OBJECTIVES To evaluate the initial functional results and early complication rate of ceramic-ceramic total hip replacements among patients living with HIV who presented osteonecrosis of the femoral head. METHOD Twelve HIV-positive patients with a diagnosis of osteonecrosis of the incongruent femoral head were evaluated using clinical and laboratory criteria and the WOMAC functional scale befo...

UNLABELLED Subchondral fracture of the femoral head has been reported to occur as an insufficiency fracture associated with poor bone quality or as a fatigue fracture in young military recruits. Transient osteoporosis of the hip has clinical and imaging findings that resemble those of a subchondral fracture, but it usually occurs in healthy middle-aged people not involved in sports or similar a...

This systematic review of the literature summarises the clinical experience with ceramic-on-ceramic hip bearings over the past 40 years and discusses the concerns that exist in relation to the bearing combination. Loosening, fracture, liner chipping on insertion, liner canting and dissociation, edge-loading and squeaking have all been reported, and the relationship between these issues and impl...

Fracture damage in trilayers consisting of outer and inner brittle layers bonded to a compliant (polycarbonate) substrate and subjected to concentrated surface loading is analyzed. The principal mode of fracture is radial cracking at the undersurface of the inner (core) layer, even in the strongest of core ceramics--other damage modes, including radial cracking in the outer (veneer) layer, are ...

Background: Some of the Mason type I fractures cannot be detected on early radiographic images. These occultfractures are considered as a diagnostic challenge for physicians. Our aim was to determine the value of bedsideultrasonography for the detection of Mason I radial head fractures that are non-visible in early X-ray’s.Methods: A prospective blind single-center diagnostic study was conducte...

BACKGROUND Squeaking after ceramic-on-ceramic total hip arthroplasty is a relatively uncommon phenomenon. It usually does not require treatment in the absence of pain, mechanical symptoms, and/or relentless squeaking. The purpose of this investigation was to report on four patients who presented with hip pain and squeaking due to fractured ceramic liners after ceramic-on-ceramic total hip arthr...

Dental ceramics are presented within a simplifying framework allowing for understanding of their composition and development. The meaning of strength and details of the fracture process are explored, and recommendations are given regarding making structural comparisons among ceramics. Assessment of clinical survival data is dealt with, and literature is reviewed on the clinical behavior of meta...

STATEMENT OF PROBLEM In some clinical situations, the length of either a prepared tooth or an implant abutment is shorter than ideal, and the thickness of a porcelain crown must be increased. Thickness of the coping and the veneering porcelain should be considered to prevent mechanical failure of the crown. PURPOSE The purpose of this study was to investigate the influence of veneering porcel...