Articles   |    
Failure of a Stainless-Steel Femoral Head of a Revision Total Hip Arthroplasty Performed after a Fracture of a Ceramic Femoral Head. A Case Report*
View Disclosures and Other Information
Investigation performed at Hôpital Henri Mondor, Creteil
J Bone Joint Surg Am, 1998 Sep 01;80(9):1355-1360
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


There is considerable interest in ceramic implants because of the increased awareness that wear debris from a metal-on-polyethylene articulation of a total hip prosthesis can cause osteolysis around the implant4. The excellent mechanical and sliding characteristics of ceramic have been reported previously1,5,6,20,21. Nevertheless, some cases of fracture of the ceramic femoral head have been reported8,10,13,16,19,23. The revision operation after this complication may be problematic in terms of the choice of the type of femoral head to be inserted; it may be stainless steel, cobalt-chromium, or ceramic. If a new ceramic femoral head is used, the femoral stem may have to be removed to provide a new Morse taper with the appropriate shape to receive the ceramic head. We do not believe that a stainless-steel femoral head should be used because we observed early abrasion of such a femoral head, with periprosthetic metallosis and rapid failure, in the patient described in this case report.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Pennsylvania - Penn State Milton S. Hershey Medical Center
    California - UCLA/OH Department of Orthopaedic Surgery