We describe two cases of breakage of expansion cups in a CLS uncemented total hip arthroplasty wihtout traumatic etiologic. Both cases occurred six years after the surgery and none had breakage or polyethylene wear. We postulate that the lack of contact between the polar area of the cup and the acetabulum produces a zone of instability in the segments of the prosthesis and increases the risk of fatigue of the material. In our opinion acetabular revision is mandatory in this situation, even in asymptomatic cases, because cup rupture leads to implant loosening with secondary short-team osteolysis.... [Leer más...]