[Hip metallosis caused by wear of a TT-1 stem on a ceramic modular head hip prosthesis --case report]

The author presents a case of metal stem cone wear caused by a ceramic head. During revision hip arthroplasty procedure a new modular ceramic head was implanted in combination with a stable cemented TT-1 stem. 13 months after surgery the hip became symptomatic and 20 months after the procedure total loosening of the cup was observed. Wear of the stem cone was visible. During the next revision procedure all hip prosthesis elements were removed, soft tissue debridement was performed and a new cemented prosthesis was implanted. One year post-op the hip is pain free.