Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review
Ceramics are used in total hip arthroplasty due to inherent wettability and low wear rates, but fracture risk is a known complication. Rates as high as 13.4% were reported in the past, yet as low as 0.02% in newer generations. Howard et al. reported a fracture rate of 0.009% for fourth-generation ce...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344125000019 |
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| author | Clark Yin, MD Lauren Eberhardt, MD Matthew Cederman, BS Henry Haley, MD Andrew Steffenmeier, MD Mark Karadsheh, MD |
| author_facet | Clark Yin, MD Lauren Eberhardt, MD Matthew Cederman, BS Henry Haley, MD Andrew Steffenmeier, MD Mark Karadsheh, MD |
| author_sort | Clark Yin, MD |
| collection | DOAJ |
| description | Ceramics are used in total hip arthroplasty due to inherent wettability and low wear rates, but fracture risk is a known complication. Rates as high as 13.4% were reported in the past, yet as low as 0.02% in newer generations. Howard et al. reported a fracture rate of 0.009% for fourth-generation ceramic heads. We present a case report of a 69-year-old male with a BMI of 40.01 kg/m2 who suffered a fracture of a 36-mm ceramic femoral head with pseudoacetabular involvement of the polyethylene liner. This occurred 2 years and 3 months after his primary surgery after a 4-foot fall off of a ladder. The patient underwent revision of his total hip arthroplasty with arthroplasty of the polyethylene liner and femoral head component without stem explantation. |
| format | Article |
| id | doaj-art-4f07bf607a054ae0b61e0661dad5ff7b |
| institution | Kabale University |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-4f07bf607a054ae0b61e0661dad5ff7b2025-02-12T05:31:17ZengElsevierArthroplasty Today2352-34412025-04-0132101614Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature ReviewClark Yin, MD0Lauren Eberhardt, MD1Matthew Cederman, BS2Henry Haley, MD3Andrew Steffenmeier, MD4Mark Karadsheh, MD5Department of Orthopaedic Surgery, Corewell Health East, Royal Oak, MI, USAOakland University William Beaumont School of Medicine, Rochester, MI, USAOakland University William Beaumont School of Medicine, Rochester, MI, USA; Corresponding author. Oakland University William Beaumont School of Medicine, 586 Pioneer Dr, Rochester, MI 48309, USA. Tel.: +1 248 648 5340.Department of Orthopaedic Surgery, Corewell Health East, Royal Oak, MI, USADepartment of Orthopaedic Surgery, Corewell Health East, Royal Oak, MI, USADepartment of Orthopaedic Surgery, Corewell Health East, Royal Oak, MI, USACeramics are used in total hip arthroplasty due to inherent wettability and low wear rates, but fracture risk is a known complication. Rates as high as 13.4% were reported in the past, yet as low as 0.02% in newer generations. Howard et al. reported a fracture rate of 0.009% for fourth-generation ceramic heads. We present a case report of a 69-year-old male with a BMI of 40.01 kg/m2 who suffered a fracture of a 36-mm ceramic femoral head with pseudoacetabular involvement of the polyethylene liner. This occurred 2 years and 3 months after his primary surgery after a 4-foot fall off of a ladder. The patient underwent revision of his total hip arthroplasty with arthroplasty of the polyethylene liner and femoral head component without stem explantation.http://www.sciencedirect.com/science/article/pii/S2352344125000019Total hip arthroplastyCeramic femoral head fractureBIOLOX DeltaComplications in orthopaedicsTraumatic fall |
| spellingShingle | Clark Yin, MD Lauren Eberhardt, MD Matthew Cederman, BS Henry Haley, MD Andrew Steffenmeier, MD Mark Karadsheh, MD Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review Arthroplasty Today Total hip arthroplasty Ceramic femoral head fracture BIOLOX Delta Complications in orthopaedics Traumatic fall |
| title | Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review |
| title_full | Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review |
| title_fullStr | Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review |
| title_full_unstemmed | Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review |
| title_short | Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review |
| title_sort | fourth generation ceramic head fracture in total hip arthroplasty a case report and literature review |
| topic | Total hip arthroplasty Ceramic femoral head fracture BIOLOX Delta Complications in orthopaedics Traumatic fall |
| url | http://www.sciencedirect.com/science/article/pii/S2352344125000019 |
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