Mid-term outcomes of the R3™ delta ceramic acetabular system in total hip arthroplasty.

Background: Whilst bony fixation of hip replacement has stable solutions, there remains controversy over which bearing best optimizes longevity and function. Ceramic-on-ceramic (CoC) bearing combinations are associated with lower risk of revision due to aseptic loosening and dislocation. Evidence for long-term functional outcomes of modern, 4th generation CoC bearings is limited.

Revising the well-fixed, painful resurfacing using a double-mobility head: a new strategy to address metal-on-metal complications.

Isolated revision of the femoral component of hip resurfacings to metal-on-metal (MoM) total hip arthroplasties has shown inferior results. We present a case series of well-fixed, painful MoM hips with elevated chromium and cobalt levels. An isolated femoral revision using a noncemented femoral component and a double-mobility head was performed.

Debonding of the acetabular porous coating in hip resurfacing arthroplasty. A case report.

This report presents the case of a patient in whom hip resurfacing arthroplasty failed because of loosening of the acetabular shell secondary to debonding of the surface coating. During normal function, there will inevitably be cyclic shear stress between the coating and the surrounding bone. This might result in fatigue failure of the bond.