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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Autores: Rodríguez, Daniel, Carnaval, Thiago, Rodríguez Chaves, Marcos del Carmen, Coscujuela i Mañá, Antoni, Agullo, Jose Luis, Videla, Sebastià
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/222058
Acceso en línea:https://hdl.handle.net/2445/222058
Access Level:acceso abierto
Palabra clave:Polietilè
Artroplàstia
Cirurgia ortopèdica
Polyethylene
Arthroplasty
Orthopedic surgery
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spelling Management and outcomes of breakage in polyethylene-ceramic composite (Sandwich-type) liners: lessons from long-term follow-upRodríguez, DanielCarnaval, ThiagoRodríguez Chaves, Marcos del CarmenCoscujuela i Mañá, AntoniAgullo, Jose LuisVidela, SebastiàPolietilèArtroplàstiaCirurgia ortopèdicaPolyethyleneArthroplastyOrthopedic surgeryThis 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.Elsevier Inc.2025202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion6 p.application/pdfhttps://hdl.handle.net/2445/222058Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/https://doi.org/10.1016/j.artd.2025.101698Arthroplasty Today, 2025, vol. 33https://doi.org/10.1016/j.artd.2025.101698cc-by (c) Rodríguez, D. et al., 2025http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2220582026-05-29T05:05:01Z
dc.title.none.fl_str_mv Management and outcomes of breakage in polyethylene-ceramic composite (Sandwich-type) liners: lessons from long-term follow-up
title Management and outcomes of breakage in polyethylene-ceramic composite (Sandwich-type) liners: lessons from long-term follow-up
spellingShingle Management and outcomes of breakage in polyethylene-ceramic composite (Sandwich-type) liners: lessons from long-term follow-up
Rodríguez, Daniel
Polietilè
Artroplàstia
Cirurgia ortopèdica
Polyethylene
Arthroplasty
Orthopedic surgery
title_short 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_sort Management and outcomes of breakage in polyethylene-ceramic composite (Sandwich-type) liners: lessons from long-term follow-up
dc.creator.none.fl_str_mv Rodríguez, Daniel
Carnaval, Thiago
Rodríguez Chaves, Marcos del Carmen
Coscujuela i Mañá, Antoni
Agullo, Jose Luis
Videla, Sebastià
author Rodríguez, Daniel
author_facet Rodríguez, Daniel
Carnaval, Thiago
Rodríguez Chaves, Marcos del Carmen
Coscujuela i Mañá, Antoni
Agullo, Jose Luis
Videla, Sebastià
author_role author
author2 Carnaval, Thiago
Rodríguez Chaves, Marcos del Carmen
Coscujuela i Mañá, Antoni
Agullo, Jose Luis
Videla, Sebastià
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Polietilè
Artroplàstia
Cirurgia ortopèdica
Polyethylene
Arthroplasty
Orthopedic surgery
topic Polietilè
Artroplàstia
Cirurgia ortopèdica
Polyethylene
Arthroplasty
Orthopedic surgery
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.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/222058
url https://hdl.handle.net/2445/222058
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/https://doi.org/10.1016/j.artd.2025.101698
Arthroplasty Today, 2025, vol. 33
https://doi.org/10.1016/j.artd.2025.101698
dc.rights.none.fl_str_mv cc-by (c) Rodríguez, D. et al., 2025
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Rodríguez, D. et al., 2025
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 6 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier Inc.
publisher.none.fl_str_mv Elsevier Inc.
dc.source.none.fl_str_mv Articles publicats en revistes (Patologia i Terapèutica Experimental)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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