Ceramic materials are commonly used in total joint replacements and come in different forms and compositions. Alumina ceramic is the most widely used medical-grade ceramic and has advantages like strength and biocompatibility but risks like fracture. Zirconia toughened alumina ceramic combines alumina and zirconia to improve strength and reduce wear compared to traditional alumina. Zirconia ceramic is one of the strongest ceramics suitable for medical use. Oxinium creates a zirconium oxide layer on zirconium metal for total hip replacements. However, ceramic is less commonly used for total knee replacements due to the knee joint's incongruent surfaces and high stresses during walking.