Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review

IF 2.1 Q3 ORTHOPEDICS Arthroplasty Today Pub Date : 2025-02-11 DOI:10.1016/j.artd.2025.101614
Clark Yin MD , Lauren Eberhardt MD , Matthew Cederman BS , Henry Haley MD , Andrew Steffenmeier MD , Mark Karadsheh MD
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引用次数: 0

Abstract

Ceramics are used in total hip arthroplasty due to inherent wettability and low wear rates, but fracture risk is a known complication. Rates as high as 13.4% were reported in the past, yet as low as 0.02% in newer generations. Howard et al. reported a fracture rate of 0.009% for fourth-generation ceramic heads. We present a case report of a 69-year-old male with a BMI of 40.01 kg/m2 who suffered a fracture of a 36-mm ceramic femoral head with pseudoacetabular involvement of the polyethylene liner. This occurred 2 years and 3 months after his primary surgery after a 4-foot fall off of a ladder. The patient underwent revision of his total hip arthroplasty with arthroplasty of the polyethylene liner and femoral head component without stem explantation.
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全髋关节置换术中第四代陶瓷头骨折1例报告及文献复习
陶瓷由于其固有的润湿性和低磨损率而用于全髋关节置换术,但骨折风险是已知的并发症。据报道,过去的比率高达13.4%,而在新一代中则低至0.02%。Howard等报道了第四代陶瓷头的骨折率为0.009%。我们报告了一例69岁男性,BMI为40.01 kg/m2,其36毫米陶瓷股骨头骨折,假髋臼受累于聚乙烯内层。术后2年零3个月,他从4英尺高的梯子上摔了下来。患者接受了全髋关节置换术的翻修,采用了聚乙烯衬垫和股骨头组成部分的置换术,而没有进行骨干移植。
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来源期刊
Arthroplasty Today
Arthroplasty Today Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
258
审稿时长
40 weeks
期刊介绍: Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.
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