failure of a stainless-steel femoral head of a revision total hip arthroplasty performed after a...
TRANSCRIPT
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*
by J. ALLAIN, D. GOUTALLIER, M. C. VOISIN, and S. LEMOUEL
J Bone Joint Surg AmVolume 80(9):1355-1360
September 1, 1998
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 1 Anteroposterior radiograph of the hip, demonstrating a fracture (arrowheads) of the ceramic femoral head.
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 2 Anteroposterior radiograph, made eighteen months after the total hip arthroplasty with the stainless-steel femoral head, demonstrating a multilobar periprosthetic pseudotumor
(arrowheads) and migration of the head.
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 3 Photograph of the specimens, demonstrating periprosthetic metallosis with a multilobar pseudotumor.
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 4 Photograph of the removed stainless-steel femoral head.
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 5 Histological preparation demonstrating intensive metallosis of the periprosthetic neosynovial tissue (hemalum, eosin, and safranin O, x 25).
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 6 Analysis of the surface of the femoral-head implant with a scanning electron microscope revealed adherent particles in its equatorial area (x 50).
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 7 Analysis of the equatorial area of the polyethylene cup with a scanning electron microscope revealed a third, additional component consisting of polyethylene wear debris and
alumina particles between the polyethylene cup and the femoral-head implant ...
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.
Fig. 8 Analysis of the bottom of the polyethylene cup with a scanning electron microscope revealed an accumulation of abrasive material lying on the polyethylene (x 50).
J. ALLAIN et al. J Bone Joint Surg Am 1998;80:1355-1360
©1998 by The Journal of Bone and Joint Surgery, Inc.