Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture

Autor: Paul Lecoanet, Mathias Blangis, Matthieu Garcia, Yohan Legallois, Thierry Fabre
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Case Reports in Orthopedics, Vol 2019 (2019)
Druh dokumentu: article
ISSN: 2090-6749
2090-6757
DOI: 10.1155/2019/4209796
Popis: Introduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and expressed brutally with mostly central neurological symptoms. Chelation associated with revision surgery allowed rapid regression of all symptoms. Conclusion. Revision of fractured ceramic, even per-operatively, should not be done with metal-on-polyethylene components, in order to avoid potentially lethal metal intoxication.
Databáze: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje