Fractura de liner cerámico en prótesis total de cadera tras traumatismo directo: una causa poco frecuente de fracaso del componente cerámico

• Jiménez Garrido, Carlos ^[1] ; Rosillo Soler, José Manuel ^[1] ; Bravo Aguilera, Carlos ^[1]
  1. [1] Hospital Infanta Margarita

     Hospital Infanta Margarita

     Cabra, España

     
• Localización: Revista de la Sociedad Andaluza de Traumatología y Ortopedia, ISSN-e 1578-9756, Vol. 38, Nº. 3, 2021, págs. 63-69
• Idioma: español
• Títulos paralelos:
  • Ceramic liner fracture in total hip replacement after direct trauma.: an unsual cause of ceramic component failure
• Enlaces
  • Texto completo
• Resumen
  • español

    Proponer la centralización del cúbito distal en El desgaste de los materiales tras la artroplastia total de cadera (ATC) es uno de los grandes problemas en el paciente joven. Con el avance en los diseños de las nuevas cerámicas, parece haber disminuido la tasa de desgaste. Sin embargo, existen complicaciones exclusivas del par cerámica-cerámica, como la fractura de los componentes, siendo la fractura del liner cerámico por traumatismo directo una complicación poco frecuente. Exponemos el caso clínico de un paciente de 41 años de edad que tras ser intervenido de ATC con par de fricción cerámica-cerámica, sufrió un traumatismo de alta energía tras atropello, asociado a fractura del liner cerámico. Se realizó una revisión de la ATC y se recambió el par de fricción a cerámica-politelieno, obteniendo buenos resultados en el postoperatorio, con una puntuación en la escala visual analógica (EVA) de 1, una puntuación en la escala Harris Hip Score de 92,8, una puntuación en la escala Oxford de 44 y una dismetría de 0,5 cm. Además se hizo una comparativa de los resultados obtenidos en nuestro caso clínico con los expuestos en la literatura.

  • English

    Wear after total hip arthroplasty (THA) is one of the great problems in young patients. With the advancement in new ceramic designs, the wear rate appears to have decreased. However, there are complications exclusive to the ceramic-ceramic pair, such as component fracture, with the ceramic liner fracture due to direct trauma being a rare complication. We present the clinical case of a 41-year-old patient who, after undergoing THA with a ceramic-ceramic friction pair, suffered a high-energy trauma after being run over, associated with a fracture of the ceramic liner. A revision of the THA was carried out and the friction pair was changed to ceramic-polythene, obtaining good results in the postoperative period, with a score on the visual analog scale (VAS) of 1, a score on the Harris Hip Score of 92,8, an Oxford scale score of 44, and a leg length discrepancy of 0.5 cm. In addition, a comparison was made of the results obtained in our clinical case with those reported in the literature.

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