Revision total hip arthroplasty for ceramic head fracture: a long-term follow-up.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 20347713.
- Also identified by DOI 10.1016/j.arth.2009.01.014.
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Abstract
The results of revision total hip arthroplasty (THA) for ceramic head fracture have generally been disappointing, largely due to third body wear after incomplete synovectomy. We have followed 8 patients who sustained ceramic head fractures and were subsequently revised to a metal-on-polyethylene articulation. There were no revisions for osteolysis or aseptic loosening at a mean follow-up of 10.5 years. The yearly wear rates of each of 5 of these THAs after revision were compared with 6 matched metal-on-polyethylene THAs; there were no significant differences in wear rates. Greater than 10-year survivorship with a metal-on-polyethylene bearing couple is possible after revision THA for a ceramic head fracture if a complete and thorough synovectomy can be performed. Our technique of synovectomy will be described.
Medical subject headings
- Arthritis, Rheumatoid
- Arthroplasty, Replacement, Hip
- Bone Diseases, Developmental
- Ceramics
- Hip Prosthesis
- Osteoarthritis, Hip
- Prosthesis Failure
Anatomy
- hip