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
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
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: © 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.