{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:55:08Z","timestamp":1791395708950,"version":"4.3.3"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Study design<\/jats:title>\n            <jats:p>This is a retrospective study comparing polyethylene wear between ceramic ball heads and metal ball heads in total hip arthroplasty.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>The ceramic-on-polyethylene bearing option has been introduced as an alternative to metal-on-polyethylene to minimize polyethylene wear debris and reduce subsequent osteolysis and aseptic loosening. However, the reported data were debatable. We designed this retrospective study to compare polyethylene wear between alumina ceramic ball heads and cobalt-chrome ball heads.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Bilateral simultaneous primary total hip arthroplasty was performed in 22 patients between January 2002 and December 2002, with one side using metal-on-polyethylene bearing surface and the other side using alumina ceramic-on-polyethylene bearing surface. After 10 years of follow-up, the wear rate of polyethylene liner on both sides was measured using the Dorr method and compared.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The annual wear rate of the polyethylene liner was 0.133 mm with a standard deviation of 0.045 in the metal-on-polyethylene group and 0.056 mm with a standard deviation of 0.032 in the ceramic-on-polyethylene group. The wear rate per year was significantly lower in the ceramic-on-polyethylene group (<jats:italic>p<\/jats:italic> &lt; 0.001).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Although the implication is still controversial, our study showed that the use of ceramic head lowered the liner wear rate.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical relevance<\/jats:title>\n            <jats:p>Ceramic is harder and more resistant to scratching than cobalt-chrome. By increasing polyethylene liner survivorship and decreasing potential osteolytic response and aseptic loosening, ceramic head is a better alternative than cobalt-chrome head.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1749-799x-8-20","type":"journal-article","created":{"date-parts":[[2013,7,8]],"date-time":"2013-07-08T14:14:16Z","timestamp":1373292856000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["A comparison of polyethylene wear between cobalt-chrome ball heads and alumina ball heads after total hip arthroplasty: a 10-year follow-up"],"prefix":"10.1186","volume":"8","author":[{"given":"ShiJun","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ShuDong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YuChi","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2013,7,8]]},"reference":[{"key":"361_CR1","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3109\/03091909109009970","volume":"15","author":"JR Cooper","year":"1991","unstructured":"Cooper JR, Dowson D, Fisher J, Jobbins B: Ceramic bearing surfaces in total artificial joints: resistance to third body wear damage from bone cement particles. J Med Eng Technol. 1991, 15: 63-67. 10.3109\/03091909109009970.","journal-title":"J Med Eng Technol"},{"key":"361_CR2","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00003086-199309000-00053","volume":"294","author":"JA Davidson","year":"1993","unstructured":"Davidson JA: Characteristics of metal and ceramic total hip bearing surfaces and their effect on long-term ultra high molecular weight polyethylene wear. Clin Orthop. 1993, 294: 361-378.","journal-title":"Clin Orthop"},{"key":"361_CR3","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1243\/PIME_PROC_1995_209_353_02","volume":"209","author":"J Fisher","year":"1995","unstructured":"Fisher J, Firkins P, Reeves EA, Hailey JL, Isaac GH: The influence of scratches to metallic counterfaces on the wear of ultra-high molecular weight polyethylene. Proc Instn Mech Engrs. 1995, 209: 263-264.","journal-title":"Proc Instn Mech Engrs"},{"issue":"Suppl 2 Pt 2","key":"361_CR4","doi-asserted-by":"crossref","first-page":"68","DOI":"10.2106\/00004623-200100022-00002","volume":"83-A","author":"AS Greenwald","year":"2001","unstructured":"Greenwald AS, Garino JP: Alternative bearing surfaces: the good, the bad, and the ugly. J Bone Joint Surg Am. 2001, 83-A (Suppl 2 Pt 2): 68-72.","journal-title":"J Bone Joint Surg Am"},{"key":"361_CR5","doi-asserted-by":"publisher","first-page":"948","DOI":"10.1302\/0301-620X.82B7.9885","volume":"82","author":"CJ Sychterz","year":"2000","unstructured":"Sychterz CJ, Engh CA, Young AM, Hopper RH, Engh CA: Comparison of in vivo wear between polyethylene liners articulating with ceramic and cobalt-chrome femoral heads. J Bone Joint Surg Br. 2000, 82: 948-951. 