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25 years of proof: Ceramic-on-ceramic bearings go the distance

Murphy et al. confirm CoC bearings outlast alternatives in young THA patients

Elderly couple walking hand in hand on the beach – symbolic image for long-lasting orthopedic implants. On-screen text: “Murphy et al.confirmed CoC bearings outlast alternatives in Young THA patients.” Statistics highlight a 93% overall survival rate at 25 years and 99% Survival of femoral stems + ceramic femoral heads.

New research published in the Journal of Arthroplasty by Dr. Stephen B. Murphy and colleagues (Boston, MA) reaffirms the game-changing durability of CoC bearings in total hip arthroplasty.

Despite being less common in the US due to regulatory pathways, ceramic-on-ceramic bearings in hip replacement prove to showcase high survival, low complication rates, and excellent functional outcomes, highlighting the potential for superior longevity and patient satisfaction.

Dr. Murphy, one of the early US adopters of this bearing, compiled results from a series of his patients who received a BIOLOX®forte CoC bearing paired with a Wright Medical hip system.

Key findings:

  • 294 hips, 231 patients (mean age 50), 1999-2004
  • 93% overall survival at 25 years
  • 99% survival of femoral stems + ceramic femoral heads
  • 98% survival of acetabular components
  • 97% survival of ceramic liners
  • No revision required among only 6 reports of squeaking
  • No infection, osteolysis, or loosening reported
  • Average PROMs: 10.7 (pre-op) to 17.6 (final follow-up); range 0-18

Dr. Murphy’s pioneering work adds evidence to support the exceptional performance of 3rd-generation BIOLOX®forte ceramic. His study underscores the long-term value and reliability of CoC bearings in hip replacement and the promise of better patient outcomes.

At CeramTec, we see these results not just as a milestone, but as a benchmark for what the future demands: real-world evidence and longer-lasting solutions for patients and healthcare systems.

Explore the data. Shape the future.

 

Please check for regulatory approval in your country.

References:

Alexander F. Heimann, MD, Gabrielle N. Swartz, BS, Sandeep S. Bains, MD, DC, MBA, Jeremy A. Dubin, BA, Reza Katanbaf, MD, MBA, Ronald E. Delanois, MD, Stephen B. Murphy, MD. “Long-Term Outcomes of Third-Generation Ceramic-on-Ceramic Bearings in Cementless Primary Total Hip Arthroplasty: A 25-Year Survival Analysis.” Journal of Arthroplasty. 10 March 2025. doi: 10.1016/j.arth.2025.03.029.

This post was created with the support of AI.

 

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