[Damage to a hip endoprosthesis caused by high-frequency electrocautery].

Contact between high-frequency cauterising instruments and metal endoprostheses can cause visible flashovers. The resulting local heating might partially transform the microstructure of the prostheses. In the present case a flashover to the in situ titanium hip endoprosthesis during the revision of a fractured ceramic head decreased the fatigue strength of the prosthesis and ultimately caused its failure. During revision surgery it is essential to prevent contact between in situ metal components and high-frequency cauterising instruments.