Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem

We report a case of extended osteolysis, requiring a third revision of the left hip in an 85-year-old man 46 years after index operation. Major polyethylene (PE) wear occurred due to a missmatched combination of a bipolar Hastings head with a PE liner and head damage of the originally maintained ste...

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Main Authors: Sarah Fischer, Valerie Polster, Miriam Ruhr, Robert Hube, Michael M. Morlock
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/9989395
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author Sarah Fischer
Valerie Polster
Miriam Ruhr
Robert Hube
Michael M. Morlock
author_facet Sarah Fischer
Valerie Polster
Miriam Ruhr
Robert Hube
Michael M. Morlock
author_sort Sarah Fischer
collection DOAJ
description We report a case of extended osteolysis, requiring a third revision of the left hip in an 85-year-old man 46 years after index operation. Major polyethylene (PE) wear occurred due to a missmatched combination of a bipolar Hastings head with a PE liner and head damage of the originally maintained stem. This case demonstrates that bipolar heads should not be used with PE cup liners since the respective bearing diameters cannot be guaranteed to match due to missing specifications. Furthermore, putting a Hastings head on an already damaged head of the stem should be omitted and rather the stem should initially be revised.
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institution Kabale University
issn 2090-6749
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language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-c116787bdcac4cc984a64f2ca2ed01342025-02-03T01:27:02ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/99893959989395Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip StemSarah Fischer0Valerie Polster1Miriam Ruhr2Robert Hube3Michael M. Morlock4Institute of Biomechanics, Hamburg University of Technology, Denickestraße 15 (K) 21073 Hamburg, GermanyInstitute of Biomechanics, Hamburg University of Technology, Denickestraße 15 (K) 21073 Hamburg, GermanyInstitute of Biomechanics, Hamburg University of Technology, Denickestraße 15 (K) 21073 Hamburg, GermanyOrthopaedische Chirurgie Muenchen, OCM-Clinic Munich, Steinerstraße 6, 81369 Muenchen, GermanyInstitute of Biomechanics, Hamburg University of Technology, Denickestraße 15 (K) 21073 Hamburg, GermanyWe report a case of extended osteolysis, requiring a third revision of the left hip in an 85-year-old man 46 years after index operation. Major polyethylene (PE) wear occurred due to a missmatched combination of a bipolar Hastings head with a PE liner and head damage of the originally maintained stem. This case demonstrates that bipolar heads should not be used with PE cup liners since the respective bearing diameters cannot be guaranteed to match due to missing specifications. Furthermore, putting a Hastings head on an already damaged head of the stem should be omitted and rather the stem should initially be revised.http://dx.doi.org/10.1155/2021/9989395
spellingShingle Sarah Fischer
Valerie Polster
Miriam Ruhr
Robert Hube
Michael M. Morlock
Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
Case Reports in Orthopedics
title Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_full Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_fullStr Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_full_unstemmed Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_short Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_sort osteolysis following pe wear of a hastings head on a monoblock hip stem
url http://dx.doi.org/10.1155/2021/9989395
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AT valeriepolster osteolysisfollowingpewearofahastingsheadonamonoblockhipstem
AT miriamruhr osteolysisfollowingpewearofahastingsheadonamonoblockhipstem
AT roberthube osteolysisfollowingpewearofahastingsheadonamonoblockhipstem
AT michaelmmorlock osteolysisfollowingpewearofahastingsheadonamonoblockhipstem