10.1302\/0301-620X.82B7.9885.","journal-title":"J Bone Joint Surg Br"},{"key":"361_CR6","doi-asserted-by":"crossref","first-page":"1688","DOI":"10.2106\/00004623-200111000-00011","volume":"83-A","author":"JA Urban","year":"2001","unstructured":"Urban JA, Garvin KL, Boese CK, Boese CK, Pedersen DR, Callaghan JJ, Miller RK: Ceramic-on-polyethylene bearing surfaces in total hip arthroplasty. Seventeen to twenty-one-year results. J Bone Joint Surg Am. 2001, 83-A: 1688-1694.","journal-title":"J Bone Joint Surg Am"},{"key":"361_CR7","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1302\/0301-620X.85B4.13397","volume":"85","author":"P Hernigou","year":"2003","unstructured":"Hernigou P, Bahrami T: Zirconia and alumina ceramics in comparison with stainless-steel heads. Polyethylene wear after a minimum ten-year follow-up. J Bone Joint Surg Br. 2003, 85: 504-509. 10.1302\/0301-620X.85B4.13397.","journal-title":"J Bone Joint Surg Br"},{"key":"361_CR8","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1016\/j.arth.2005.01.007","volume":"20","author":"SY Kim","year":"2005","unstructured":"Kim SY, Kim DH, Oh CW, Kim PT, Ihn JC: Total hip arthroplasty with the use of nonmodular cementless acetabular component. J Arthroplasty. 2005, 20: 632-638. 10.1016\/j.arth.2005.01.007.","journal-title":"J Arthroplasty"},{"key":"361_CR9","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1302\/0301-620X.87B6.15380","volume":"87","author":"YG Kim","year":"2005","unstructured":"Kim YG, Kim SY, Kim SJ, Park BC, Kim PT, Ihn JC: The use of cementless expansion acetabular component and an alumina-polyethylene bearing in total hip arthroplasty for osteonecrosis. J Bone Joint Surg Br. 2005, 87: 776-780.","journal-title":"J Bone Joint Surg Br"},{"key":"361_CR10","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/00003086-200010000-00011","volume":"379","author":"H Oonishi","year":"2000","unstructured":"Oonishi H, Wakitani S, Murata N, Saito M, Imoto K, Kim S: Clinical experience with ceramics in total hip replacement. Clin Orthop Relat Res. 2000, 379: 77-84.","journal-title":"Clin Orthop Relat Res"},{"key":"361_CR11","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1097\/00003086-200010000-00006","volume":"379","author":"IC Clarke","year":"2000","unstructured":"Clarke IC, Gustafson A: Clinical and hip simulator comparisons of ceramic-on-polyethylene and metal-on-polyethylene wear. Clin Orthop Relat Res. 2000, 379: 34-40.","journal-title":"Clin Orthop Relat Res"},{"key":"361_CR12","doi-asserted-by":"publisher","first-page":"240","DOI":"10.3109\/17453679008993508","volume":"61","author":"HM Schuller","year":"1990","unstructured":"Schuller HM, Marti RK: Ten-year socket wear in 66 hip arthroplasties. Ceramic versus metal heads. Acta Orthop Scand. 1990, 61: 240-243. 10.3109\/17453679008993508.","journal-title":"Acta Orthop Scand"},{"key":"361_CR13","first-page":"2866","volume":"27","author":"K MacKay","year":"2000","unstructured":"MacKay K, Brophy S, Mack C, Doran M, Calin A: The development and validation of a radiographic grading system for the hip in ankylosing spondylitis: the bath ankylosing spondylitis radiology hip index. J Rheumatol. 2000, 27: 2866-2872.","journal-title":"J Rheumatol"},{"key":"361_CR14","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1302\/0301-620X.67B1.3155745","volume":"67-B","author":"RP Ficat","year":"1985","unstructured":"Ficat RP: Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br. 1985, 67-B: 3-9,198.","journal-title":"J Bone Joint Surg Br"},{"key":"361_CR15","doi-asserted-by":"crossref","first-page":"15","DOI":"10.2106\/00004623-197961010-00004","volume":"61","author":"JF Crowe","year":"1979","unstructured":"Crowe JF, Mani VJ, Ranawat CS: Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am. 1979, 61: 15-23.","journal-title":"J Bone Joint Surg Am"},{"key":"361_CR16","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/S0883-5403(96)80032-5","volume":"11","author":"LD Dorr","year":"1996","unstructured":"Dorr LD, Wang Z: Comparative results of a distal modular sleeve, circumferential coating, and stiffness relief using the anatomic porous replacement II. J Arthroplasty. 1996, 11: 419-428. 10.1016\/S0883-5403(96)80032-5.","journal-title":"J Arthroplasty"},{"key":"361_CR17","doi-asserted-by":"publisher","first-page":"473","DOI":"10.3349\/ymj.2003.44.3.473","volume":"44","author":"JS Kang","year":"2003","unstructured":"Kang JS, Park SR, Ebramzadeh E, Dorr LD: Measurement of polyethylene wear in total hip arthroplasty\u2013accuracy versus ease of use. Yonsei Med J. 2003, 44: 473-478.","journal-title":"Yonsei Med J"},{"key":"361_CR18","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1097\/00003086-197510000-00021","volume":"112","author":"JC Charnley","year":"1975","unstructured":"Charnley JC, Halley DK: Rate of wear in total hip replacement. Clin Orthop. 