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Long-term results of cemented and screwed acetabular components
E Agrifoglio1, A Federici, F Sanguineti
1Clinica Ortopedica dell'Università, Genova.
Summary
This study compared acetabular components in hip replacements. Ceramic acetabular components showed the best clinical and radiographic outcomes in the short to medium term.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Hip replacement surgery utilizes various acetabular components.
- Assessing the long-term efficacy of different acetabular components is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the clinical and radiographic performance of cemented and screwed acetabular components in hip prostheses.
- To compare the outcomes of polyethylene and ceramic acetabular components.
Main Methods:
- A retrospective analysis of 253 hip prostheses using the "Biodirect" femoral component and ceramic femoral head.
- Long-term follow-up of 148 prostheses, including Müller type polyethylene, Biolox ceramic, and various screwed acetabular components.
Main Results:
- Ceramic acetabular components demonstrated superior clinical and radiographic results in the short and medium term.
- The ceramic/ceramic coupling exhibited favorable biomechanical conditions.
Conclusions:
- Ceramic acetabular components are a highly effective option for hip replacement surgery.
- The biomechanical advantages of ceramic-on-ceramic articulation contribute to positive outcomes.

