Wear of a composite ceramic head caused by liner fracture.

Third-generation composite ceramics (eg, Delta; DePuy Orthopaedics, Warsaw, Indiana; Ceramtec, Plochingen, Germany) have greatly improved material characteristics compared with second-generation products. This case report presents a patient after total hip arthroplasty with a fractured ceramic liner and a heavily worn ceramic head (both third-generation ceramics) retrieved 9 months after surgery. The patient showed no symptoms in the involved hip but presented to the hospital because of other symptoms.