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There are quite a few variables here

1. There are two versions of each. Metal on metal and metal on polyethylene and ceramic on ceramic and ceramic on polyethylene

2. Polyethylene wears out quicker then either metal or ceramic

3. There is currently a massive recall of metal on metal hip implants. These tend to shed minute particles which can cause rejection of the implant and can enter the bloodsream. The plus side for metal on metal is that they can use larger cups (pelvis side of the joint) which means they are less likely to dislocate. Though rate of dislocation will depend on other factors as well e.g. surgical approach used.

4. Ceramic has a long life span but in a few cases makes a horrible squeaking noise and in even rarer cases they can shatter - known as catastrophic failure! Like metal on metal they can use a larger cup size.

Ceramic and ceramic is probably now the current favourite

If I had to chose I'd definitely go for ceramic on ceramic.

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Q: Which is best metal or ceramic hip replacement?
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