ArticleInternational orthopaedics2013
Modular sleeves with ceramic heads in isolated acetabular cup revision in younger patients-laboratory and experimental analysis of suitability and clinical outcomes.
Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- MARS MRI Abnormalities in Asymptomatic Revision Total Hip Arthroplasty Patients With a Titanium Sleeved Ceramic Head.Arthroplasty today · 2026Article
- Surface Analysis of Ti-Alloy Micro-Grooved 12/14 Tapers Assembled to Non-Sleeved and Sleeved Ceramic Heads: A Comparative Study of Retrieved Hip Prostheses.Materials (Basel, Switzerland) · 2023Article
- Usefulness of modular neck adapter in partial hip revision.Annals of joint · 2023Review
- [Partial or full component exchange in hip revision? : The relevance of off-label use and mix & match].Orthopadie (Heidelberg, Germany) · 2022Review
- EFORT recommendations for off-label use, mix & match and mismatch in hip and knee arthroplasty.EFORT open reviews · 2021Review
- Catastrophic intraoperative failure of a ceramic femoral head.Arthroplasty today · 2021Article
- [Partial exchange in total hip arthroplasty : What can we combine?]Der Orthopade · 2017Review
- Primary ceramic-on-ceramic total hip arthroplasty using a 32-mm ceramic head with a titanium-alloy sleeve.Clinical orthopaedics and related research · 2015Article
- Cementless dual-mobility cup in total hip arthroplasty revision.International orthopaedics · 2014Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOne possibility in hip arthroplasty revisions is to combine a modular ceramic head with an adapter or sleeve in isolated acetabular cup replacement. This study consisted of an experimental part to analyse the reliability of taper damage predictions, and a clinical part to analyse the outcomes of modular ceramic head implantation in a case series of isolated cup replacements.
methodsAnalysis of scratch size on 11 explanted hip stems were examined macroscopically and by stereomicroscopy to classify damage to the conical taper. The second part consisted of a prospective analysis of isolated cup revisions using a modular ceramic head, performed in two orthopedic centres.
resultsAnalysis of scratch size on the taper yielded inter-observer correlations of 0.545-0.909; comparison with stereomicroscopic data recordings yielded a moderate correlation, with values between 0.545 and 0.090. The clinical study included 47 isolated acetabular cup revisions involving modular ceramic heads. Ceramic head failure did not occur during the average clinical and radiological observation period of 26 months. Mean Harris Hip Score (HHS) at follow-up was 70 points.
conclusionFrom these results, it can be concluded that damage to the implanted stem taper cannot be reliably predicted intraoperatively. Nevertheless, the clinical outcomes did show that there were no problems with the ceramic heads over the short observation period. The application of modular ceramic heads in younger patients requiring isolated cup replacement requires proper risk-benefit analysis, but is possible and appears to be a safe procedure.
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