Catastrophic metallosis after tumoral knee prosthesis failure: A case report
| Autor: | Michela Florio, Luca La Verde, Michele Attilio Rosa, Domenico Fenga, Maria Silvia Spinelli, Francesco Rosario Campo |
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| Rok vydání: | 2017 |
| Předmět: |
Case report
Complication Metallosis Pseudotumor Tumoral prosthesis Surgery medicine.medical_specialty Metallic debris medicine.medical_treatment Periprosthetic 02 engineering and technology Prosthesis 03 medical and health sciences Distal femur 0302 clinical medicine Knee prosthesis medicine 030222 orthopedics business.industry Soft tissue 021001 nanoscience & nanotechnology medicine.disease Surgical history 0210 nano-technology business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • A rare case of huge metallosis is presented. • If prosthesis brackage is detected, revision surgery should be attempted. • A regular follow-up after surgery it’s the best way to success. Introduction Metallosis is a condition characterized by an infiltration of periprosthetic soft tissues and bone by metallic debris resulting from wear or failure of joint arthroplasties. Presentation of case Authors describe a case of a 45-year-old man treated for an osteosarcoma of the distal femur with a modular prosthesis when he was 18 years old, he developed massive metallosis with skin dyspigmentation after 17 years. His medical\surgical history was remarkable for a left tumoral knee prosthesis implanted 21 years ago. Two years before revision, the patient had a car accident with a two-points prosthesis breakage and despite the surgeon’s advice, the patient refused surgery. In two years, prosthesis malfunction caused a progressive catastrophic soft tissues infiltration of metallic debris. Discussion and conclusion Authors suggest that if prosthesis fracture is detected, revision surgery should be attempted as earlier as possible. |
| Databáze: | OpenAIRE |
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