1975, 112: 170-179.","journal-title":"Clin Orthop"},{"key":"361_CR19","doi-asserted-by":"crossref","first-page":"518","DOI":"10.2106\/00004623-199072040-00008","volume":"72","author":"J Livermore","year":"1990","unstructured":"Livermore J, Ilstrup D, Morrey B: Effect of femoral head size on wear of the polyethylene acetabular component. J Bone Joint Surg Am. 1990, 72: 518-528.","journal-title":"J Bone Joint Surg Am"},{"key":"361_CR20","first-page":"70","volume":"4","author":"IC Clarke","year":"1979","unstructured":"Clarke IC, Kirkpatrick JS, Miller BD, Amstutz HC: Troubleshooting Muller radiographic wear measurements. Trans Orthop Res Soc. 1979, 4: 70-","journal-title":"Trans Orthop Res Soc"},{"key":"361_CR21","first-page":"80","volume":"1","author":"IC Clarke","year":"1976","unstructured":"Clarke IC, Amstutz HC: Validity of X-ray wear-mea-surements. Trans Orthop Res Soc. 1976, 1: 80-80.","journal-title":"Trans Orthop Res Soc"},{"key":"361_CR22","first-page":"126","volume":"121","author":"IC Clarke","year":"1976","unstructured":"Clarke IC, Black K, Rennie C, Amstutz HC: Can wear in total hip arthroplasties be assessed from radiographs?. Clin Orthop. 1976, 121: 126-142.","journal-title":"Clin Orthop"},{"key":"361_CR23","first-page":"37","volume":"137","author":"MJ Griffith","year":"1978","unstructured":"Griffith MJ, Seidenstein MK, Williams D, Charnley J: Socket wear in Charnley low friction arthroplasty of the hip. Clin Orthop. 1978, 137: 37-47.","journal-title":"Clin Orthop"},{"key":"361_CR24","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1054\/arth.2001.26589","volume":"16","author":"RL Barrack","year":"2001","unstructured":"Barrack RL, Lavernia C, Szuszczewicz ES, Sawhney J: Radiographic wear measurements in a cementless metal-backed modular cobalt-chromium acetabular component. J Arthroplasty. 2001, 16: 820-828. 10.1054\/arth.2001.26589.","journal-title":"J Arthroplasty"},{"key":"361_CR25","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1302\/0301-620X.79B3.6630","volume":"79","author":"CH Shih","year":"1997","unstructured":"Shih CH, Lee PC, Chen JH, Tai CL, Chen LF, Wu JS: Measurement of polyethylene wear in cementless total hip arthroplasty. J Bone Joint Surg Br. 1997, 79: 361-365. 10.1302\/0301-620X.79B3.6630.","journal-title":"J Bone Joint Surg Br"},{"key":"361_CR26","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1302\/0301-620X.83B5.10941","volume":"83","author":"YH Kim","year":"2001","unstructured":"Kim YH, Kim JS, Cho SH: A comparison of polyethylene wear in hips with cobalt-chrome or zirconia heads. A prospective, randomised study. J Bone Joint Surg Br. 2001, 83: 742-750. 10.1302\/0301-620X.83B5.10941.","journal-title":"J Bone Joint Surg Br"},{"issue":"Suppl 4","key":"361_CR27","doi-asserted-by":"crossref","first-page":"56","DOI":"10.2106\/00004623-200300004-00007","volume":"85-A","author":"S Patil","year":"2003","unstructured":"Patil S, Bergula A, Chen PC, Colwell CW, D\u2019Lima DD: Polyethylene wear and acetabular component orientation. J Bone Joint Surg Am. 2003, 85-A (Suppl 4): 56-63.","journal-title":"J Bone Joint Surg Am"},{"key":"361_CR28","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.1016\/j.arth.2009.12.016","volume":"25","author":"G Georgiades","year":"2010","unstructured":"Georgiades G, Babis GC, Kourlaba G, Hartofilakidis G: Effect of cementless acetabular component orientation, position, and containment in total hip arthroplasty for congenital hip disease. J Arthroplasty. 2010, 25: 1143-1150. 10.1016\/j.arth.2009.12.016.","journal-title":"J Arthroplasty"},{"key":"361_CR29","doi-asserted-by":"publisher","first-page":"2895","DOI":"10.1007\/s11999-009-0845-3","volume":"467","author":"NJ Little","year":"2009","unstructured":"Little NJ, Busch CA, Gallagher JA, Rorabeck CH, Bourne RB: Acetabular polyethylene wear and acetabular inclination and femoral offset. Clin Orthop Relat Res. 2009, 467: 2895-2900. 10.1007\/s11999-009-0845-3.","journal-title":"Clin Orthop Relat Res"}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1749-799X-8-20.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T00:44:31Z","timestamp":1630543471000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/1749-799X-8-20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,8]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["361"],"URL":"https:\/\/doi.org\/10.1186\/1749-799x-8-20","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,8]]},"assertion":[{"value":"13 April 2013","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2013","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2013","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"20"}}