{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T17:53:29Z","timestamp":1781978009183,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T00:00:00Z","timestamp":1543795200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is some uncertainty about the bearing to be used to substitute a broken ceramic. Using metal components (head or liner) may lead to catastrophic wear of the metal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The purpose of this article is to describe the long-term follow-up result of ceramic fracture replaced with metal-on-polyethylene (MoP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We report 3 cases of ceramic head fracture after ceramic-on-ceramic (CoC) total hip arthroplasty (THA) in which the broken ceramic was replaced with MoP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All cases developed severe complications due to gross wear of the metal head: one developed a pseudotumour after a few months while the other 2 had significant local metallosis and toxic blood metal levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>When there is a fracture of a ceramic component, we advise caution with the use of metal heads, as small ceramic fragments can cause 3rd-body wear with massive metal debris and severe local and general complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120700018813978","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T05:42:15Z","timestamp":1543815735000},"page":"373-378","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["High risk of complications using metal heads after ceramic fracture in total hip arthroplasty"],"prefix":"10.1177","volume":"29","author":[{"given":"Nuria I","family":"Olmedo-Garcia","sequence":"first","affiliation":[{"name":"Castell\u00f3n University General Hospital, Castell\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Zagra","sequence":"additional","affiliation":[{"name":"IRCCS Galeazzi Othopaedic Institute, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,12,3]]},"reference":[{"key":"bibr1-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.3.180300"},{"key":"bibr2-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/157247"},{"key":"bibr3-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4917-x"},{"key":"bibr4-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.06.003"},{"key":"bibr5-1120700018813978","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200902000-00002"},{"key":"bibr6-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1007\/s12570-010-0015-9"},{"key":"bibr7-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.06.023"},{"key":"bibr8-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.08.039"},{"key":"bibr9-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.04.007"},{"key":"bibr10-1120700018813978","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2009.01.014"},{"key":"bibr11-1120700018813978","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200305000-00009"},{"key":"bibr12-1120700018813978","doi-asserted-by":"publisher","DOI":"10.5301\/hipint.5000170"},{"key":"bibr13-1120700018813978","volume":"93","author":"Traina 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