{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,8]],"date-time":"2025-03-08T05:19:51Z","timestamp":1741411191685,"version":"3.38.0"},"reference-count":5,"publisher":"EDP Sciences","license":[{"start":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T00:00:00Z","timestamp":1741305600000},"content-version":"vor","delay-in-days":65,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SICOT-J"],"accepted":{"date-parts":[[2025,2,8]]},"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Ceramic fractures in total hip arthroplasty (THA) are rare complications that pose significant challenges for revision surgery. This case report describes a 68-year-old male who experienced a spontaneous alumina (ceramic) insert and head fracture four years after the initial THA. The first revision with cobalt-chrome and polyethylene components led to severe metallosis, including subcutaneous tissue discoloration. A second revision utilized a ceramic-on-ceramic (CoC) bearing couple, resulting in excellent functional outcomes and resolution of symptoms. Cutaneous pigmentation post-THA is rare and has not been previously reported following a ceramic fracture. The case underscores the need for careful material selection in revision surgery to minimize complications such as metallosis. The decision to use a ceramic-on-ceramic bearing couple in this case proved effective, ensuring durability and reducing the risk of third-body wear, which can result from inadequate management of ceramic fractures and lead to joint, systemic, or cutaneous complications.<\/jats:p>","DOI":"10.1051\/sicotj\/2025007","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T08:45:58Z","timestamp":1741337158000},"page":"13","source":"Crossref","is-referenced-by-count":0,"title":["Cutaneous metallosis following ceramic insert fracture in total hip arthroplasty: a case report and revision with ceramic-on-ceramic bearing couple"],"prefix":"10.1051","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2828-4661","authenticated-orcid":false,"given":"Vasileios","family":"Giovanoulis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6155-8898","authenticated-orcid":false,"given":"Angelo V.","family":"Vasiliadis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4095-4821","authenticated-orcid":false,"given":"Simon","family":"Marmor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"250","published-online":{"date-parts":[[2025,3,7]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1302\/2058-5241.3.180300","volume":"3","year":"2018","journal-title":"EFORT Open Rev"},{"key":"R2","first-page":"e143","volume":"2","year":"2016","journal-title":"Surg J N Y N"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Hannouche D, Nich C, Bizot P, et al. (2003) Fractures of ceramic bearings: history and present status. Clin Orthop (417), 19\u201326.","DOI":"10.1097\/01.blo.0000096806.78689.50"},{"key":"R4","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1007\/s00264-023-05705-0","volume":"47","year":"2023","journal-title":"Int Orthop"},{"key":"R5","doi-asserted-by":"crossref","first-page":"31","DOI":"10.2106\/JBJS.M.00002","volume":"95","year":"2013","journal-title":"Bone Jt J"}],"container-title":["SICOT-J"],"original-title":[],"link":[{"URL":"https:\/\/www.sicot-j.org\/10.1051\/sicotj\/2025007\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T08:46:02Z","timestamp":1741337162000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.sicot-j.org\/10.1051\/sicotj\/2025007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":5,"alternative-id":["sicotj250014"],"URL":"https:\/\/doi.org\/10.1051\/sicotj\/2025007","relation":{},"ISSN":["2426-8887"],"issn-type":[{"value":"2426-8887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}