{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:13:09Z","timestamp":1780758789507,"version":"3.54.1"},"reference-count":35,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:p> Dislocation is a common reason for revision following total hip replacement. This study investigated the relationship between the bearing surface and the risk of revision due to dislocation. It was based on 110 239 primary total hip replacements with a diagnosis of osteoarthritis collected by the Australian Orthopaedic Association National Joint Replacement Registry between September 1999 and December 2007. A total of 862 (0.78%) were revised because of dislocation. Ceramic-on-ceramic bearing surfaces had a lower risk of requiring revision due to dislocation than did metal-on-polyethylene and ceramic-on-polyethylene surfaces, with a follow-up of up to seven years. However, ceramic-on-ceramic implants were more likely to have larger prosthetic heads and to have been implanted in younger patients. The size of the head of the femoral component and age are known to be independent predictors of dislocation. Therefore, the outcomes were stratified by the size of the head and age. <\/jats:p><jats:p> There is a significantly higher rate of revision for dislocation in ceramic-on-ceramic bearing surfaces than in metal-on-polyethylene implants when smaller sizes (\u2264 28 mm) of the head were used in younger patients (&lt; 65 years) (hazard ratio = 1.53, p = 0.041) and also with larger (&gt; 28 mm) and in older patients (\u2265 65 years) (hazard ratio = 1.73, p = 0.016). <\/jats:p>","DOI":"10.1302\/0301-620x.91b11.22100","type":"journal-article","created":{"date-parts":[[2009,10,31]],"date-time":"2009-10-31T21:17:52Z","timestamp":1257023872000},"page":"1448-1453","source":"Crossref","is-referenced-by-count":25,"title":["Ceramic-on-ceramic bearing surface and risk of revision due to dislocation after primary total hip replacement"],"prefix":"10.1302","volume":"91-B","author":[{"given":"S. A.","family":"Sexton","sequence":"first","affiliation":[{"name":"Sydney Hip and Knee Surgeons, Mater Clinic, 3-9 Gillies Street, Sydney, NSW 2060, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. L.","family":"Walter","sequence":"additional","affiliation":[{"name":"Sydney Hip and Knee Surgeons, Mater Clinic, 3-9 Gillies Street, Sydney, NSW 2060, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. P.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Sydney Hip and Knee Surgeons, Mater Clinic, 3-9 Gillies Street, Sydney, NSW 2060, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"De Steiger","sequence":"additional","affiliation":[{"name":"Musculoskeletal Clinical Institute, Epworth Healthcare, Richmond, Victoria 3121, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Stanford","sequence":"additional","affiliation":[{"name":"Data Management and Analysis Centre, Discipline of Public Health, University of Adelaide, Adelaide SA 5005, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"McCollum DE, Gray WJ. Dislocation after total hip arthroplasty: causes and prevention. Clin Orthop 1990;261:159\u201370.","DOI":"10.1097\/00003086-199012000-00019"},{"key":"R2","unstructured":"Australian Orthopaedic Association National Joint Registry Annual Report -Supplement. http:\/\/www.dmac.adelaide.edu.au\/aoanjrr\/documents\/aoanjrrDemographics_HipKnee_2008.pdf (date last accessed 23 July 2009)."},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Etienne A, Cupic Z, Charnley J. Postoperative dislocation after Charnley low-friction arthroplasty. Clin Orthop 1978;132:19\u201323.","DOI":"10.1097\/00003086-197805000-00006"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000218752.22613.78"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Morrey BF. Instability after total hip arthroplasty. Orthop Clin North Am 1992;23:237\u201348.","DOI":"10.1016\/S0030-5898(20)31734-X"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Ritter MA. Dislocation and subluxation of the total hip replacement. Clin Orthop 1976;121:92\u20134.","DOI":"10.1097\/00003086-197611000-00012"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Alberton GM, High WA, Morrey BF. Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Joint Surg [Am] 2002;84-A:1788\u201392.","DOI":"10.2106\/00004623-200210000-00008"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200112000-00018"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Turner RS. Postoperative total hip prosthetic femoral head dislocations: incidence, etiologic factors, and management. Clin Orthop 1994;301:196\u2013204.","DOI":"10.1097\/00003086-199404000-00031"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Dorr LD, Wolf AW, Chandler R, Conaty JP. Classification and treatment of dislocations of total hip arthroplasty. Clin Orthop 1983;173:151\u20138.","DOI":"10.1097\/00003086-198303000-00019"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(98)90070-5"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90011-6"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B3.21274"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860020-00014"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B6.14745"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Kung PL, Ries MD. Effect of femoral headsize and abductors on dislocation after revision THA. Clin Orthop 2007;465:170\u20134.","DOI":"10.1097\/BLO.0b013e318159a983"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Berry DJ, von Knoch M, Scheck CD, Harmsen WS. Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg [Am] 2005;87-A:2456\u201363.","DOI":"10.2106\/00004623-200511000-00012"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200112000-00019"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Fackler CD, Poss R. Dislocation in total hip arthroplasties. Clin Orthop 1980;151:169\u201378.","DOI":"10.1097\/00003086-198009000-00023"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Carlsson AS, Gentz CF. Post-operative dislocation in the Charnley and Brunswik total hip arthroplasty. Clin Orthop 1977;125:177\u201382.","DOI":"10.1097\/00003086-197706000-00028"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90219-X"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Ekelund A, Rydell N, Nilsson OS. Total hip arthroplasty in patients 80 years of age or older. Clin Orthop 1992;281:101\u20136.","DOI":"10.1097\/00003086-199208000-00017"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150310.25603.26"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Peters CL, McPherson E, Jackson JD, Erickson JA. Reduction in early dislocation rate with large-diameter femoral heads in primary total hip arthroplasty. J Arthroplasty 2007;22 Suppl 2:140\u20134.","DOI":"10.1016\/j.arth.2007.04.019"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000238851.31368.e7"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200010000-00004"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.07.005"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-005-0093-2"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2006.02.155"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Colwell CW Jr, Hozack WJ, Mesko JW, et al. Ceramic-on-ceramic total hip arthroplasty early dislocation rate. Clin Orthop 2007;465:155\u20138.","DOI":"10.1097\/BLO.0b013e31815072e4"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000246532.59876.73"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-007-9060-5"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Bader R, Steinhauser E, Zimmermann S, et al. Differences between the wear couples metal-on-polyethylene and ceramic-on-ceramic in the stability against dislocation of total hip replacement. J Mater Sci Mater Med 2004;15:711\u201318.","DOI":"10.1023\/B:JMSM.0000030214.79180.13"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.1243\/0954411001535237"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B5.13993"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.91B11.22100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.91B11.22100","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.91B11.22100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:13:21Z","timestamp":1629137601000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.91B11.22100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,11]]},"references-count":35,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2009,11]]}},"alternative-id":["10.1302\/0301-620X.91B11.22100"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.91b11.22100","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,11]]}}}