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It was reported that during an initial hip replacement procedure, a size 51 acetabular cup was trialed for fit.Initial stability was confirmed, and the surgical team was instructed to use a size 52 acetabular prosthesis.Following implantation, the acetabular cup was also reported to be stable.After securing the cup, the ceramic liner was opened and inserted.The edges were leveled, and an impactor was used to seat the liner.However, the ceramic liner fractured during impaction.Following the ceramic liner fracture, it was discovered that the previously stable acetabular cup had become slightly loose.The surgeon immediately thoroughly irrigated the acetabulum with water and removed the entire prosthesis.After adjusting the cup angle, a new size 52 acetabular cup was implanted and secured with two screws.The replacement cup was reported to be very stable.The liner was then opened and implanted, and the procedure was completed successfully.No additional information available for the reported event.
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