramic Hip Components

The benchmark in joint replacement: BIOLOX®delta femoral heads and cup inserts for hip replacement can be combined with ceramic components from the BIOLOX® family as well as with inserts made from conventional and highly cross-linked polyethylene.

BIOLOX® Hip Product Portfolio

Metal-Free Ceramic Knee

The BPK-S ceramic knee from Peter Brehm.

BIOLOX®delta BPK-S knee is the first full ceramic knee system, therefore 100% metal-free. Orthopedic surgeons may find a viable solution with this knee system for their patients with metal sensitivity. BIOLOX®delta shows excellent biocompatibility and is chemically stable in a physiological environment. It is unlikely to trigger inappropriate immune reactions after implantation.

Sleeved Revision Femoral Head

BIOLOX®OPTION offers the possibility of revising a femoral head implant while retaining a well-fixed femoral stem with minor damage on the taper surface. The adapter sleeve is designed to recreate a pristine taper interface for the ceramic head before it is placed on a stem which remains in situ. BIOLOX®OPTION also offers the possibility of adjusting the offset intraoperatively in primary hip replacement.

More info on our sleeved femoral head as PDF

BIOLOX CONTOURA®

BIOLOX CONTOURA® is a femoral head which mimicks the anatomical shape of the femur head. BIOLOX CONTOURA® heads retain the outer diameter profile of conventional implants and incorporate a contoured shoulder with a lesser radius. This design conceived with the goal of reducing the volume of material exposed to the soft tissue. The contoured design provides a smooth transition throughout the femoral head and the head-neck junction. 

  • Reduced volume and radius underneath equator
  • Reduced potential for interaction with surrounding tissues
  • Same size as a conventional design
  • Same stability provided as with a conventional head design

BIOLOX CONTOURA® Product Page

Download the BIOLOX CONTOURA® Product Information

Ceramic-on-Ceramic Resurfacing

On display: the H1® BIOLOX®delta ceramic-on-ceramic resurfacing device by Embody Orthopaedic Ltd. and the ReCerf® BIOLOX®delta ceramic-on-ceramic resurfacing device by Matortho Limited.

  • Cementless or cemented fixation
  • Vacuum-plasma-coating
  • Both devices granted Breakthrough Device Designation by FDA

Hip Resurfacing with BIOLOX®delta material

BIOLOX®delta Ceramic Core for Cervical Disc
  • MRI Compatible*
  • Metal-free articulating surface: 2 polymer endplates and a BIOLOX®delta core
  • Variable Center of Rotation
  • In clinical usage

   * MR Conditional per ASTM 2503-13

Excellent Biocompatibility and Hypoallergenic

BIOLOX®delta is a highly biocompatible and hypoallergenic ceramic material. It shows superior physico-chemical properties that result in excellent wettability and a very high wear resistance. BIOLOX®delta is safe in terms of metal ion release and pathogenic reactions to ceramic particles are highly unlikely. Citations for all statements can be found here.

Clinical Outcomes

The use of ceramic bearings in hip arthroplasty has increased over the last few years. Now ceramic like BIOLOX®delta is the preferred femoral head material in hip replacements. Most arthroplasty registries worldwide confirm that ceramic bearings are associated with best clinical outcomes and are associated with lower rates of revision for infection.

Impact on the clinical outcome

Skin Allergy Patch Test on Back of Patient

Metal Sensitivity

BIOLOX®delta ceramic is hypoallergenic and safe in terms of metal ion release. Due to the nature and strength of the covalent and ionic bonds of its structure, BIOLOX®delta ceramic is chemically stable in a physiological environment.

More about our ceramic materials

Infection

BIOLOX®delta ceramic has the highest wettability of all bearing materials used in TJA. It elicits a reduced biofilm formation compared to other bearing materials (Metal, XLPE). The most recent registry data show that (mixed) ceramic bearings are associated with a lower risk of revision for periprosthetic joint infection (PJI) compared to metal bearings.

Use in Revisions

Sleeved ceramic heads such as BIOLOX®OPTION offer the possibility of revising a femoral head implant while retaining a well-fixed femoral stem with minor damage on the taper surface. The BIOLOX®OPTION system has proven to be safe and is reliable in revisions for adverse local tissue reaction (ALTR). Extensive tests and retrieval studies show that the use of an adapter sleeve has no significant effect on the corrosion of modular taper connections.

Biocompatibility

BIOLOX®delta ceramics show excellent biocompatibility. Pathogenic reactions to BIOLOX® ceramic particles are highly unlikely. BIOLOX®delta ceramic has proven its ability/capability to perform its desired function and generates the most appropriate tissue response, but without eliciting undesirable local or systemic effects.

