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Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem

We report a case of extended osteolysis, requiring a third revision of the left hip in an 85-year-old man 46 years after index operation. Major polyethylene (PE) wear occurred due to a missmatched combination of a bipolar Hastings head with a PE liner and head damage of the originally maintained ste...

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Autores principales: Fischer, Sarah, Polster, Valerie, Ruhr, Miriam, Hube, Robert, Morlock, Michael M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516556/
https://www.ncbi.nlm.nih.gov/pubmed/34659855
http://dx.doi.org/10.1155/2021/9989395
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author Fischer, Sarah
Polster, Valerie
Ruhr, Miriam
Hube, Robert
Morlock, Michael M.
author_facet Fischer, Sarah
Polster, Valerie
Ruhr, Miriam
Hube, Robert
Morlock, Michael M.
author_sort Fischer, Sarah
collection PubMed
description We report a case of extended osteolysis, requiring a third revision of the left hip in an 85-year-old man 46 years after index operation. Major polyethylene (PE) wear occurred due to a missmatched combination of a bipolar Hastings head with a PE liner and head damage of the originally maintained stem. This case demonstrates that bipolar heads should not be used with PE cup liners since the respective bearing diameters cannot be guaranteed to match due to missing specifications. Furthermore, putting a Hastings head on an already damaged head of the stem should be omitted and rather the stem should initially be revised.
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spelling pubmed-85165562021-10-15 Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem Fischer, Sarah Polster, Valerie Ruhr, Miriam Hube, Robert Morlock, Michael M. Case Rep Orthop Case Report We report a case of extended osteolysis, requiring a third revision of the left hip in an 85-year-old man 46 years after index operation. Major polyethylene (PE) wear occurred due to a missmatched combination of a bipolar Hastings head with a PE liner and head damage of the originally maintained stem. This case demonstrates that bipolar heads should not be used with PE cup liners since the respective bearing diameters cannot be guaranteed to match due to missing specifications. Furthermore, putting a Hastings head on an already damaged head of the stem should be omitted and rather the stem should initially be revised. Hindawi 2021-10-07 /pmc/articles/PMC8516556/ /pubmed/34659855 http://dx.doi.org/10.1155/2021/9989395 Text en Copyright © 2021 Sarah Fischer et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Fischer, Sarah
Polster, Valerie
Ruhr, Miriam
Hube, Robert
Morlock, Michael M.
Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_full Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_fullStr Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_full_unstemmed Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_short Osteolysis following PE Wear of a Hastings Head on a Monoblock Hip Stem
title_sort osteolysis following pe wear of a hastings head on a monoblock hip stem
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516556/
https://www.ncbi.nlm.nih.gov/pubmed/34659855
http://dx.doi.org/10.1155/2021/9989395
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