 Besides a significantly lower risk of mortality with hip resurfacing compared to conventional cemented total hip arthroplasty THA, the use of BIOLOXdelta ceramic on ceramic bearings further reduces the risk of the most devastating complication associated with THA, i.e. periprosthetic infection . Because of a significant reduction in biofilm formation and adherence to ceramic surfaces 69 compared to metal 92 and highly cross-linked polyethylene HXL PE 100, the risk of periprosthetic infection is significantly reduced, to 0.5 at 10 years compared to 1 with polyethylene bearings including HXL PE. 