Corrosion-Induced Fracture of a Double-Modular Hip Prosthesis

2010 ◽  
Vol 92 (6) ◽  
pp. 1522-1525 ◽  
Author(s):  
Sara A Atwood ◽  
Eli W Patten ◽  
Kevin J Bozic ◽  
Lisa A Pruitt ◽  
Michael D Ries
2012 ◽  
Vol 45 ◽  
pp. S314
Author(s):  
Annelie Rehmer ◽  
Nicholas E. Bishop ◽  
Michael M. Morlock

2015 ◽  
Vol 25 (8) ◽  
pp. 1343-1343
Author(s):  
Panagiotis Karampinas ◽  
George Kollias ◽  
John Vlamis ◽  
Eustratios A. Papadelis ◽  
Spiros G. Pneumaticos

2016 ◽  
Vol 27 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Aldo Toni ◽  
Federico Giardina ◽  
Giovanni Guerra ◽  
Alessandra Sudanese ◽  
Maurizio Montalti ◽  
...  

Introduction Ceramic-on-ceramic (CoC) couplings are alternative bearings surfaces that have been reported to reduce osteolysis, wear debris and aseptic loosening compared to the use of polyethylene. Early experiences with ceramics had poor results, but they have led to many improvements in the manufacture and design of subsequent implants. Methods We analysed medical files of 300 CoC total hip arthroplasty (THA) with a modular neck performed during period 1995-2000 by a single surgeon for a minimum follow-up of 13 years, evaluating clinical and radiological outcome. Results The mean clinical Merle d'Aubigne and Postel hip score at the final follow-up is 17.4, against a pre-operative value of 11.4. Overall survivorship with an endpoint of revision is 93.2% (95% CI, 89.0%-97.3%) at 15 years, while considering only prosthesis failures related to aseptic loosening and ceramic breakage, survival rate at 15 years is 97.2% (95% CI, 94.8%-100%). We observed complications that led to revision surgery in 11 patients (4%) (periprosthetic fractures, liner ruptures, septic loosening of the implant, aseptic loosening of the cup, aseptic loosening of the stem). The occurrence of squeaking is low (1.6%, 4 cases) and we analysed the characteristics of these patients. Discussion Our study shows an excellent long term survivorship of third generation alumina CoC THA. We reiterate the importance to have a stable implant to maximise the advantage of ceramic and to avoid complications.


2008 ◽  
Vol 1 (1) ◽  
pp. 9-14
Author(s):  
György Németh ◽  
◽  
Tibor Smuczer ◽  

2015 ◽  
Vol 25 (6) ◽  
pp. 1039-1045 ◽  
Author(s):  
Panagiotis K. Karampinas ◽  
George Kollias ◽  
John Vlamis ◽  
Eustratios A. Papadelis ◽  
Spiros G. Pneumaticos

Author(s):  
P. Frayssinet ◽  
J. Hanker ◽  
D. Hardy ◽  
B. Giammara

Prostheses implanted in hard tissues cannot be processed for electron microscopic examination or microanalysis in the same way as those in other tissues. For these reasons, we have developed methods allowing light and electron microscopic studies as well as microanalysis of the interface between bone and a metal biomaterial coated by plasma-sprayed hydroxylapatite(HA) ceramic.An HA-coated titanium hip prosthesis (Corail, Landos, France), which had been implanted for two years, was removed after death (unrelated to the orthopaedic problem). After fixation it was dehydrated in solutions of increasing ethanol concentration prior to embedment in polymethylmethacrylate(PMMA). Transverse femur sections were obtained with a diamond saw and the sections then carefully ground to a thickness of 200 microns. Plastic-embedded sections were stained for calcium with a silver methenamine modification of the von Kossa method for calcium staining and coated by carbon. They have been examined by back-scatter SEM on an ISI-SS60 operated at 25 KV. EDAX has been done on cellular inclusions and extracellular bone matrix.


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