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MODERN RHEUMATOLOGY Vol.15 No.1

Vol.15 No.1 に戻る


CASE REPORT

Observation of retrieved ceramic-on-ceramic articular surface: a case of revised total hip arthroplasty due to failure of the support ring

Junya Mibe1 and Atsuhiro Imakiire2

(1) Department of Orthopedic Surgery, Tokyo Metropolitan Ohtsuka Hospital, 2-8-1 Minamiohtsuka, Toshima-ku, Tokyo 170-8476, Japan
(2) Department of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan

Received: 26 January 2004 Accepted: 03 September 2004

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Abstract We report the case of a 63-year-old woman who required revision surgery for ceramic-on-ceramic total hip arthroplasty (THA) due to failure of the support ring. We retrieved the ceramic cup and head, observed it macroscopically and measured it to determine its shape condition (sphere diameter, sphericity, and circularity) and surface condition (surface roughness by scanning electronic microscopy). Although abrasion was not found at the sliding surface of either the cup or head, it was observed at the edges of the cup and at one part of the head. We point out the risk of the edge contact and conclude the possibility of micro-motion between the cup and the head during walking or loading in vivo, and that contact had taken place at such parts.

Key words Ceramic on ceramic - Joint separation - Scanning electronic microscopy (SEM) - Sliding surface - Total hip arthroplasty (THA)

 
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