Weixia Bai, Yingzhen Niu and Fei Wang*
Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, ChinaFulltext PDF
Background: Ceramic-on-ceramic materials in total hip replacement are a better choice for younger and more active patients. The fracture rate of ceramic-on-ceramic bearing surface is currently very low. We report a rare case of ceramic liner fracture after total hip arthroplasty and analyzed the reason. Case Presentation: A 50-year-old man received a left total hip replacement with ceramic-toceramic bearing surfaces 1 year ago. He presented with left hip pain that had begun when a noise had occurred when he carried a heavy box 1 week ago. Radiography revealed a ceramic liner fracture, and a part of the broken liner was out of the cup. Revision surgery was performed; a new ceramic liner was inserted, and the head was changed. The outcome was good at 1 year after revision surgery. Conclusion: Most orthopedic surgeons consider total hip arthroplasty to be a routine and nonchallenging surgery; however, the present case highlights the need for care when inserting the ceramic liner into the cup. Level of evidence: V.
Total hip arthroplasty (THA); Ceramic liner; Fracture; Ceramic head
Bai W, Niu Y, Wang F. Ceramic Liner Fracture after Ceramic-to-Ceramic Total Hip Replacement: A Case Report. Clin Surg. 2020; 5: 2791..