Similar Biomechanical Behavior in Gait Analysis between Ceramic-on-Ceramic and Ceramic-on-XLPE Total Hip Arthroplasties
Athanasios Triantafyllou,
Georgios Papagiannis,
Vasileios S. Nikolaou,
Panayiotis J. Papagelopoulos,
George C. Babis
Affiliations
Athanasios Triantafyllou
Orthopaedic Research and Education Center “P.N.Soucacos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, 1st Department of Orthopaedic Surgery, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece
Georgios Papagiannis
Orthopaedic Research and Education Center “P.N.Soucacos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, 1st Department of Orthopaedic Surgery, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece
Vasileios S. Nikolaou
2nd Department of Orthopaedic Surgery, Konstantopouleio General Hospital, Nea Ionia, Medical School, National and Kapodistrian University of Athens, 14233 Athens, Greece
Panayiotis J. Papagelopoulos
Orthopaedic Research and Education Center “P.N.Soucacos”, Biomechanics and Gait Analysis Laboratory “Sylvia Ioannou”, 1st Department of Orthopaedic Surgery, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece
George C. Babis
2nd Department of Orthopaedic Surgery, Konstantopouleio General Hospital, Nea Ionia, Medical School, National and Kapodistrian University of Athens, 14233 Athens, Greece
In vitro measurements are widely used to implement gait kinematic and kinetic parameters to predict THA wear rate. Clinical tests of materials and designs are crucial to prove the accuracy and validate such measurements. This research aimed to examine the effect of CoC and CoXLPE kinematics and kinetics on wear during gait, the essential functional activity of humans, by comparing in vivo data to in vitro results. Our study hypothesis was that both implants would present the same hip joint kinematics and kinetics during gait. In total, 127 unilateral primary cementless total hip arthroplasties were included in the research. There were no statistically significant differences observed at mean peak abduction, flexion, and extension moments and THA kinematics between the two groups. THA gait kinematics and kinetics are crucial biomechanical inputs associated with implant wear. In vitro studies report less wear in CoC than CoXLPE when tested in a matched gait kinematic protocol. Our findings confirm that both implants behave identically in terms of kinematics in a clinical environment, thus strengthening CoC advantage in in vitro results. Correlated to all other significant factors that affect THA wear, it could address in a complete prism the wear on CoC and CoXLPE.
