COA: Alumina-alumina bearing surface improves long-term THA outcomes

AAOS2018: No difference in incidence of prosthetic joint infection between 3 bearing types in THA

36mm metal-on-metal THA increases metal ion & erythrocyte cobalt levels vs 28mm bearing

J Bone Joint Surg Am. 2014 Mar 19;96(6):448-55. doi: 10.2106/JBJS.M.00164.

Analysis of metal ion levels and chromosomal damage following MoM vs. MoP THA

Bone Joint J. 2015 Sep;97-B(9):1183-91

Revision risk with THA bearing surfaces in patients younger than 65: network meta-analysis

Clin Orthop Relat Res. 2015 Jun;473(6):2031-41

NZOA 2013: Metal-on-metal and ceramic-on-metal surface bearings in THA

COA: Increased metal ion levels with metal compared to polyethylene inserts in THA

TKA: Similar revision rates and outcomes for all-polyethylene and metal-backed components

Clin Orthop Relat Res. 2012 Dec;470(12):3549-59. doi: 10.1007/s11999-012-2582-2. Epub 2012 Sep 13

AAOS: Metal ion release substantially increased with metal on metal articulation in THA

AAOS2018: 20-year results of serum cobalt, radiographic, and clinical outcome between MoM & CoP THA

COA2021: 20 Year Results of Ceramic-on-Ceramic vs Metal-on-Conventional Polyethylene Implants in THA

COA_2021_5

THA: 3-fold complication rate with Metal-on-Metal bearings

J Arthroplasty. 2012 Dec;27(10):1844-9. doi: 10.1016/j.arth.2012.05.023. Epub 2012 Jul 6

Similar long-term clinical outcomes between CoHXLPE and CoC bearing surfaces in THA

J Arthroplasty. 2016 Jun;31(6):1240-5

THA: Similar improvement between ceramic-on-ceramic and ceramic-on-polyethylene bearings

J Arthroplasty. 2013 Mar;28(3):485-9. doi: 10.1016/j.arth.2012.07.027. Epub 2012 Nov 8

Comparison of revision rate and metal ion release in ceramic-on-metal & metal-on-metal THA

Clin Orthop Relat Res. 2016 Feb;474(2):447-55

COA 2016: Long-term data of ceramic-on-ceramic vs highly-crosslinked-polyethylene in THA

All-polyethylene and modular metal-backed tibial component clinically - equivalent choices

J Arthroplasty. 2011 Dec;26(8):1165-9. Epub 2011 Mar 16.

Fixed-bearing and mobile bearing knees have similar patient outcomes at 2 years

J Bone Joint Surg Br. 2008 Sep;90(9):1172-9.

Metal-on-metal arthroplasty produces an increase in body cobalt and nickel concentration

J Arthroplasty. 2009 Sep;24(6):837-45. Epub 2008 Sep 26.

Large modular metal-on-metal bearings in routine primary hip replacement

J Bone Joint Surg Br; 2011; 93(12): 1602-1609