CC-BY-NC-ND 4.0 · Joints 2017; 05(04): 224-228
DOI: 10.1055/s-0037-1607428
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Ceramic Total Knee Arthroplasty: Ready to Go?

G. Solarino1, C. Piconi2, V. De Santis3, A. Piazzolla1, B. Moretti1
  • 1Orthopaedics Unit, Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari “Aldo Moro,” Bari, Italy
  • 2National Research Council, Institute for the Science and Technology of Ceramic Materials (ISTEC-CNR), Faenza, Ravenna, Italy
  • 3Department of Orthopedics and Traumatology, Catholic University, Rome, Italy
Further Information

Publication History

Publication Date:
26 October 2017 (eFirst)


Total knee arthroplasty (TKA) is a well-established surgical procedure in the late stages of knee osteoarthritis. Nevertheless, this procedure is associated with a percentage of unsatisfactory results and biomechanical failures, with aseptic loosening being the most common cause of revision. Beside these problems, cutaneous and systemic hypersensitivity reactions to metals have arisen as an increasing concern after joint arthroplasties, even if allergies against implant materials are still a quite rare and not well-known problem. Ceramic composites have been recently used in prosthetic components, showing minimum wear and excellent long-term results in total hip replacement, due to their high resistance to scratching and their better wettability with respect to cobalt–chromium alloy. Furthermore, the biologic response to debris generated from these bearings is less aggressive. Knee joint simulator tests and clinical results demonstrate promising results of TKAs with ceramic components that should led to benefit for the patients.