Revision Total Hip Arthroplasty for Ceramic Head Fracture:
A Long-Term Follow-Up
Abstract
The results of revision total hip arthroplasty (THA) for ceramic head fracture have generally been disappointing, largely due to third body wear after incomplete synovectomy. We have followed 8 patients who sustained ceramic head fractures and were subsequently revised to a metal-on-polyethylene articulation. There were no revisions for osteolysis or aseptic loosening at a mean follow-up of 10.5 years. The yearly wear rates of each of 5 of these THAs after revision were compared with 6 matched metal-on-polyethylene THAs; there were no significant differences in wear rates. Greater than 10-year survivorship with a metal-on-polyethylene bearing couple is possible after revision THA for a ceramic head fracture if a complete and thorough synovectomy can be performed. Our technique of synovectomy will be described.
Keywords: ceramic fracture, revision total hip, wear rate
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Benefits or funds were received in partial or total support of the research material described in this article. These benefits or support were received from the following sources: C S Ranawat and A S Ranawat are paid consultants with Stryker and Depuy.
PII: S0883-5403(09)00033-3
doi:10.1016/j.arth.2009.01.014
© 2010 Elsevier Inc. All rights reserved.
