Pseudotumor in ceramic-on-metal total hip arthroplasty
Autor: | Andrew J. Meyers, Mauro Giordani, John P. Meehan, Yoni M. Blau |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Case Report Hard-on-hard Chromium atom Adverse local tissue reaction Elevated serum 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery medicine Orthopedics and Sports Medicine Potential source Hip pain 030212 general & internal medicine 030222 orthopedics business.industry Pain Research musculoskeletal system Ceramic on metal Surgery Pseudotumor lcsh:RD701-811 surgical procedures operative Musculoskeletal Total hip arthroplasty business Complication Ceramic-on-metal |
Zdroj: | Arthroplasty Today, Vol 3, Iss 4, Pp 220-224 (2017) Arthroplasty today, vol 3, iss 4 Arthroplasty Today |
ISSN: | 2352-3441 |
Popis: | The increasing demand for total hip arthroplasty (THA) in relatively young, high-demand patients has led to the use of hard-on-hard bearing surfaces. Adverse local tissue reaction/pseudotumor and elevated serum metal ion levels are commonly reported complications encountered in metal-on-metal THA, while audible articulation and rim fracture are reported in ceramic-on-ceramic THA. For this reason, ceramic-on-metal THA was implemented as an ideal hard-on-hard bearing combination. In this report, we describe a case of bilateral simultaneous ceramic-on-metal THA in a 69-year-old woman who presented 7 years postoperatively with unilateral hip pain associated with underlying pseudotumor and elevated serum cobalt and chromium ion levels. Pre-revision workup, intraoperative findings, and postoperative evaluation are included and suggest acetabular malposition as a potential source for complication. Keywords: Total hip arthroplasty, Adverse local tissue reaction, Pseudotumor, Hard-on-hard, Ceramic-on-metal |
Databáze: | OpenAIRE |
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