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Ceramic femoral head fracture with massive metallosis and severe wear of the cone: a case report and review of the literature

  • A PanagopoulosEmail author
  • P Megas
  • M Tyllianakis
  • P Dimakopoulos
  • E Lambiris
Case Report

Abstract

A case of a fractured ceramic femoral head without subsequent trauma, 14 months after a primary total hip arthroplasty, in a 40-year-old woman with hip dysplasia is reported. Intraoperative findings were multifragment femoral head and a damaged polyethylene insert along with diffuse metallosis and excessive wear of the cone of the stem. Both the stem and the acetabular component were stable. After the removal of ceramic fragments, metallotic tissue excision and careful lavage of the joint, the inlay was replaced by a similar one and a cobalt–chromium femoral head was placed to the existing notched taper of the firmly incorporated stem. At 22-month follow-up examination, the patient had no pain, used no walking aids and had normal activity.

Keywords

Fractured ceramic head Metallosis Cone wear Hip arthroplasty 

Fracture de tête fémorale en céramique avec métallose massive

Résumé

Nous rapportons un cas de fracture de tête céramique survenue sans notion traumatique 14 mois après une arthroplastie totale de hanche de première intention pour dysplasie chez une jeune femme de 40 ans. L’exploration per-opératoire a mis en évidence une fracture multifragmentaire de la tête, un insert polyéthylène endommagé, une métallose diffuse et une usure du cône métallique. La tige et l’implant acétabulaire étaient stables. Après ablation des fragments de céramique, excision de la métallose, et un lavage soigneux de l’articulation, un insert du même type a été mis en place et une tête métallique placée sur le cône de la tige. Au recul de 22 mois le patient est asymptomatique, marche sans canne et mène une activité normale.

Mots clés

fracture de tête céramique métallose usure du cône arthroplastie de hanche 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • A Panagopoulos
    • 1
    Email author
  • P Megas
    • 1
  • M Tyllianakis
    • 1
  • P Dimakopoulos
    • 1
  • E Lambiris
    • 1
  1. 1.Orthopaedic DepartmentPatras University HospitalAktaio-RioGreece

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