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The Journal of Bone and Joint Surgery 79:118-9 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Fracture of a Ceramic Femoral Head after a Revision Operation. A Case Report*

IAN T. PULLIAM, D.O.{dagger} and ROBERT T. TROUSDALE, M.D.{dagger}, ROCHESTER, MINNESOTA

Investigation perfomed at the Department of Orthopedics, Mayo Clinic and Mayo Foundation, Rochester


   Introduction
 
Since the introduction of the low-friction hip arthroplasty by Charnley, there have been numerous attempts to improve the wear characteristics of metal on polyethylene. Boutin, in 1970, introduced the first ceramic total hip replacement. Ceramic components have been shown to have better wear characteristics than stainless-steel and metal-alloy components because of their hard, scratch-resistant surface; hydrophilic surface properties (wettability); corrosion resistance; and excellent biocompatibility8,13. As wear debris is one of the major factors responsible for failure of a total hip arthroplasty, the use of a ceramic femoral head for a revision operation is very appealing4,5,18. It is not uncommon to find wear of the acetabular component with osteolysis and a well fixed femoral stem. The use of a ceramic femoral head for a revision may be justified in that situation, especially if the patient is young. However, ceramic has a high elastic modulus, which means that it is . . . [Full Text of this Article]


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J. Allain, F. Roudot-Thoraval, J. Delecrin, P. Anract, H. Migaud, and D. Goutallier
Revision Total Hip Arthroplasty Performed After Fracture of a Ceramic Femoral Head: A Multicenter Survivorship Study
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J. ALLAIN, D. GOUTALLIER, M. C. VOISIN, and S. LEMOUEL
Failure of a Stainless-Steel Femoral Head of a Revision Total Hip Arthroplasty Performed after a Fracture of a Ceramic Femoral Head. A Case Report
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[Full Text]