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...

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Autores principales:	Paul Dobria, BS, BA, Arpan Patel, MS, Brett Levine, MD, MS
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Ceramic femoral head fracture Revision total hip arthroplasty Titanium adapter sleeves Metallosis Trunnionosis Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/1e0ae2425bdb4393af1543ec8312bba2
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spelling	oai:doaj.org-article:1e0ae2425bdb4393af1543ec8312bba22021-11-14T04:34:05ZCatastrophic intraoperative failure of a ceramic femoral head2352-344110.1016/j.artd.2021.08.017https://doaj.org/article/1e0ae2425bdb4393af1543ec8312bba22021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001588https://doaj.org/toc/2352-3441Approximately 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.Paul Dobria, BS, BAArpan Patel, MSBrett Levine, MD, MSElsevierarticleCeramic femoral head fractureRevision total hip arthroplastyTitanium adapter sleevesMetallosisTrunnionosisOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 234-238 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ceramic femoral head fracture Revision total hip arthroplasty Titanium adapter sleeves Metallosis Trunnionosis Orthopedic surgery RD701-811
spellingShingle	Ceramic femoral head fracture Revision total hip arthroplasty Titanium adapter sleeves Metallosis Trunnionosis Orthopedic surgery RD701-811 Paul Dobria, BS, BA Arpan Patel, MS Brett Levine, MD, MS Catastrophic intraoperative failure of a ceramic femoral head
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.
format	article
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
title	Catastrophic intraoperative failure of a ceramic femoral head
title_short	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_sort	catastrophic intraoperative failure of a ceramic femoral head
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/1e0ae2425bdb4393af1543ec8312bba2
work_keys_str_mv	AT pauldobriabsba catastrophicintraoperativefailureofaceramicfemoralhead AT arpanpatelms catastrophicintraoperativefailureofaceramicfemoralhead AT brettlevinemdms catastrophicintraoperativefailureofaceramicfemoralhead
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Catastrophic intraoperative failure of a ceramic femoral head

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