Ceramic bearing surfaces are increasingly used for total hip replacement, notwithstanding that concern is still related to ceramic brittleness and its possible mechanical failure. The aim of this systematic review is to answer three questions: (1) Are there risk factors for ceramic component fracture following total hip replacement? (2) Is it possible to perform an early diagnosis of ceramic component failure before catastrophic fracture occurs? (3) Is it possible to draw guidelines for revision surgery after ceramic components failure? A PubMed and Google Scholar search was performed and reference citations from publications identified in the literature search were reviewed. The use of 28 mm short-neck femoral head carries an increased risk of fracture. Acetabular component malposition might increase the risk of ceramic liner fractures. Synovial fluid microanalysis and CT scan are promising in early diagnosis of ceramic head and liner failure. Early revision is suggested in case of component failure; no consensus exists about the better coupling for revision surgery. Ceramic brittleness remains a major concern. Due to the increased number of ceramic on ceramic implants, more revision surgeries and reports on ceramic components failure are expected in the future. An algorithm of diagnosis and treatment for ceramic hip failure is proposed.

Fracture of Ceramic Bearing Surfaces following Total Hip Replacement: A Systematic Review / Francesco Traina;Marcello De Fine;Alberto Di Martino;Cesare Faldini. - In: BIOMED RESEARCH INTERNATIONAL. - ISSN 2314-6133. - ELETTRONICO. - 2013:(2013), pp. 157247.1-157247.8. [10.1155/2013/157247]

Fracture of Ceramic Bearing Surfaces following Total Hip Replacement: A Systematic Review

TRAINA, FRANCESCO;Alberto Di Martino;FALDINI, CESARE
2013

Abstract

Ceramic bearing surfaces are increasingly used for total hip replacement, notwithstanding that concern is still related to ceramic brittleness and its possible mechanical failure. The aim of this systematic review is to answer three questions: (1) Are there risk factors for ceramic component fracture following total hip replacement? (2) Is it possible to perform an early diagnosis of ceramic component failure before catastrophic fracture occurs? (3) Is it possible to draw guidelines for revision surgery after ceramic components failure? A PubMed and Google Scholar search was performed and reference citations from publications identified in the literature search were reviewed. The use of 28 mm short-neck femoral head carries an increased risk of fracture. Acetabular component malposition might increase the risk of ceramic liner fractures. Synovial fluid microanalysis and CT scan are promising in early diagnosis of ceramic head and liner failure. Early revision is suggested in case of component failure; no consensus exists about the better coupling for revision surgery. Ceramic brittleness remains a major concern. Due to the increased number of ceramic on ceramic implants, more revision surgeries and reports on ceramic components failure are expected in the future. An algorithm of diagnosis and treatment for ceramic hip failure is proposed.
2013
Fracture of Ceramic Bearing Surfaces following Total Hip Replacement: A Systematic Review / Francesco Traina;Marcello De Fine;Alberto Di Martino;Cesare Faldini. - In: BIOMED RESEARCH INTERNATIONAL. - ISSN 2314-6133. - ELETTRONICO. - 2013:(2013), pp. 157247.1-157247.8. [10.1155/2013/157247]
Fracture of Ceramic Bearing Surfaces following Total Hip Replacement: A Systematic Review / Francesco Traina;Marcello De Fine;Alberto Di Martino;Cesare Faldini. - In: BIOMED RESEARCH INTERNATIONAL. - ISSN 2314-6133. - ELETTRONICO. - 2013:(2013), pp. 157247.1-157247.8. [10.1155/2013/157247]
Francesco Traina;Marcello De Fine;Alberto Di Martino;Cesare Faldini
File in questo prodotto:
File Dimensione Formato  
157247.pdf

accesso aperto

Tipo: Versione (PDF) editoriale
Licenza: Licenza per Accesso Aperto. Creative Commons Attribuzione (CCBY)
Dimensione 1.7 MB
Formato Adobe PDF
1.7 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/398574
Citazioni
  • ???jsp.display-item.citation.pmc??? 33
  • Scopus 97
  • ???jsp.display-item.citation.isi??? 77
social impact