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

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

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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)
Pages (from-to)77-82
Number of pages6
JournalArthroplasty Today
Volume3
Issue number2
DOIs
StatePublished - Jun 2017

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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