ArticleInternational journal of surgery case reports2026
The hole story: a case report of a ceramic implant's unexpected journey.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and importance: Catastrophic failure of ceramic-on-polyethylene (CoP) total hip arthroplasty (THA) is a rare but severe complication. While ceramics offer superior wear resistance, polyethylene liner degradation can progress silently over decades, culminating in component failure, metallosis, and functional decline. Presentation of case: We report the case of a 66-year-old female who presented with pain and mechanical symptoms 20 years after a CoP "DURALOC" Exeter THA. Imaging revealed eccentric polyethylene wear and acetabular osteolysis. Intraoperatively, the ceramic femoral head was found to have eroded through the polyethylene liner and acetabular shell, accompanied by gross metallosis and joint subluxation. Revision surgery involved full component exchange, debridement, and successful reconstruction. Clinical discussion: This case highlights the potential for catastrophic failure in long-standing CoP implants and emphasizes the importance of long-term surveillance. Despite the durability of ceramic components, polyethylene wear remains a critical factor in implant longevity. Conclusion: Early detection of polyethylene wear is essential to prevent catastrophic failure. Regular follow-up and prompt revision can result in excellent postoperative outcomes, even after severe implant degradation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.