Delayed diagnosis of catastrophic ceramic liner failure with resultant pelvic discontinuity and massive metallosis

Benjamin A. Winston, Ryland P. Kagan, Thomas Huff

Research output: Contribution to journalArticle

Abstract

With newer-generation ceramic components used in total hip arthroplasty, component fracture is a rare complication. However rare, when ceramic component fracture does occur, prompt identification and revision is necessary as delay can lead to dramatic failure with resultant metallosis as the extremely hard ceramic debris abrades remaining components. We present a case of a 70-year-old woman with ceramic liner fracture and an estimated 10-year delay in intervention with failure resulting in pelvic discontinuity and massive metallosis with associated cutaneous manifestation. She was treated with a complex revision and reconstruction and is 2 years postrevision without major complication.

Original languageEnglish (US)
JournalArthroplasty Today
DOIs
StateAccepted/In press - Sep 7 2016

Keywords

  • Ceramic liner fracture
  • Ceramic on ceramic
  • Cutaneous manifestation of metallosis
  • Metallosis
  • Revision arthroplasty
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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