Ferdi Dırvar

Department of Orthopedics and Traumatology, Metin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, Istanbul, Turkey

Keywords: Ceramic liner fracture, computed tomography, metallosis, total hip arthroplasty


Ceramic acetabular liner fracture is a rare complication and requires early revision surgery to avoid abrasive damaging of metal components by ceramic particles. Chromium-cobalt femoral head can be used in revision surgery if only fractured ceramic particles are completely removed because the abrasive effect of ceramic debris is more pronounced on metal head compared to ceramic head. In this article, we report a 50-year-old male patient of delayed acetabular liner fracture in which we used a ceramic head that is more resistant to residue ceramic particles. We assessed the patient by using computed tomography (CT) to locate the ceramic particles. By using CT imaging, we can detect which ceramic particles pose high morbidity risk for debridement.

Citation: Dırvar F. Role of computed tomography in determining the choice of treatment for delayed ceramic acetabular liner fracture: A case report. Jt Dis Relat Surg 2020;31(2):377-381.

Conflict of Interest

The author declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The author received no financial support for the research and/or authorship of this article.


I would like to thank Mustafa Cantay Gok, M.D., for his input in the discussion on radiology results.