Extraction of a well fixed but fractured ceramic acetabular liner

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Presentation transcript:

Extraction of a well fixed but fractured ceramic acetabular liner David Ferguson, MB ChB, BSc (Hons), FRCS, Robert Metcalf, FRCS Arthroplasty Today Volume 1, Issue 1, Pages 11-13 (March 2015) DOI: 10.1016/j.artd.2014.12.003 Copyright © 2015 Terms and Conditions

Fig. 1 Postoperative radiograph showing fracture of the acetabular ceramic liner. Arthroplasty Today 2015 1, 11-13DOI: (10.1016/j.artd.2014.12.003) Copyright © 2015 Terms and Conditions

Fig. 2 The extraction technique begins by creating a hole half way through the base of the ceramic liner using a diamond tipped bur. A continuous supply of water irrigation via syringe helps to cool and lubricate the bur, and also prevent ceramic debris from scattering. A Frazier suction probe can be used to remove the irrigation fluid. Striking a Charnley pin (Depuy Int., Leeds, England) into the cavity creates a controlled fracture that allows the liner to be removed. Arthroplasty Today 2015 1, 11-13DOI: (10.1016/j.artd.2014.12.003) Copyright © 2015 Terms and Conditions

Fig. 3 Revision of bearing surfaces to ceramic head with titanium sleeve, and highly cross-linked polyethylene liner. Arthroplasty Today 2015 1, 11-13DOI: (10.1016/j.artd.2014.12.003) Copyright © 2015 Terms and Conditions