Abstract
Since the first total hip replacement (THR) in 1938 by Philip Wiles, prosthesis materials and THR surgical technologies have developed rapidly. In this review, we use internationally-published research to synthesize a comprehensive analysis of the specific characteristics and clinical
outcomes of different bearing surfaces used in THR. Polyethylene, metallic alloys, and ceramic have become the three most commonly used hip prosthesis bearing surfaces after decades of hip implant development. Different bearing surface types have varying characteristics that offer specific
benefits and risks of complication. A thorough understanding of the unique properties and possible complications of each type of bearing surface is critical to surgeons tasked with selecting appropriate implant materials for total hip replacement.