Greg Jaroszynski MD, FRCSC, Orthopaedic Surgeon
Greg Jaroszynski MD, FRCSC
Orthopaedic Surgeon

Scientific References - Total Hip Prosthesis

Reviewed by Greg Jaroszynski MD, FRCSC | Last updated May 2026

This page provides key scientific references supporting the information presented on total hip replacement implants, bearing surfaces, and fixation methods. These references include clinical trials, registry data, and systematic reviews.

Bearing Surfaces and Wear

  1. D'Angelo F, Murena L, Zatti G, et al. The ceramic-to-ceramic coupling in total hip arthroplasty: evidence from a systematic review and meta-analysis. Hip Int. 2018;28(1):15-25. doi: 10.1177/1120700017741555.
  2. Johanson NA, Charlson ME, Szatrowski TP, Ranawat CS. A randomized clinical trial of ceramic-on-ceramic bearing surfaces in total hip replacement. J Bone Joint Surg Am. 2012;94(17):1605-1613. doi: 10.2106/JBJS.11.0785.
  3. Tamura S, Takao M, Nishii T, et al. Comparison of ceramic-on-ceramic and metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty. J Arthroplasty. 2017;32(5):1463-1469. doi: 10.1016/j.arth.2016.12.029.
  4. Australian Orthopaedic Association National Joint Replacement Registry. Hip, Knee & Shoulder Arthroplasty: 2022 Annual Report. Adelaide: AOA; 2022.

Highly Cross-Linked Polyethylene

  1. Dorr LD, Wan Z, Shahrdar C, et al. Clinical performance of a Durasul highly cross-linked polyethylene acetabular liner for total hip arthroplasty at five years. J Bone Joint Surg Am. 2005;87(8):1816-1821. doi: 10.2106/JBJS.D.02337.
  2. Engh CA Jr, Hopper RH Jr, Huynh C, et al. A prospective, randomized study of cross-linked and non-cross-linked polyethylene for total hip arthroplasty at 10-year follow-up. J Arthroplasty. 2012;27(8):1463-1468. doi: 10.1016/j.arth.2012.01.002.
  3. Muratoglu OK, Bragdon CR, O'Connor DO, et al. A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. J Arthroplasty. 2001;16(2):149-160. doi: 10.1054/arth.2001.19176.

Metal-on-Metal Bearings

  1. Smith AJ, Dieppe P, Vernon K, et al. Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales. Lancet. 2012;379(9822):1199-1204. doi: 10.1016/S0140-6736(12)60353-5.
  2. MHRA. Medical Device Alert: All metal-on-metal (MoM) hip replacements. MDA/2012/036. London: MHRA; 2012.
  3. Matharu GS, Pandit HG, Murray DW, et al. The outcome of the Birmingham Hip Resurfacing in patients aged <50 years: a minimum 10-year follow-up. Bone Joint J. 2016;98-B(11):1460-1466. doi: 10.1302/0301-620X.98B11.37644.

Dual Mobility Bearings

  1. Philippot R, Farizon F, Camilleri JP, et al. Survival of cementless dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot. 2008;94(2):e23-e27. doi: 10.1016/j.rco.2007.12.003.
  2. De Martino I, D'Apolito R, Soranoglou VG, et al. Dislocation following total hip arthroplasty: a comprehensive review. HSS J. 2017;13(1):1-8. doi: 10.1007/s11420-016-9517-9.
  3. Epinette JA, Béracassat R, Tracol P, et al. Are modern dual mobility cups a valuable option in reducing instability after primary hip arthroplasty? Eur J Orthop Surg Traumatol. 2014;24(Suppl 1):S197-S206. doi: 10.1007/s00590-014-1437-8.

Fixation Methods

  1. Havelin LI, Fenstad AM, Salomonsson R, et al. The Nordic Arthroplasty Register Association: a unique collaboration between 3 national hip arthroplasty registries with 280,201 THRs. Acta Orthop. 2009;80(4):393-401. doi: 10.3109/17453670903039587.
  2. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 16th Annual Report 2019. London: NJR; 2019.
  3. Schmidig G, Kappe T, Weber P, et al. Cementless total hip arthroplasty in patients aged 75 years and older: survival analysis. Arch Orthop Trauma Surg. 2018;138(8):1085-1092. doi: 10.1007/s00402-018-2967-8.

Note: This is not an exhaustive list of all available research. For the most current evidence, consult recent systematic reviews, national joint registries, and clinical guidelines. Individual patient responses may vary, and treatment decisions should be made in consultation with a qualified orthopaedic specialist.

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