Fracture of the ceramic head in total hip arthroplasty

Peiró, Angel; Pardo, J.M Gomez; Navarrete, Román; Rodriguez-Alonso, Luis; Martos, Francisco

doi:10.1016/s0883-5403(06)80190-7

Cited by 46 publications

(14 citation statements)

References 18 publications

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“…However, they are brittle and can fracture, with an incidence ranging from 0.02% to 0.14% [3,9,13,25]. Tougher and stronger zirconia ceramics were introduced clinically in the early 1980s.…”

Section: Introductionmentioning

confidence: 99%

Manufacturers Affect Clinical Results of THA with Zirconia Heads: A Systematic Review

Ito

Nakayama

Nakamura

2009

Clinical Orthopaedics &Amp; Related Research

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In the 1980s, zirconia was introduced for THA with the expectation of lower polyethylene wear and better clinical results. However, several studies have reported poor survivorship of zirconia-polyethylene THA. We performed a systematic review and meta-analysis of zirconiapolyethylene THA to confirm or refute the theoretical advantages of this combination. Of 163 studies identified by a comprehensive search, seven met our selection criteria. These involved 769 hips of 586 patients with a mean age of 56.8 years and a minimum followup of 60 months (mean, 89.2 months; range, 60-155 months). The consolidated revision rate of zirconia-polyethylene THA at 89.2 months was higher than that of nonzirconia-polyethylene THA by 5% (risk difference, 0.05; 95% confidence interval, 0.02-0.08). Subgroup meta-analysis suggested THAs with zirconia heads from Ceraver had more revision surgery than nonzirconia heads (risk difference, 0.08; 95% confidence interval, 0.03-0.14), whereas zirconia heads from DePuy did not (risk difference, 0.02; 95% confidence interval, À0.01-0.06). The meta-analysis for annual linear polyethylene wear (which did not involve zirconia heads from Ceraver because of insufficient descriptions) showed no difference between zirconia and control groups. Collectively, THAs with high-quality zirconia heads appear to have prosthesis survivorship and polyethylene wear equivalent to those of THAs with traditional materials, but differing quality among zirconia heads could lead to poor survivorship of prostheses. Level of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Section: Introductionmentioning

confidence: 99%

Manufacturers Affect Clinical Results of THA with Zirconia Heads: A Systematic Review

Ito

Nakayama

Nakamura

2009

Clinical Orthopaedics &Amp; Related Research

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“…It was usual that no trauma had taken place previous to the rupture [1,4,8,11,14,16,18], as occurred in our two cases. Fracture of the ceramic head is as likely to occur as in cemented [17] as in non-cemented THAs [1,2,[14][15][16].…”

Section: Discussionmentioning

confidence: 76%

“…Fracture of the ceramic head is as likely to occur as in cemented [17] as in non-cemented THAs [1,2,[14][15][16]. While some authors state that the ruptures usual- …”

Section: Discussionmentioning

confidence: 99%

Ceramic femoral head fractures in total hip replacement

Arenas

Tejero

Garbayo

et al. 1999

International Orthopaedics

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Two cases of fracture of the ceramic head of a total hip replacement are presented. In both cases the damaged components were replaced with satisfactory results.Résumé Les auteurs rapportent deux cas de rupture de la tête céramique après arthroplastie totale de l'hanche. Nous avons traité les deux cas par remplacement de la tête cassée par une autre des mêmes caractères. Le résul-tat après le traitement a été bon.

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“…Cependant des fractures de t~te ont 6td rapport~es face ?~ des cotyles en poly&hylrne [3,10], auxquelles il faut ajouter nos cas. Une des fractures rapportres par Peiro [10] &ait secondaire h un choc m~canique, comme darts l'une de nos observations cliniques (obs N ° 2).…”

Section: Discussionunclassified

“…Une des fractures rapportres par Peiro [10] &ait secondaire h un choc m~canique, comme darts l'une de nos observations cliniques (obs N ° 2).…”

Section: Discussionunclassified

Fracture des t�tes en c�ramique dans les proth�ses totales de hanche

Mangione

Pascarel

Vinciguerra

et al. 1994

International Orthopaedics

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Fracture of the ceramic head of a replacement arthroplasty of the hip has been encountered in 2 patients. After studying the literature the causation of such fractures has been assessed. Defects in manufacture of the prosthesis, damage during its handling and incorrect use may be responsible, with the tapered neck being the principal instrument of failure. The use of a new head with a used tapered neck is not recommended. Care must be taken in placing the head on the neck and a precise fit is required with no interposition of soft tissue.

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Fracture of the ceramic head in total hip arthroplasty

Cited by 46 publications

References 18 publications

Manufacturers Affect Clinical Results of THA with Zirconia Heads: A Systematic Review

Manufacturers Affect Clinical Results of THA with Zirconia Heads: A Systematic Review

Ceramic femoral head fractures in total hip replacement

Fracture des t�tes en c�ramique dans les proth�ses totales de hanche

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