Management of ceramic component fractures: Can you ensure a safe return?

While modern ceramic component fractures following total hip arthroplasty (THA) are rare, the management of this complication can present particular challenges. Particulate debris from the fractured ceramic component can cause destructive, abrasive third body wear to the revision arthroplasty if not removed. Additionally, damage to the femoral trunnion and acetabular locking mechanisms can also complicate the situation in the setting of well-fixed, well-positioned, acetabular and femoral components. Successful management of ceramic component fractures requires a systematic approach in order to ensure a reliable and durable revision total hip arthroplasty.