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Expertise in Bioceramics

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 orthopedic 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 ceramics.

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


    Discover the History of BIOLOX®delta
    At CeramTec we can proudly look back on more than 45 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.
    FDA Clearance for BIOLOX®delta

    The use of BIOLOX®delta ceramic heads was first granted by the FDA in 2003. BIOLOX®delta unlocked the potential and possibility of complex geometries and innovations that had not been achievable until now.

     

    Learn more about the history

    Introduction of BIOLOX®OPTION

    The BIOLOX®OPTION ceramic sleeved femoral head offers the possibility of not only adjusting offset intraoperatively, but also 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 create a pristine taper interface for the ceramic head before it is placed on a stem in situ.

     

    Learn more about the history

    Innovation Continues - Ceramic Foam

    An exciting new technology currently under development is the manufacturing of ceramic components with an open porous surface – ceramic foam.

     

    Learn more about the history

    FDA Breakthrough Device Designation

    The U.S. Food & Drug Administration (FDA) has confirmed that CeramTec’s novel ceramic total knee replacement device and proposed indication for use meet the criteria of a Breakthrough Device. The designation as a Breakthrough Device by the regulatory authority is an encouraging signal to CeramTec.

     

    Learn more about the history

    Highly Biocompatible and Hypoallergenic

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

    Clinical Outcomes

    The use of ceramic bearings in hip arthroplasty has increased over the last years. By now, BIOLOX®delta is the preferred femoral head material in hip replacements. Most arthroplasty registries from all over the world confirm that the use of ceramic heads is associated with lower rates of revision compared to metal heads.

    Impact on the clinical outcome

    Metal Hypersensitivity

    BIOLOX®delta ceramic is hypoallergenic and is 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 demonstrates high chemical stability in physiological environments.

    More about our ceramic materials

    Infection

    BIOLOX®delta ceramic has higher wettability, protein adsorption, and reduced incidence of bacterial adhesion compared to CoCr and other materials. The most recent registry data show that (mixed) ceramic bearings are associated with a lower risk of revision for 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 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.

    Cost-Effectiveness in THA

    Studies that have examined the cost effectiveness of different bearing-materials and analyzed the relation between initial cost and long-term benefit of the bearing have shown that ceramics are associated with a high potential for cost-savings in THA, therefore may constitute an economical advantage.

    What is a cost-effective solution in THA?

    Information to Download

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

    Product Information
    BIOLOX® Hip Components Development Line
    577 KB, pdf
    Product Information
    BIOLOX® Generations of Ceramic Materials
    847 KB, pdf
    Product Information, Top Downloads
    BIOLOX®delta Quick Reference Guide
    6 MB, pdf
    BIOLOX® Products on Display
    Metal Free Ceramic Knee

    On display, the BPK-S ceramic knee of Peter Brehm.

    • First full ceramic knee system11
    • No known risk of allergy11
    • Lower wear of PE against ceramic (compared to metal)11
    BIOLOX CONTOURA®

    BIOLOX CONTOURA® is a femoral head mimicking 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; a 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

    Download the BIOLOX CONTOURA® Product Information

    BIOLOX CONTOURA® animation

    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® 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

    Ceramic-on-Ceramic Resurfacing

    On display the H1 ceramic-on-ceramic resurfacing of Embody

    • Anatomically derived contour
    • Cementless fixation
    • Vacuum-Plasma-Coating

    Discover the Future

    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.

    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 s in hip replacement strategies, with a clear move towards uncemented and, notably, hybrid fixation methods. Larger head sizes and dual...

    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...

    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...

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

    Subscribe now

    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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