No Differences Found in Bearing Related Hip Survivorship at 10–12 Years Follow-Up Between Patients With Ceramic on Highly Cross-Linked Polyethylene Bearings Compared to Patients With Ceramic on Ceramic Bearings

At a minimum follow-up of ten years we compared clinical and radiographic findings and survivorship in a cohort of 412 patients (447 hips) who received alumina on alumina CoC bearings to findings from a cohort of 216 patients (228 hips) with alumina on highly cross-linked polyethylene (HXLPE) bearings. All patients were operated for osteoarthritis. With bearing-related complications as endpoint, analysis showed no significant difference in survivorship between cohorts (99.8% for the CoC vs. 99.4% for HXLPE). In addition, there were no significant differences in clinical and radiographic findings between cohorts. We concluded that alumina on HXLPE bearings are a reasonable lower cost alternative to ceramic on ceramic bearing couples.