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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 5, 631-635.
doi: 10.1302/0301-620X.84B5.12679  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Catastrophic failure of the Elite Plus total hip replacement, with a Hylamer acetabulum and Zirconia ceramic femoral head

M. R. Norton, FRCS, Specialist Registrar; R. Yarlagadda, MRCS, Senior House Officer; and G. H. Anderson, FRCS Orth, Consultant Orthopaedic Surgeon

Department of Trauma and Orthopaedic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK.

Correspondence should be sent to Mr G. H. Anderson.

We report catastrophic early failure of a cemented total hip replacement comprising a modular femoral component with a Zirconia ceramic head and an acetabular component of cross-linked ultra-high molecular-weight polyethylene (Hylamer). Between 1995 and 1999 we implanted 29 hips in 26 patients with a mean age of 49.2 years. Survivorship analysis in this group revealed a failure rate of 67.6% at five years. All hips which failed did so because of aseptic loosening with progressive osteolysis or radiolucencies. We therefore recommend early and regular review of all patients with this combination of implants and early revision surgery in order to avoid massive bone loss.




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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General