BIOLOX®ceramic total hip replacement helps patient to play the long game
In 1986, a 44-year-old American male patient underwent total hip arthroplasty (THA) with a Richards CoCr uncemented “Biofit” stem and a 32mm threaded Mittelmeier cup made with 2nd-generation BIOLOX® alumina ceramic. A follow-up 39 years later demonstrates the longevity of even the earliest BIOLOX® materials.
After the surgery, in which the late Dr. Kristaps Keggi used a direct anterior approach, the patient kept a log of his physical activity. He has amassed over 115,000 miles of activity, including multiple marathons and Ironman triathlons – all without reported pain, squeaking, or need for revision!
This remarkable story, told by Dr. Lee Rubin and researchers from the Yale School of Medicine in Arthroplasty Today, demonstrates how a single case can underscore the potential for exceptional implant success and patient outcomes, including with older implant BIOLOX® ceramic technology and high-impact physical activity.
Even the first generations of BIOLOX® alumina ceramic were Years Ahead of other materials in their ability to preserve patient activity level . While not advised, this patient pushed the boundaries. As implant material research continues, Dr. Rubin’s case confirms the BIOLOX® ceramic-on-ceramic bearing couple as a strong choice to help patients stay active.
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References:
Gilmore M, Khwaja A, Wiznia D, Rubin L. 115,000 Miles and Counting: Extraordinary Athletic Activity After a Historic Total HipArthroplasty with 39-year Follow-up. Arthroplasty Today 10 June 2025. doi:10.1016/j.artd.2025.101711.
Disclaimer: The surgeon’s recommendations and the implant manufacturer’s instructions for use should be closely followed regarding physical activity, sports, and lifestyle after hip or knee replacement