Bearing Complications
A 58-year-old man presents with acute onset of severe hip pain and grinding sensation 4 years after ceramic-on-ceramic total hip arthroplasty. He reports a popping sound while rising from a chair. X-ray shows fragmentation of the ceramic acetabular liner with multiple fragments visible within the joint. The acetabular shell appears well-fixed. Regarding ceramic liner fracture in total hip arthroplasty:
Mark each as TRUE or FALSE
Ceramic fracture in THA is rare (0.01-0.1% for modern ceramics) but catastrophic when it occurs; ris...
Clinical presentation includes sudden onset pain often with an audible crack or pop, grinding or cre...
Ceramic fracture is common (greater than 10%); modern ceramics have higher fracture rates than earli...
Revision surgery must remove all ceramic debris to prevent third-body wear and catastrophic damage t...
Bearing options after ceramic fracture include: ceramic-on-ceramic (only if all debris removed and t...
Answer the questions to see explanations
Click T (True) or F (False) for each option