Fracture of a ceramic component in total hip replacement

Author:

Whittingham-Jones P.1,Mann B.1,Coward P.1,Hart A. J.2,Skinner J. A.1

Affiliation:

1. Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

2. Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.

Abstract

Fracture of a ceramic component in total hip replacement is a rare but potentially catastrophic complication. The incidence is likely to increase as the use of ceramics becomes more widespread. We describe such a case, which illustrates how inadequate initial management will lead to further morbidity and require additional surgery. We present the case as a warning that fracture of a ceramic component should be revised to another ceramic-on-ceramic articulation in order to minimise the risk of further catastrophic wear.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference19 articles.

1. Rizzetti MC, Liberini P, Zarattini GLoss of sight and sound: could it be the hip? Lancet 2009;373:1052.

2. Severe Cobalt Intoxication Due to Prosthesis Wear in Repeated Total Hip Arthroplasty

3. Polyneuropathy caused by cobalt-chromium metallosis after total hip replacement

4. Winship P, Faria N, Skinner J, Hart AJ, Powell JJ. The determination of cobalt and chromium in whole blood sampled from metal-metal and metal-polyethylene hip articulation patients by DRC-ICP-MS. In: Collery P, ed. Metal ions in biology and medicine . Vol. 10. Corsica: John Libbey Eurotext, 2008:27–33.

5. Ceramic-on-Ceramic Bearings in Total Hip Arthroplasty

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