Bilateral fractures of alumina ceramic heads in total hip arthroplasty and subsequent ceramic re-fracture after revisional arthroplasty in sandwich ceramic cup

A case of bilateral fractures of both ceramic heads in total hip arthroplasty and subsequent re-fracture of ceramic component after revisional surgery with ceramic sandwich cup exchange is reported. The heads were a skirt-type and extra-long size. The fractures occurred 8 months after the operation...

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Bibliographic Details
Published inEuropean journal of orthopaedic surgery & traumatology Vol. 20; no. 5; pp. 415 - 418
Main Authors Lee, Kee-Haeng, Kim, Yong-Sik, Han, Suk-Ku
Format Journal Article
LanguageEnglish
Published Paris Springer-Verlag 01.07.2010
Springer Nature B.V
Subjects
Case Report
Medicine
Medicine & Public Health
Surgical Orthopedics
Traumatic Surgery
Bilateral ceramic head fractures
Mushroom type ceramic head
Total hip arthroplasty
Sandwich cups
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Summary:A case of bilateral fractures of both ceramic heads in total hip arthroplasty and subsequent re-fracture of ceramic component after revisional surgery with ceramic sandwich cup exchange is reported. The heads were a skirt-type and extra-long size. The fractures occurred 8 months after the operation without any trauma. The cause of the fractures might be the impingement between the neck and the ceramic liner rim. At revision surgery, the fractured ceramic heads were replaced with sandwich-type ceramic liner and heads with ball type. After 3 years of revision surgery, ceramic head and ceramic liner in left total hip arthroplasty were fractured without any trauma. The ceramic head and liner were replaced with metal head and polyethylene liner at re-revisional operation.
ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-009-0574-z