title: Fracture of a ceramic component in total hip replacement.
abstract: Fracture of a ceramic component in total hip replacement is a rare but potentially catastrophic complication. The incidence is likely to increase as the use of ceramics becomes more widespread. We describe such a case, which illustrates how inadequate initial management will lead to further morbidity and require additional surgery. We present the case as a warning that fracture of a ceramic component should be revised to another ceramic-on-ceramic articulation in order to minimise the risk of further catastrophic wear.
authors.affiliation: Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK. mrpaulwj@gmail.com
authors.forename: P
authors.initials: P
authors.lastname: Whittingham-Jones
authors.forename: B
authors.initials: B
authors.lastname: Mann
authors.forename: P
authors.initials: P
authors.lastname: Coward
authors.forename: A J
authors.initials: AJ
authors.lastname: Hart
authors.forename: J A
authors.initials: JA
authors.lastname: Skinner
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D002516:Ceramics; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods