Catastrophic failure of the Elite Plus total hip replacement, with a Hylamer acetabulum and Zirconia ceramic femoral head

2004 ◽  
Vol 86-B (1) ◽  
pp. 148-148 ◽  
Author(s):  
J. COHEN
1999 ◽  
Vol 23 (6) ◽  
pp. 351-352 ◽  
Author(s):  
A. Arenas ◽  
A. Tejero ◽  
A. Garbayo ◽  
C. Arias ◽  
J. Barbadillo ◽  
...  

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Altell ◽  
E Massa ◽  
M Edwards

Abstract Introduction Ceramic on ceramic bearing in Total Hip Replacement (THR) is associated with a low but evident risk of ceramic linear fracture, which can lead to catastrophic failure if not diagnosed and treated early. Case presentation: A 59-year-old male patient, who underwent a ceramic-on-ceramic THR 8 years ago, presented to our centre with a five-week history of right hip pain, after he suddenly twisted his upper body and felt a sharp pain in his groin. Prior to the injury he had an excellent functional level with the prosthesis. His examination findings confirmed a reduced range of movement with pain in the groin on internal and external rotation. X-ray and CT of the hip confirmed a ceramic liner fracture with protrusion of the femoral head into the pelvis. A revision THR was subsequently performed. Discussion The usual pattern of liner fracture in this type of bearings is that the femoral head stays contained inside the metal cup. In our case, the ceramic femoral head uniquely fractured the liner and passed into the pelvis. To the best of our knowledge, this is the third reported case in literature where a ceramic femoral head protrudes through the metal cup into the pelvis.


2012 ◽  
Vol 29 (6) ◽  
pp. 680-685 ◽  
Author(s):  
Sung-Min Han ◽  
Jun-Uk Chu ◽  
Kang-Il Song ◽  
Sung-Hee Park ◽  
Jae-Bong Choi ◽  
...  

2005 ◽  
Vol 87-B (12) ◽  
pp. 1631-1635 ◽  
Author(s):  
T. von Schewelov ◽  
L. Sanzén ◽  
I. Önsten ◽  
å. Carlsson ◽  
J. Besjakov

2012 ◽  
Vol 41 (1) ◽  
pp. 136-142 ◽  
Author(s):  
Noel Fitzpatrick ◽  
Laura Pratola ◽  
Russell Yeadon ◽  
Christos Nikolaou ◽  
Michael Hamilton ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
D. Saragaglia ◽  
J. Gaillot

Acetabulum malunions are extremely difficult to treat, and for many years, surgical indications have been dominated by total hip replacement. We treated a protruding acetabular malunion, 20 years ago, using an intra-articular buttress, by means of an allograft corresponding to a femoral head fragment which had been cryopreserved. The radiological and clinical result with this extended follow-up is quite remarkable, which has motivated us to present this original technique.


Author(s):  
D. A. Glaser ◽  
R. D. Komistek ◽  
H. E. Cates ◽  
M. Mahfouz

The major complications following total hip replacement (THA) are implant loosening, dislocation, instability, fracture and infection. It is hypothesized that vibration, in the range of the resonance frequencies, may cause pain, bone degeneration and fracture. A further understanding of the physical response resulting from impact during femoral head sliding may lead to valuable insight pertaining to THA failure. Therefore, the first objective of this present study was to determine if frequencies propagating through the hip joint near resonant frequencies may lead to wear or loosening of the components. Recently, studies found that femoral head sliding, often referred to as hip separation, between the acetabulum cup and the femoral head does occur, which may also play a role in complications observed with THA today, but a the effects of hip separation and the causes of its occurrence has not been studied as jet. Therefore, the second objective of this study was to determine if a sound sensor, externally attached, could be used to correlate impact loading sounds from femoral head sliding in the acetabular cup. Additional objective of this study was to develop a mathematical model that better simulates the in vivo loading conditions of total hip replacement patients using in vivo fluoroscopic and ground reaction data as input.


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