Hello, and my knowledge base is pretty limited other than my first hand experience. I am not aware of “ceramic on ceramic” being of greater performance value. Both of my hip replacements (one each side) are plastic ball into titanium cup. I have run everything from 50 K down to seniors track meets including 2:32 for the 800 m and 5:24 for 1500 meters… Implying that I am running with a lot of “force” onto these hip prosthetics. I am 55 years old.
Also, I don’t know what heavy lifting means? Perhaps 300 pound back squats? I can tell you I am performing 200 pound trap bar squat – deadlifts without any pain but not sure if that constitutes having lifting?
My surgeons both practice in Claremont Florida; Dr. David Lucas retired and performed my replacement in December 2020 and Dr. Benjamin Miller performed my most recent in August of 2025. The former used a posterior approach and the latter used in interior approach. Similar success with both though different surgical and recovery experiences. I would consider myself a better than average recovery example. Would also consider myself tougher than the average person, namely, implying that also means stubborn and stupid at times too 😉
Hope that helps and let me know if further follow up is needed 🙂