title: Early fracture of a plasma cup ceramic liner: a case report and surface analysis.
abstract: BACKGROUND
  Ceramic surfaces offer excellent tribological properties and for this reason are frequently used in younger patients with osteoarthritis of the hip. However, they may fracture easily owing to low tolerance to tensile and impact stresses in particular. We report a case of early fracture of a currently available ceramic liner in a 44-year-old woman with revision total hip arthroplasty.
  
  
  RESULTS
  Scanning electron microscopy and macroscopic fractographic examination were done to elucidate the cause of failure. These showed the fracture started most probably at the inner surface of the cup. Several mechanisms of fracture initiation are discussed in the paper.
  
  
  CONCLUSIONS
  This is the first report on early fracture of the Plasma cup ceramic liner in white man. The fracture occurred intraoperatively or early postoperatively while the diagnosis was determined much later despite the patient had experienced sensations of subluxations long time before.
authors.affiliation: Department of Orthopaedics, Teaching Hospital, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic. jiri.gallo@volny.cz
authors.forename: Jiri
authors.initials: J
authors.lastname: Gallo
authors.forename: Todd
authors.initials: T
authors.lastname: Stewart
authors.forename: Radek
authors.initials: R
authors.lastname: Novotny
authors.forename: Jan
authors.initials: J
authors.lastname: Dusza
authors.forename: Dusan
authors.initials: D
authors.lastname: Galusek
mesh_terms: D000328:Adult; D000537:Aluminum Oxide; D019644:Arthroplasty, Replacement, Hip; D019544:Equipment Failure Analysis; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008855:Microscopy, Electron, Scanning; D011475:Prosthesis Failure; D012086:Reoperation
chemical_list: D000537:Aluminum Oxide