Revision of ceramic fracture with ceramic-on-polyethylene in total hip arthroplasty: Medium-term results.
Injury
; 47 Suppl 4: S116-S120, 2016 Oct.
Article
en En
| MEDLINE
| ID: mdl-27507545
ABSTRACT
There is no consensus on the bearing of choice in revision for ceramic fracture after total hip arthroplasty (THA). The aim of this study was to evaluate the outcomes using ceramic-on-polyethylene (CoP) articulation in revision for ceramic breakage. Twelve patients who underwent revision hip surgery between 2002 and 2013 were followed-up. Appropriate surgical technique, including accurate synoviectomy, was used. The cup and the head were changed in four patients and only the liner and the head were replaced in the remaining eight patients. At the final follow-up there were no cases of re-revision due to tribological reasons, and only one case of polyethylene (PE) wear and osteolysis was scheduled for a new revision because of clear cup malposition. Complications were four cases of dislocation, one case of loosening and one case of infection. Revision of fractured ceramic is a challenging situation with a high risk of early complications. Using CoP liners with accurate synoviectomy and correction of misalignment can be considered a valuable bearing option at medium-term follow-up.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Reoperación
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Falla de Prótesis
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Artroplastia de Reemplazo de Cadera
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Fracturas Óseas
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Prótesis de Cadera
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Injury
Año:
2016
Tipo del documento:
Article