Fracture of the Ceramic Femoral Head

Description

Dr Jonathan Vigdorchik gives his insights as he discusses the evolving technology in total hip arthroplasty, specifically focusing on ceramic-on-ceramic implants. Initially, alumina ceramic prostheses were used, which had a higher fracturing rate, leading to difficult diagnoses through X-rays. Dr Vigdorchik explains how deltoid ceramic is now preferred due to its higher fracture resistance. In case of a ceramic fracture, CT scans are recommended for diagnosis. The complications of wear from ceramic particle debris if switched to polyethylene are noted, emphasizing the necessity of replacing broken components with another ceramic type, ideally the more modern deltoid ceramic. He mentions the advantages of ceramic over metal and the risks associated with metal debris from potential wear, highlighting the importance of choosing the right materials to avoid adverse reactions.

DOI: 10.1302/3114-251148

Specialties