Cost-Effectiveness in THA

Studies examining the cost effectiveness of different bearing-materials and analyzing the relation between initial cost and long-term benefit of the bearing have shown that ceramic bearings show a high potential for cost effectiveness in THA.

 

More about Health Economics

Discover the Evolution of BIOLOX®
At CeramTec, we can proudly look back at more than 50 years of experience in the development and manufacturing of innovative ceramic solutions for medical applications.
Our material has developed from BIOLOX®, established in 1974, to BIOLOX®delta introduced in 2003.

 

1BIOLOX®OPTION2BIOLOX®3Autophor Liners made of BIOLOX® ceramics4BIOLOX®forte ceramic-on-ceramic bearing5BIOLOX®DUO6BIOLOX®delta7BIOLOX®delta Ceramic Knee8BIOLOX®delta Ceramic Knee9BIOLOX®delta Ceramic-on-Ceramic Hip Resurfacing10BIOLOX CONTOURA®11BIOLOX®delta Ceramic-on-Ceramic Hip Resurfacing12Ceramic core made of BIOLOX®delta13BIOLOX®delta ceramic insert for Modular Dual Mobility System14BIOLOX® CERAMIC KNEE

Sleeved Ceramic Head made of BIOLOX®delta

Alumina skirted heads made of BIOLOX®

Alumina Ceramics: hipped, lasered, proofed

Bipolar Shell and Head

Zirconia Toughened Alumina Ceramics

Multigen Plus Ceramic Knee, LIMA Corporate S.p.A.

BPK-S Ceramic Knee, Peter Brehm GmbH

H1® Ceramic Hip Resurfacing, Embody Ltd.

Anatomically Contoured Femoral Head

ReCerf® Ceramic Hip Resurfacing, MatOrtho Limited

For cervical artificial discs

Breakthrough Device Designation Granted to CeramTec by the FDA

BIOLOX®OPTION

Sleeved Ceramic Head made of BIOLOX®delta

BIOLOX®OPTION
BIOLOX®

Alumina skirted heads made of BIOLOX®

BIOLOX®
Autophor Liners made of BIOLOX® ceramics
Autophor Liners made of BIOLOX® ceramics
BIOLOX®forte ceramic-on-ceramic bearing

Alumina Ceramics: hipped, lasered, proofed

BIOLOX®forte ceramic-on-ceramic bearing
BIOLOX®DUO

Bipolar Shell and Head

BIOLOX®DUO
BIOLOX®delta

Zirconia Toughened Alumina Ceramics

BIOLOX®delta
BIOLOX®delta Ceramic Knee

Multigen Plus Ceramic Knee, LIMA Corporate S.p.A.

BIOLOX®delta Ceramic Knee
BIOLOX®delta Ceramic Knee

BPK-S Ceramic Knee, Peter Brehm GmbH

BIOLOX®delta Ceramic Knee
BIOLOX®delta Ceramic-on-Ceramic Hip Resurfacing

H1® Ceramic Hip Resurfacing, Embody Ltd.

BIOLOX®delta Ceramic-on-Ceramic Hip Resurfacing
BIOLOX CONTOURA®

Anatomically Contoured Femoral Head

BIOLOX CONTOURA®
BIOLOX®delta Ceramic-on-Ceramic Hip Resurfacing

ReCerf® Ceramic Hip Resurfacing, MatOrtho Limited

BIOLOX®delta Ceramic-on-Ceramic Hip Resurfacing
Ceramic core made of BIOLOX®delta

For cervical artificial discs

Ceramic core made of BIOLOX®delta
BIOLOX®delta ceramic insert for Modular Dual Mobility System
BIOLOX®delta ceramic insert for Modular Dual Mobility System
BIOLOX® CERAMIC KNEE

Breakthrough Device Designation Granted to CeramTec by the FDA

BIOLOX® CERAMIC KNEE
Information to Download

Read now or save for later - our compact PDF files provide you with the most important facts:

Product Information, Top Downloads
BIOLOX® Hip Product Portfolio
2 MB, pdf
download
EN
Product Information, Top Downloads
BIOLOX®delta Quick Reference Guide
6 MB, pdf
download
EN
Product Information
BIOLOX® Hip Components Development Line
577 KB, pdf
download
EN
Product Information
BIOLOX® Generations of Ceramic Materials
847 KB, pdf
download
EN
CeraNews Issue 1/2021
5 MB, pdf
download
EN
CeraNews Issue 2/2020
3 MB, pdf
download
EN

The Future of Orthopaedics:
News, Trends and Insights from the World of Hip Replacement and Beyond

Show all top stories

Surgeons can expand their options with 40mm BIOLOX®delta CoC heads and bearings

Finding optimal head and bearing sizes is an ongoing journey in total hip arthroplasty (THA). Large-diameter ceramic-on-ceramic (CoC) bearings may improve function and implant stability while minimizing wear concerns, and there is a growing body of evidence to support the implementation of larger sizes.

