Fourth generation head fracture in ceramic-on-polyethylene bearing after hip revision surgery: a case report

Fourth generation head fracture in ceramic-on-polyethylene bearing after hip revision surgery: a case report

Authors

  • Roberto Valentini Department of Orthopaedic and Trauma Surgery, University of Verona, Italy,
  • Andrea Vacchiano Department of Orthopaedic and Trauma Surgery, University of Verona, Italy
  • Andrea Sandri Department of Orthopaedic and Trauma Surgery, University of Verona, Italy
  • Dario Regis Department of Orthopaedic and Trauma Surgery, University of Verona, Italy
  • Carlo Dall’Oca Department of Orthopaedic and Trauma Surgery, University of Verona, Italy
  • Bruno Magnan Department of Orthopaedic and Trauma Surgery, University of Verona, Italy

Keywords:

total hip arthroplasty, revision hip surgery, ceramic-on-polyethylene, BIOLOX delta ceramic head, fracture

Abstract

Fourth generation ceramic bearings (BIOLOX delta, CeramTec AG; Phlochingen, Germany) were
developed to reduce wear debris and improve fracture resistance. A case of a fourth generation head fracture
in ceramic-on-polyethylene (COP) coupling after hip revision surgery is reported. A 58-year-old man
was admitted to our department for increasing hip pain following a direct trauma which occurred during
skiing activity 4 months before. Six years earlier, he had undergone a right cementless revision surgery with a
36-mm BIOLOX delta femoral head on polyethylene liner for metallosis and foreign body reaction after primary
total hip replacement for hip osteoarthritis. At admission, radiological evaluation revealed a fracture of
ceramic femoral head requiring a new revision surgery. Extensive synovectomy, lavage and capsulectomy were
performed. Both acetabular cup and femoral stem were well fixed with no damage of trunnion, and therefore
they were retained. A 36-mm internal diameter polyethylene acetabular liner was inserted along a 36-mm
BIOLOX delta head with a BioBall adapter XL. The postoperative course was uncomplicated. At 1-year
follow-up, the patient had a complete functional recovery. To our knowledge, BIOLOX delta ceramic femoral
head fracture after COP hip revision surgery has not been previously reported.

Author Biography

Roberto Valentini, Department of Orthopaedic and Trauma Surgery, University of Verona, Italy,

UOC Ortopedia e Traumatologia B - Polo Chirurgico P Confortini, Azienda Ospedaliera Universitaria Integrata di Verona

Piazzale A Stefani 1, 37126 Verona, Italy

Phone number: +390458123542 - Fax number: +390458123578

e-mail address: [email protected]

[email protected]

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Published

30-05-2020

How to Cite

1.
Fourth generation head fracture in ceramic-on-polyethylene bearing after hip revision surgery: a case report. Acta Biomed [Internet]. 2020 May 30 [cited 2024 Mar. 29];91(4-S):248-53. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/9499