Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component

The type of bearing material that should be used in revision surgery after the failure of ceramic-on-ceramic total hip arthroplasty (THA) remains controversial. In the case of ceramic fracture, the residual ceramic particles can cause consequent metallosis when metal implants are used for revision T...

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Main Authors:	Takasago, Tomoya, Goto, Tomohiro, Wada, Keizo, Hamada, Daisuke, Iwame, Toshiyuki, Matsuura, Tetsuya, Nagamachi, Akihiro, Sairyo, Koichi
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014961/

id	pubmed-5014961
recordtype	oai_dc
spelling	pubmed-50149612016-09-19 Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component Takasago, Tomoya Goto, Tomohiro Wada, Keizo Hamada, Daisuke Iwame, Toshiyuki Matsuura, Tetsuya Nagamachi, Akihiro Sairyo, Koichi Case Report The type of bearing material that should be used in revision surgery after the failure of ceramic-on-ceramic total hip arthroplasty (THA) remains controversial. In the case of ceramic fracture, the residual ceramic particles can cause consequent metallosis when metal implants are used for revision THA. On the other hand, in the case of THA failure without ceramic fracture, revision THA with a metal femoral head provides satisfactory results. We report an unusual case of progressive osteolysis due to metallosis that developed after revision THA for ceramic liner dissociation without a liner fracture performed using a metal femoral head and polyethylene liner. The residual metal debris and abnormal pumping motion of the polyethylene liner due to the breakage of the locking system or the aspherical metal shell being abraded by the ceramic head seemed to be the cause of the progressive osteolysis. Hindawi Publishing Corporation 2016 2016-08-25 /pmc/articles/PMC5014961/ /pubmed/27648325 http://dx.doi.org/10.1155/2016/5301451 Text en Copyright © 2016 Tomoya Takasago et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Takasago, Tomoya Goto, Tomohiro Wada, Keizo Hamada, Daisuke Iwame, Toshiyuki Matsuura, Tetsuya Nagamachi, Akihiro Sairyo, Koichi
spellingShingle	Takasago, Tomoya Goto, Tomohiro Wada, Keizo Hamada, Daisuke Iwame, Toshiyuki Matsuura, Tetsuya Nagamachi, Akihiro Sairyo, Koichi Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
author_facet	Takasago, Tomoya Goto, Tomohiro Wada, Keizo Hamada, Daisuke Iwame, Toshiyuki Matsuura, Tetsuya Nagamachi, Akihiro Sairyo, Koichi
author_sort	Takasago, Tomoya
title	Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
title_short	Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
title_full	Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
title_fullStr	Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
title_full_unstemmed	Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
title_sort	metallosis after exchange of the femoral head and liner following ceramic acetabular liner dissociation in total hip arthroplasty with a modular layered acetabular component
description	The type of bearing material that should be used in revision surgery after the failure of ceramic-on-ceramic total hip arthroplasty (THA) remains controversial. In the case of ceramic fracture, the residual ceramic particles can cause consequent metallosis when metal implants are used for revision THA. On the other hand, in the case of THA failure without ceramic fracture, revision THA with a metal femoral head provides satisfactory results. We report an unusual case of progressive osteolysis due to metallosis that developed after revision THA for ceramic liner dissociation without a liner fracture performed using a metal femoral head and polyethylene liner. The residual metal debris and abnormal pumping motion of the polyethylene liner due to the breakage of the locking system or the aspherical metal shell being abraded by the ceramic head seemed to be the cause of the progressive osteolysis.
publisher	Hindawi Publishing Corporation
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014961/
_version_	1613645776888528896

Metallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component

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