Read more

Modern ceramic materials, specifically BIOLOX®delta ceramics, help to prevent the hip implant from being revised

Are you wearing a helmet while bicycling? A study* published in the International Journal of Epidemiology reveals that helmet use while bicycling is associated with a 51% reduction in head injury risk, a 69% reduction in serious head injury risk, a 33% reduction in face injury risk, and a 65% reduction in fatal head injury risk. These statistics highlight how something as simple as a helmet can significantly protect a cyclist from severe injuries. Now, let's think about hip replacement.

Read more

Safe Ingrowth: Comparable Migration Patterns of Ceramic and Polyethylene Liners in THA at 5 years

Aseptic loosening continues to challenge the outcomes of total hip arthroplasty (THA). While highly cross-linked PE (HXLPE) liners have effectively reduced wear rates, ceramic-on-ceramic (CoC) bearings exhibit even lower rates, promising enhanced durability.
However, the stiffness of ceramic compared to XLPE is often perceived to compromise osseointegration by altering stress distribution at the bone-implant interface.

Read more

98.7% Survivorship and High Patient Satisfaction with LDH Monobloc Ceramic-on-Ceramic Systems after 10 Years

A recent study led by Dr. Pascal-André Vendittoli et al. confirms one more time the outstanding long-term effectiveness of large-diameter head (LDH) monobloc BIOLOX®delta ceramic-on-ceramic (CoC) systems in total hip arthroplasty (THA). The MAXERA® system (Zimmer Biomet) has proven to provide high satisfaction and excellent functional outcomes over a minimum of ten years.

Read more

Metal Neurotoxicity: Implications for the patients

Martínez-Hernández et al. reviewed the role of microglia in metal neurotoxicity and their role in the development of neurodegenerative diseases.

Read more

THA in the under twenties: Ceramic-on-Ceramic as the treatment of choice

Clinical outcomes of total hip arthroplasty (THA) in teenage patients are still controversially discussed and there are still concerns related to the survival of implanted prostheses.

Read more

Ceramic hip bearings continuously gaining ground in US healthcare

Bearing material composition has proven to be crucial in determining the longevity and functionality of hip implants.

Read more

Continued trend in ceramic use in Germany

Ceramic Insights of EPRD - ENDOPROTHESENREGISTER DEUTSCHLAND (German Arthroplasty Registry) 2023.

Read more

Cobalt toxicity after hip arthroplasty

Cobalt chromium alloy has been recognized by NIS as a toxic substance, and evidence has demonstrated that high blood levels of cobalt ions can lead to systemic effects in hip patients.

Read more
Focus on patient and clinical outcomes

In today’s healthcare environment, there is an increasing demand for high quality products with more focus on patient and clinical outcomes. The choice of the implant material and its long-term consequences for the patient and the healthcare system play a pivotal role in total joint arthroplasty.

BIOLOX® ceramics are considered a benchmark in ceramic joint replacement.

All of the world’s leading orthopaedic manufacturers offer hip joint replacement systems featuring BIOLOX® ceramic components. No other manufacturer’s material is used as often for hip bearing couples as the pink BIOLOX®delta ceramic.

Discover the Future

CeraMan1BIOLOX® Spinal Implant2BIOLOX® Shoulder Implant3BIOLOX® Ankle Implant

For further information please contact our Head of Commercial Development, Werner Fischer, phone
+ 49 7153 611 845 or via email. 

For further information please contact our Head of Commercial Development, Werner Fischer, phone
+ 49 7153 611 845 or via email. 

For further information please contact our Head of Commercial Development, Werner Fischer, phone
+ 49 7153 611 845 or via email. 

BIOLOX® Spinal Implant

For further information please contact our Head of Commercial Development, Werner Fischer, phone
+ 49 7153 611 845 or via email. 

BIOLOX® Spinal Implant
BIOLOX® Shoulder Implant

For further information please contact our Head of Commercial Development, Werner Fischer, phone
+ 49 7153 611 845 or via email. 

