Catastrophic intraoperative failure of a ceramic femoral head
Approximately 17 years after a primary metal-on-metal total hip arthroplasty, a 59-year-old female developed pain, swelling, and weakness in her right hip accompanied by laboratory findings and imaging suggestive of an adverse local tissue reaction. Acetabular revision was performed to upsize the fe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-10-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344121001588 |
| _version_ | 1828958177758019584 |
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| author | Paul Dobria, BS, BA Arpan Patel, MS Brett Levine, MD, MS |
| author_facet | Paul Dobria, BS, BA Arpan Patel, MS Brett Levine, MD, MS |
| author_sort | Paul Dobria, BS, BA |
| collection | DOAJ |
| description | Approximately 17 years after a primary metal-on-metal total hip arthroplasty, a 59-year-old female developed pain, swelling, and weakness in her right hip accompanied by laboratory findings and imaging suggestive of an adverse local tissue reaction. Acetabular revision was performed to upsize the femoral head and improve hip stability. Upon impaction of the new, non-option ceramic femoral head onto the unsleeved retained stem, the head split into two pieces without fragmentation. The surgery was completed using a cobalt-chromium head, which was impacted without issue onto the stem’s taper. Although BIOLOX delta femoral heads do not require titanium sleeves, we believe that careful consideration should be given to their use in revision total hip arthroplasty with ceramic heads, regardless of the extent of trunnion damage noted intraoperatively. |
| first_indexed | 2024-12-14T08:43:26Z |
| format | Article |
| id | doaj.art-1e0ae2425bdb4393af1543ec8312bba2 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-14T08:43:26Z |
| publishDate | 2021-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-1e0ae2425bdb4393af1543ec8312bba22022-12-21T23:09:14ZengElsevierArthroplasty Today2352-34412021-10-0111234238Catastrophic intraoperative failure of a ceramic femoral headPaul Dobria, BS, BA0Arpan Patel, MS1Brett Levine, MD, MS2Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA; Corresponding author. 3333 Green Bay Rd, North Chicago, IL 60064, USA. Tel.: +1 773 750 1369.Department of Orthopedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopedics, Rush University Medical Center, Chicago, IL, USAApproximately 17 years after a primary metal-on-metal total hip arthroplasty, a 59-year-old female developed pain, swelling, and weakness in her right hip accompanied by laboratory findings and imaging suggestive of an adverse local tissue reaction. Acetabular revision was performed to upsize the femoral head and improve hip stability. Upon impaction of the new, non-option ceramic femoral head onto the unsleeved retained stem, the head split into two pieces without fragmentation. The surgery was completed using a cobalt-chromium head, which was impacted without issue onto the stem’s taper. Although BIOLOX delta femoral heads do not require titanium sleeves, we believe that careful consideration should be given to their use in revision total hip arthroplasty with ceramic heads, regardless of the extent of trunnion damage noted intraoperatively.http://www.sciencedirect.com/science/article/pii/S2352344121001588Ceramic femoral head fractureRevision total hip arthroplastyTitanium adapter sleevesMetallosisTrunnionosis |
| spellingShingle | Paul Dobria, BS, BA Arpan Patel, MS Brett Levine, MD, MS Catastrophic intraoperative failure of a ceramic femoral head Arthroplasty Today Ceramic femoral head fracture Revision total hip arthroplasty Titanium adapter sleeves Metallosis Trunnionosis |
| title | Catastrophic intraoperative failure of a ceramic femoral head |
| title_full | Catastrophic intraoperative failure of a ceramic femoral head |
| title_fullStr | Catastrophic intraoperative failure of a ceramic femoral head |
| title_full_unstemmed | Catastrophic intraoperative failure of a ceramic femoral head |
| title_short | Catastrophic intraoperative failure of a ceramic femoral head |
| title_sort | catastrophic intraoperative failure of a ceramic femoral head |
| topic | Ceramic femoral head fracture Revision total hip arthroplasty Titanium adapter sleeves Metallosis Trunnionosis |
| url | http://www.sciencedirect.com/science/article/pii/S2352344121001588 |
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