Pseudotumor in ceramic-on-metal total hip arthroplasty

Autor: Andrew J. Meyers, Mauro Giordani, John P. Meehan, Yoni M. Blau
Jazyk: angličtina
Rok vydání: 2017
Předmět:
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