Unknown

Dataset Information

0

Severe Wear and multiple Pseudotumor formation due to revision for ceramic head breakage after ceramic-on-ceramic Total hip arthroplasty: a case report.


ABSTRACT: BACKGROUND:Head breakage is a serious complication following total hip arthroplasty when using Ceramic on Ceramic bearings surfaces. There is still in controversy about the selection of bearing surfaces when conducting revision surgery. CASE PRESENTATION:We describe the case of a fifty-year-old man who had undergone right total hip arthroplasty (THA) with ceramic-on-ceramic prostheses in 2011. After a fall 6 years after the primary procedures, radiographs suggested a ceramic head breakage for revision THA with exchange of metal-on-polyethylene bearing. However, 8 months later, severe metallosis and multiple pseudotumor was confirmed in pelvis and surrounding hip after re-revision THA with ceramic-on-polyethylene prostheses. Analysis of the serum metal ion indicated massive wear of the metal head and erosion of the stem neck and taper. CONCLUSIONS:This case vividly demonstrates metal bearings should be avoided and revision with complete synovectomy and thorough debridement should be performed whenever possible for a fractured ceramic bearing.

SUBMITTER: Xing D 

PROVIDER: S-EPMC6637575 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

altmetric image

Publications

Severe Wear and multiple Pseudotumor formation due to revision for ceramic head breakage after ceramic-on-ceramic Total hip arthroplasty: a case report.

Xing Dan D   Yang Chaolei C   Li Rujun R   Hou Yunfei Y   Kou Bolong B   Li Hu H   Lin Jianhao J  

BMC musculoskeletal disorders 20190717 1


<h4>Background</h4>Head breakage is a serious complication following total hip arthroplasty when using Ceramic on Ceramic bearings surfaces. There is still in controversy about the selection of bearing surfaces when conducting revision surgery.<h4>Case presentation</h4>We describe the case of a fifty-year-old man who had undergone right total hip arthroplasty (THA) with ceramic-on-ceramic prostheses in 2011. After a fall 6 years after the primary procedures, radiographs suggested a ceramic head  ...[more]

Similar Datasets

| S-EPMC5485220 | biostudies-literature
| S-EPMC5712035 | biostudies-literature
| S-EPMC9874008 | biostudies-literature
| S-EPMC7502561 | biostudies-literature
| S-EPMC2806984 | biostudies-literature
| S-EPMC10517284 | biostudies-literature
| S-EPMC5045470 | biostudies-literature
| S-EPMC8784293 | biostudies-literature
| S-EPMC7225601 | biostudies-literature
| S-EPMC8551416 | biostudies-literature