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Review Question - QID 6030

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QID 6030 (Type "6030" in App Search)
With the increasing availability of total hip arthroplasty (THA) to younger patients with hip osteoarthritis, there has been increased use of alternative bearing surfaces. Compared to a ceramic-on-ceramic articulation, which of the following is a specific advantage of a metal-on-metal bearing surface?

Increased wettability

4%

50/1169

Increased hardness

11%

125/1169

Increased fracture toughness

62%

720/1169

Decreased surface roughness

5%

53/1169

Lower coefficient of friction

18%

212/1169

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Alternative bearing surfaces in THA have received much attention in recent years as more and more hip arthroplasties are being performed on younger patients with hip arthritis. The two most popular nonmetal-on-polyethylene bearing surfaces are metal-on-metal and ceramic-on-ceramic. There are arguments supporting the use of either, but ceramic bearings have been shown to have a theoretic increased risk of fracture compared with cobalt-chromium. This has been shown to be clinically relevant with zirconium ceramics. Newer alumina ceramics are being produced with lower porosity and grain size and with higher density and purity, resulting in lower fracture risk but still greater than that of cobalt-chromium.

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