Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 11

A Cracking Tale of Ceramic Component Fracture Revision: A Case Report and Literature Review

Elliott A Ayling1*, Mohammed Amer2,3 and Douglas Dunlop2

1Department of Orthopaedics, University of Southampton, United Kingdom
2Department of Orthopaedics, University Hospital Southampton, United Kingdom
3Cairo University, Giza, Egypt

*Corresponding Author: Elliott A Ayling, Department of Orthopaedics, University of Southampton, United Kingdom.

Received: August 29, 2022; Published: October 12, 2022

Abstract

Ceramic-on-ceramic (CoC) hip replacements present a significant issue upon fracture. Remnant ceramic particulates can become embedded in polyethylene, leading to wear of revision bearings causing significant metallosis.
This article uses a case report and literature review to explore the limited evidence guiding revisions of ceramic component fracture. The literature search used pre-defined search terms to explore the databases of PubMed, Ovid MEDLINE, The Cochrane Library and Web of Science.
The case report outlines a gentleman with significant metallosis following revision of a CoC fracture to a MoP. The remaining ceramic ‘sand’ can embed in polyethylene, resulting in wear of the opposing bearing surface. Good outcomes are reported for ceramic-on-polyethylene (CoP) and CoC revisions. Disastrous outcomes are seen with metal heads. This is consistent with our findings, where the serum cobalt and chromium soared and a metallosis soup developed.
Improperly revised ceramic components can present a significant risk to patients. Metallic replacement for ceramic fracture is inappropriate due to the potential for runaway abrasive wear. A ceramic ball should be a prerequisite of any such revision. This is poorly documented in the literature, with a need for greater awareness.

Keywords: Total Hip Arthroplasty; Revision; Ceramic Head Fracturea

References

  1. Editorial Board NJR. “National Joint Registry 18th Annual Report”. In: Registry NJ, editor (2021).
  2. Merola M and Affatato S. “Materials for Hip Prostheses: A Review of Wear and Loading Considerations”. Materials 3 (2019).
  3. Sharma V., et al. “Revision Total Hip Arthroplasty for Ceramic Head Fracture A Long- Term Follow-Up”. Journal of Arthroplasty 3 (2010): 342-347.
  4. Zagra L., et al. “Revision of ceramic fracture with ceramic-on-polyethylene in total hip arthroplasty: Medium-term results”. Injury-International Journal of the Care of the Injured 47 (2016): S116-S20.
  5. C I., et al. “Revision Total Hip Arthroplasty after Ceramic Bearing Fractures in Patients Under 60- years Old; Mid-term Results”. Hip Pelvis (2018): 156-161.
  6. Traina MDF., et al. “Revision of ceramic hip replacements for fracture of a ceramic component: AAOS exhibit selection”. The Journal of Bone and Joint Surgery, Incorporated (2011): 1-9.
  7. Allain J., et al. “Revision total hip arthroplasty performed after fracture of a ceramic femoral head - A multicenter survivorship study”. Journal of Bone and Joint Surgery-American 5 (2003): 825-830.
  8. Park KS., et al. “Revision total hip arthroplasty with metal-on-metal bearing for ceramic bearing fractures”. Journal of Orthopaedic Science 3 (2019): 452-457.
  9. Trebse R., et al. “Results of revision of total hip arthroplasty for alumina ceramic-on-ceramic bearing fracture”. Hip International 3 (2016): 237-243.
  10. Koo KH., et al. “Revision of Ceramic Head Fracture After Third Generation Ceramic-on-Ceramic Total Hip Arthroplasty”. Journal of Arthroplasty 1 (2014): 214-218.
  11. Artiaco S., et al. “Metallosis in Sequelae of Prosthetic Revision for Ceramic Components Fracture: A Case Report with Clinical Presentation Mimicking Periprosthetic Hip Infection”. Joints (2021): 215-217.
  12. Zywiel MG., et al. “Fatal cardiomyopathy after revision total hip replacement for fracture of a ceramic liner”. Bone and Joint Journal 1 (2013): 31-37.

Citation

Citation: Elliott A Ayling., et al. “A Cracking Tale of Ceramic Component Fracture Revision: A Case Report and Literature Review". Acta Scientific Orthopaedics 5.11 (2022): 84-90.

Copyright

Copyright: © 2022 Elliott A Ayling., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US