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Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
Ceramic liner fracture in ceramic on ceramic Total hip arthoplasty: A case report
Eknath D Pawar1, Amit Kumar Yadav1, Arohi Sharma1
1Grant Govt Medical College & Sir JJ Group of Hospitals, Mumbai, India.
Introduction:
Revision rates of total hip arthoplasty have decreased after introducing total hip arthroplasty using ceramic component due to reduce wear and osteolysis.
Case Report:
29 year old male case of bilateral hip avascular necrosis operated for bilateral hip THA presented 30 months after with complaint of squeaking, x-ray showing left ceramic liner fracture without any history of trauma. Revision of ceramic liner and head with ceramic on polyethylene was done.
Discussion And Conclusion:
Ceramic on ceramic articulation has the lowest wear rate among various articulations. However, there is a concern about ceramic implant fracture; therefore ceramic with polyethylene bearing could be a good choice.