BIOLOX® Shoulder Implant
BIOLOX® Ankle Implant

For further information please contact our Head of Commercial Development, Werner Fischer, phone
+ 49 7153 611 845 or via email. 

BIOLOX® Ankle Implant
Issue # 12023

CeraNews

CeraNews to the Point delivers an overview of relevant current research – brief and to the Point!
In medicine, staying informed about trends and advancements is not just an obligation, but a necessity to ensure the highest standard of patient care. In this new edition of CeraNews, we explore insights from the seven most utilized registries worldwide.

Read more
Dr. Alessandro Alan Porporati

Director Medical and Scientific Affairs, CeramTec GmbH, Germany

Outcomes Research

About Bearings and Hip Procedures: What Registries Say

Insights from the annual registry reports 2022 highlight persistent global trends in hip replacement strategies, with a clear move towards uncemented and, notably, hybrid fixation methods. Larger head sizes and dual...

Check the real world data
Outcomes Research

Revisions and Failure Modes: International Rankings

Despite the ongoing harmonization in terminology between registries, the predominant reasons for hip revision exhibit consistency across the national registries. Only the order of prevalence differs among countries. Common...

Compare the reasons for revision
Outcomes Research

PROMS: Evaluating Health Gains and Patient Satisfaction

Concurrently, there is an increasing emphasis on Patient-Reported Outcome Measures (PROMs) to evaluate health gains from the patient’s perspective post-surgery. This helps to contextualize revision rates and patient...

Discover the trends

Receive the latest news on bioceramics and current research findings directly via email.

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References

1. Sharplin P, Wyatt MC, Rothwell A, Frampton C, Hooper G. Which is the best bearing surface for primary total hip replacement? A New Zealand Joint Registry study. Hip Int. 2018;28(4):352-362. doi:10.5301/hipint.5000585.

2. Peters RM, Van Steenbergen LN, Stevens M, Rijk PC, Bulstra SK, Zijlstra WP. The effect of bearing type on the outcome of total hip arthroplasty. Acta Orthop. 2018;89(2):163-169. doi:10.1080/17453674.2017.1405669.

3. Maccauro G, Cittadini A, Magnani G, Sangiorgi S, Muratori F, Manicone PF, Rossi Iommetti P, Marotta D, Chierichini A, Raffaelli L, Sgambato A. In vivo characterization of Zirconia Toughened Alumina material: a comparative animal study. Int J Immunopathol Pharmacol. 2010;23(3):841-846. doi:10.1177/039463201002300319.

4. Cunningham BW, Hallab NJ, Hu N, McAfee PC. Epidural application of spinal instrumentation particulate wear debris: a comprehensive evaluation of neurotoxicity using an in vivo animal mode. J Neurosurg Spine. 2013;19:336-350. doi:10.3171/2013.5.SPINE13166.

5. Asif I M. Characterisation and Biological Impact of Wear Particles from Composite Ceramic Hip Replacements. [PhD thesis]. Leeds, UK: University of Leeds; 2018. etheses.whiterose.ac.uk/20563. Accessed March 6, 2020.

6. Beraudi A, Stea S, De Pasquale D, et al. Metal ion release: also a concern for ceramic-on-ceramic couplings? Hip Int. 2014;24(4):321-326. doi:10.5301/hipint.5000132.

7. Kretzer JP, Mueller U, Streit MR, et al. Ion release in ceramic bearings for total hip replacement: Results from an in vitro and an in vivo study. Int Orthop. 2018;42(1):65-70. doi:10.1007/s00264-017-3568-1.

8. Thomas P, Stea S. Metal Implant Allergy and Immuno-Allergological Compatibility Aspects of Ceramic Materials. Heidelberg, Germany:  Springer-Verlag Berlin Heidelberg; 2015.

9. Tsaousi A, Jones E, Case CP. The in vitro genotoxicity of orthopaedic ceramic (Al2O3) and metal (CoCr alloy) particles. Mutat Res. 2010;697(1-2):1-9. doi:10.1016/j.mrgentox.2010.01.012.

10. Esposito C, Maclean F, Campbell P, Walter WL, Walter WK, Bonar SF. Periprosthetic tissues from third generation alumina-on-alumina total hip arthroplasties. J Arthroplasty. 2013;28(5):860-866. doi:10.1016/j.arth.2012.10.021.

11. Trieb K, Ullmann D, Metzinger K, et al. Prospective Comparison of a Metal-Free Ceramic Total Knee Arthroplasty with an Identical Metal System. Z Orthop Unfall. 2018;156(1):46-52. doi:10.1055/s-0043-118600.

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