Adverse reaction to metal release from a modular metal-on-polyethylene hip prosthesis.
نویسندگان
چکیده
A 70-year-old man with an uncemented metal-on-polyethylene total hip prosthesis underwent revision arthroplasty 33 months later because of pain, swelling and recurrent dislocation. There appeared to be corrosion and metal release from the prosthetic head, resulting in pseudotumour formation and severe local soft-tissue destruction. The corrosion occurred at the junction between the titanium-molybdenum-zirconium-iron taper and the cobalt-chrome-molybdenum head, but the mechanism was unproven.
منابع مشابه
Mid-Term Review of ADEPT Metal-On-Metal Hip Prosthesis. Functional, Radiological and Metal Ion Analysis
Background: There is much interest regarding metal-on-metal implants in medical and general media. Much of this has been regarding failure of specific implant systems and metal ion toxicity. We present our early mid-term experience of the ADEPT metal-on-metal system which has both modular and non-modular hip options. Methods: Functional assessment, blood metal ion quantification, and radiograph...
متن کاملAdverse reaction to metal debris: metallosis of the resurfaced hip
The greatest concern after metal-on-metal hip resurfacing may be the development of metallosis. Metallosis is an adverse tissue reaction to the metal debris generated by the prosthesis and can be seen with implants and joint prostheses. The reasons patients develop metallosis are multifactorial, involving patient, surgical, and implant factors. Contributing factors may include component malposi...
متن کاملOne-component revision of failed hip resurfacing from adverse reaction to metal wear debris.
This study assessed the results of 90 one-component revisions for failed hip resurfacing due to adverse reaction to metal wear debris (76 acetabular, 14 femoral). Patients with a femoral head size 40-45 mm (n=33) received a two-piece titanium meshed shell with a cross-linked polyethylene liner and patients with femoral head size 46-54 mm (n=43) received metal-on-metal components. Patients with ...
متن کاملFatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplasty
This case illustrates the potential for systemic cobalt toxicity in non-metal-on-metal bearings and its potentially devastating consequences. We present a 71-year-old male with grinding sensations in his right hip following ceramic-on-ceramic total hip arthroplasty (THA). After diagnosing a fractured ceramic liner, the hip prosthesis was revised into a metal-on-polyethylene bearing. At one year...
متن کاملSpontaneous modular femoral head dissociation complicating total hip arthroplasty.
Modular femoral heads have been used successfully for many years in total hip arthroplasty. Few complications have been reported for the modular Morse taper connection between the femoral head and trunnion of the stem in metal-on-polyethylene bearings. Although there has always been some concern over the potential for fretting, corrosion, and generation of particulate debris at the modular junc...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 93 10 شماره
صفحات -
تاریخ انتشار 2011