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Adult Reconstruction
intermediate
X-Type

Hip Arthroplasty Bearing Surfaces - Materials and Wear

Total Hip Arthroplasty

A 45-year-old active male is undergoing total hip arthroplasty for osteoarthritis. The surgeon discusses bearing surface options, explaining the trade-offs between different materials including ceramic-on-ceramic, metal-on-polyethylene, and ceramic-on-polyethylene. The patient asks about wear rates and potential complications specific to each bearing. Regarding bearing surfaces in total hip arthroplasty:

Mark each as TRUE or FALSE

A

Ceramic-on-ceramic bearings produce the lowest volumetric wear of all bearing couples but carry risk...

B

Metal-on-metal bearings have been largely abandoned for primary THA due to adverse local tissue reac...

C

Highly cross-linked polyethylene (XLPE) has higher wear rates than conventional polyethylene; metal-...

D

Ceramic-on-polyethylene (XLPE) combines the scratch resistance and low friction coefficient of ceram...

E

Larger femoral head sizes (36mm vs 28mm) improve stability by increasing jump distance but increase ...

Answer the questions to see explanations

Click T (True) or F (False) for each option