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Clinical case reports: complexity and clinical challenges of adverse local tissue reactions (ALTRs) caused by orthopedic implants
Hip replacement material risks, reassessed
Prof. Alister Hart’s CeraNews supplement compares the likelihood and severity of adverse local tissue reactions (ALTRs) depending on the materials used in orthopedic...
Follow the trends in hip replacement as CeraNews dives into the latest data from major hip arthroplasty registries. This edition highlights a significant shift towards hybrid fixation methods, which are now surpassing...
Ceramic femoral heads are becoming the material of choice for total hip replacements worldwide, with their use rising across several key registries. Explore with us why an increasing number of regions are preferring ceramic...
The latest CeraNews supplement highlight on the promising early results of Ceramic-on-Ceramic hip resurfacing. With significantly lower revision rates compared to metal, modern ceramics could redefine the benchmarks for hip...
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...
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...
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...
Identifying the Best Evidence for Ceramic Performance in THA
Is Evidence-Based Medicine a misunderstood buzzword? Investigating how and why decisions in healthcare are made is a complex issue. Whilst RCTs are used as a main source of evidence for healthcare authorities we need to...
What can we learn from the latest Annual Reports? Hip replacement registries worldwide reflect a continuing overall trend toward uncemented and especially hybrid fixation. Larger head sizes and dual mobility are obviously...
Discounting the use of slightly different terminologies, the most common reasons for hip revision are very similar throughout national registries. Only the ranking seems to show some differences between countries. Loosening,...
Revision surgery is the traditional endpoint of registries. Until recently, other outcomes that are relevant for patients were less considered. Indeed, national orthopaedic arthroplasty registries increasingly report PROMs,...
Reducing the risk of postoperative infection with ceramic in THA
Earlier studies suggest that metal heads are associated with an increased rate of revision for PJI. The causal relationships or mechanisms of infection with metal bearings surfaces are not yet fully understood. A recently...
Peri-implantitis: Definition, Treatment and Implant Material-Associated Metallosis
Like orthopedic surgeons, dental implantologists fear the pathogenic bacteria, which lead to peri-prosthetic joint infection in orthopedics or in case of oral implants to an overreaction of the immune system leading to...
Case Report 1: 60 Years Old High Activity Male Patient with Stated Concerns of Metal Sensitivity
A climbing enthusiast (60 years) with severe hip problems received a ceramic hip resurfacing implant. After successful surgery, he returned to high activity levels very quickly, showing excellent scores in terms of function...
Case Report 2: 42 Years Old Female Patient with Dysplastic Hip
An underwater photographer (42 years) with severe hip problems received a ceramic hip resurfacing implant. After successful surgery, she returned to high activity levels very quickly, showing excellent scores in terms of...
ANSM: Cardiac function to be monitored in patients with metallic heads
The deposition of cobalt species in retrieved heart tissues from arthroplasty patients has been suggested to be associated with heart failures. These findings have been recently confirmed in an epidemiological study published...
Excellent Outcomes with BIOLOX®delta in Revision: Don't Forget the Sleeve
Introduced to the market over 15 years ago, BIOLOX®delta ceramic hip implants have been widely used in primary THA ever since. Recent studies support their value as a reliable solution in hip revision, too. Placing a...
