Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up
This case series reports the only 3 instances of ceramic liner breakage among patients who underwent total hip arthroplasty (THA) with polyethylene–ceramic composite (sandwich-type) liners at our center between 1999 and 2002. Breakages occurred at approximately 6 (n = 2) and 17 years (n = 1) after t...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344125000858 |
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| author | Daniel Rodríguez, MD Thiago Carnaval, MD, MSc Marcos-del-Carmen Rodríguez, MD Antonio Coscujuela Maña, MD José-Luis Agulló, MD, PhD Sebastián Videla, MD, PhD |
| author_facet | Daniel Rodríguez, MD Thiago Carnaval, MD, MSc Marcos-del-Carmen Rodríguez, MD Antonio Coscujuela Maña, MD José-Luis Agulló, MD, PhD Sebastián Videla, MD, PhD |
| author_sort | Daniel Rodríguez, MD |
| collection | DOAJ |
| description | This case series reports the only 3 instances of ceramic liner breakage among patients who underwent total hip arthroplasty (THA) with polyethylene–ceramic composite (sandwich-type) liners at our center between 1999 and 2002. Breakages occurred at approximately 6 (n = 2) and 17 years (n = 1) after the primary THA. Symptoms included audible crepitation, pain, and restricted motion during normal activities. Surgical revisions utilized a polyethylene liner and third-generation alumina ceramic head, with synovectomy and irrigation to remove debris (preventing third-body wear). All patients achieved good long-term outcomes. Although infrequent, the risk of breakage increases over time, and several patients still carry these liners years after THA. This case series underscores the importance of vigilant follow-up, patient education, and timely intervention to manage this infrequent but potentially catastrophic complication. |
| format | Article |
| id | doaj-art-97c7b3f2eedc40a9ad4e5a246e5c626b |
| institution | Matheson Library |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-97c7b3f2eedc40a9ad4e5a246e5c626b2025-06-25T04:51:41ZengElsevierArthroplasty Today2352-34412025-06-0133101698Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-upDaniel Rodríguez, MD0Thiago Carnaval, MD, MSc1Marcos-del-Carmen Rodríguez, MD2Antonio Coscujuela Maña, MD3José-Luis Agulló, MD, PhD4Sebastián Videla, MD, PhD5Orthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain; Faculty of Medicine and Health Sciences, Universitat de Barcelona (UB), c. Casanova, 143, 08036 Barcelona, Spain; Corresponding author. Orthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona 08907, Spain. Tel.: +34 932 60 75 00 (7942).Pharmacology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, IDIBELL, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; Design and Biometrics Department, Medicxact, Alpedrete, Madrid, SpainOrthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, SpainOrthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, SpainOrthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, SpainClinical Research Support Area, Clinical Pharmacology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain; Department of Pharmacology, Therapeutics and Toxicology, Autonomous University of Barcelona, Bellaterra, SpainThis case series reports the only 3 instances of ceramic liner breakage among patients who underwent total hip arthroplasty (THA) with polyethylene–ceramic composite (sandwich-type) liners at our center between 1999 and 2002. Breakages occurred at approximately 6 (n = 2) and 17 years (n = 1) after the primary THA. Symptoms included audible crepitation, pain, and restricted motion during normal activities. Surgical revisions utilized a polyethylene liner and third-generation alumina ceramic head, with synovectomy and irrigation to remove debris (preventing third-body wear). All patients achieved good long-term outcomes. Although infrequent, the risk of breakage increases over time, and several patients still carry these liners years after THA. This case series underscores the importance of vigilant follow-up, patient education, and timely intervention to manage this infrequent but potentially catastrophic complication.http://www.sciencedirect.com/science/article/pii/S2352344125000858Hip arthroplastyPrimary THAPolyethyleneSandwich-type linersLong-term |
| spellingShingle | Daniel Rodríguez, MD Thiago Carnaval, MD, MSc Marcos-del-Carmen Rodríguez, MD Antonio Coscujuela Maña, MD José-Luis Agulló, MD, PhD Sebastián Videla, MD, PhD Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up Arthroplasty Today Hip arthroplasty Primary THA Polyethylene Sandwich-type liners Long-term |
| title | Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up |
| title_full | Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up |
| title_fullStr | Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up |
| title_full_unstemmed | Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up |
| title_short | Management and Outcomes of Breakage in Polyethylene-Ceramic Composite (Sandwich-type) Liners: Lessons From Long-term Follow-up |
| title_sort | management and outcomes of breakage in polyethylene ceramic composite sandwich type liners lessons from long term follow up |
| topic | Hip arthroplasty Primary THA Polyethylene Sandwich-type liners Long-term |
| url | http://www.sciencedirect.com/science/article/pii/S2352344125000858 |
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