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Systematic review uncovers mechanical complications of ceramic-on-ceramic hip bearings over 40 years, highlighting the impact of implant design and surgical technique.
This systematic review of the literature summarises the clinical experience with ceramic-on-ceramic hip bearings over the past 40 years and discusses the concerns that exist in relation to the bearing combination. Loosening, fracture, liner chipping on insertion, liner canting and dissociation, edge-loading and squeaking have all been reported, and the relationship between these issues and implant design and surgical technique is investigated. New design concepts are introduced and analysed with respect to previous clinical experience.
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Jeffers et al. (2012) studied this question.
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