Early Fracture of a Plasma Cup Ceramic Liner: A Case Report and Surface Analysis

Gallo, Jiří; Stewart, Todd; Novotný, Radek; Dusza, Ján; Galusek, Dušan

doi:10.5507/bp.2007.058

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…Keramikbrüche gehen mit akuten Schmerzen einher, können jedoch auch durch eine milde Symptomatik oder Begleiterscheinungen wie Osteolysen oder Geräuscherscheinungen (Squeaking) auffällig werden [17,19,22,55]. In den 6 untersuchten Outcome-Studien wurden insgesamt 2 Brüche von den Keramikköpfen beschrieben, wobei Keramikköpfe der 2.…”

Section: Conclusion Modern Coc Bearings Show Advantages In Pre-unclassified

Ceramic-on-Ceramic in Total Hip Replacement Revision

Cucchi

Gathen

Streicher³

et al. 2018

Z Orthop Unfall

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Modern CoC bearings show advantages in preclinical and retrospective studies over other bearings also in revision cases and are therefore to be considered a promising alternative for this kind of operation. Reasonable indications for CoC bearing in revision THA are revisions for aseptic loosening or recurrent dislocation in young patients, fractures of ceramic components, large acetabular defects or in patients that are allergic to bone cement components. Nevertheless, prospectively designed or randomized studies are lacking and needed to confirm CoC as optimal solution for revision THA cases.

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Section: Conclusion Modern Coc Bearings Show Advantages In Pre-unclassified

Ceramic-on-Ceramic in Total Hip Replacement Revision

Cucchi

Gathen

Streicher³

et al. 2018

Z Orthop Unfall

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Ceramic fragmentation after total hip arthroplasty: two case reports and literature review

Wu,

Guo,

Jiang

et al. 2024

Front. Surg.

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BackgroundCeramic fragmentation is a rare but serious complication after total hip arthroplasty (THA). We reviewed the PubMed literature from 1990 to 2023 and found only 31 case reports of ceramic fragmentation after THA. Our case reports help to expand understanding of this rare complication. We shared our surgical experience and identified an ideal material for revision surgery, which can serve as a useful reference for other orthopedic surgeons to perform ceramic fragmentation revision surgery in the future. We also analyzed the possible causes, diagnosis, and treatment opinions of ceramic fragmentation.Case presentationThis study presents two cases of ceramic fragmentation after THA. One patient had ceramic head fragmentation 10 years after the primary THA, and one patient had ceramic liner fragmentation 5 years after the primary THA. Both patients presented with pain, and one patient also reported a clicking sound in the hip. The two patients described here had BMIs of 23.7 and 23.1, respectively. Both patients' ceramic fragmentation were due to aseptic loosening, not periprosthetic joint infections, as confirmed by negative microbiological cultures. Radiographic examinations of both patients revealed radio-opaque wear debris around the hip joint prostheses and we describe the surgical protocols and intraoperative findings in both cases in detail.ConclusionOur cases and the literature suggest that ceramic fragmentation can occur at any time after THA. The most immediate symptoms are pain and noise, but some patients may be asymptomatic. Ceramic on polyethylene bearings is recommended for revision surgery whenever possible; metal bearings should be avoided.

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