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Bearing Surfaces in Hip Arthroplasty (MoM, MoP, CoC, CoP)

Main bearing couples: Metal-on-Polyethylene (MoP), Metal-on-Metal (MoM), Ceramic-on-Ceramic (CoC), Ceramic-on-Polyethylene (CoP). MoP: gold standard; risk of wear/osteolysis; improved with highly crosslinked PE. MoM: large heads, low wear but metal ions, ALTR, pseudotumors; largely abandoned. CoC: lowest wear; risk of squeaking, fracture. CoP: good compromise — low wear, no squeaking; increasingly preferred.