We report a case presenting an important and early metallosis. Three months after a total hip arthroplastyprimary using ceramic-ceramic pair, the patient sustained ceramic head fracture was revised to a metal-on-polyethylenearticulation. Fourteen months later, a metallosis pseudotumor caused by the fracture of the metal head wasobserved. The patient was then revised to a metal-metal pair preserving the femoral component since it was wellanchored while the Morse cone connection had a small impact. Two years after the last surgery the results are satisfactory.

We report a case presenting an important and early metallosis. Three months after a total hip arthroplastyprimary using ceramic-ceramic pair, the patient sustained ceramic head fracture was revised to a metal-on-polyethylenearticulation. Fourteen months later, a metallosis pseudotumor caused by the fracture of the metal head wasobserved. The patient was then revised to a metal-metal pair preserving the femoral component since it was wellanchored while the Morse cone connection had a small impact. Two years after the last surgery the results are satisfactory.