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The Journal of Bone and Joint Surgery 80:1355-1360 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

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*

J. ALLAIN, M.D.{dagger}, D. GOUTALLIER, PH.D.{dagger}, M. C. VOISIN, M.D.{dagger} and S. LEMOUEL, M.D.{dagger}, CRETEIL, FRANCE

Investigation performed at Hôpital Henri Mondor, Creteil


   Introduction
 
There is considerable interest in ceramic implants because of the increased awareness that wear debris from a metal-on-polyethylene articulation of a total hip prosthesis can cause osteolysis around the implant4. The excellent mechanical and sliding characteristics of ceramic have been reported previously1,5,6,20,21. Nevertheless, some cases of fracture of the ceramic femoral head have been reported8,10,13,16,19,23. The revision operation after this complication may be problematic in terms of the choice of the type of femoral head to be inserted; it may be stainless steel, cobalt-chromium, or ceramic. If a new ceramic femoral head is used, the femoral stem may have to be removed to provide a new Morse taper with the appropriate shape to receive the ceramic head. We do not believe that a stainless-steel femoral head should be used because we observed early abrasion of such a femoral head, with periprosthetic metallosis and rapid failure, in the . . . [Full Text of this Article]


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