Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head

Hypersensitivity reactions to zirconia (ZrO2) or similar ceramics is highly unusual. Owing to the stable oxide formed between the base metal and oxygen, ceramics are considered relatively biologically inert. We report the case of an otherwise healthy 50-year-old woman with a 5-year history of progre...

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Main Authors: Kwesi G. Dawson-Amoah, MD, Bradford S. Waddell, MD, Rohan Prakash, BS, Michael M. Alexiades, MD
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344120300595
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author Kwesi G. Dawson-Amoah, MD
Bradford S. Waddell, MD
Rohan Prakash, BS
Michael M. Alexiades, MD
author_facet Kwesi G. Dawson-Amoah, MD
Bradford S. Waddell, MD
Rohan Prakash, BS
Michael M. Alexiades, MD
author_sort Kwesi G. Dawson-Amoah, MD
collection DOAJ
description Hypersensitivity reactions to zirconia (ZrO2) or similar ceramics is highly unusual. Owing to the stable oxide formed between the base metal and oxygen, ceramics are considered relatively biologically inert. We report the case of an otherwise healthy 50-year-old woman with a 5-year history of progressively worsening right hip pain who underwent a ceramic-on-polyethylene total hip replacement and subsequently developed hypersensitivity reaction. After metal allergy testing showed her to be highly reactive to zirconium, the femoral head was revised to a custom titanium implant and her symptoms resolved.
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spelling doaj.art-5746b440162446d8aba9d34ebda711f82022-12-21T19:24:35ZengElsevierArthroplasty Today2352-34412020-09-0163612616.e1Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic HeadKwesi G. Dawson-Amoah, MD0Bradford S. Waddell, MD1Rohan Prakash, BS2Michael M. Alexiades, MD3Medical School, Rutgers Robert Wood Johnson, New Brunswick, NJ, USAOrthopedic Surgery, Hospital for Special Surgery, New York, NY, USA; Corresponding author. Hospital for Special Surgery LLC, 1 Blachley Road, Stamford, CT 06902, USA. Tel.: +1 404 352 1015.University College London, London, UKOrthopedic Surgery, Hospital for Special Surgery, New York, NY, USAHypersensitivity reactions to zirconia (ZrO2) or similar ceramics is highly unusual. Owing to the stable oxide formed between the base metal and oxygen, ceramics are considered relatively biologically inert. We report the case of an otherwise healthy 50-year-old woman with a 5-year history of progressively worsening right hip pain who underwent a ceramic-on-polyethylene total hip replacement and subsequently developed hypersensitivity reaction. After metal allergy testing showed her to be highly reactive to zirconium, the femoral head was revised to a custom titanium implant and her symptoms resolved.http://www.sciencedirect.com/science/article/pii/S2352344120300595HypersensitivityRevision arthroplastyAllergyZirconiaCeramicsTotal hip arthroplasty
spellingShingle Kwesi G. Dawson-Amoah, MD
Bradford S. Waddell, MD
Rohan Prakash, BS
Michael M. Alexiades, MD
Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head
Arthroplasty Today
Hypersensitivity
Revision arthroplasty
Allergy
Zirconia
Ceramics
Total hip arthroplasty
title Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head
title_full Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head
title_fullStr Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head
title_full_unstemmed Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head
title_short Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head
title_sort adverse reaction to zirconia in a modern total hip arthroplasty with ceramic head
topic Hypersensitivity
Revision arthroplasty
Allergy
Zirconia
Ceramics
Total hip arthroplasty
url http://www.sciencedirect.com/science/article/pii/S2352344120300595
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AT rohanprakashbs adversereactiontozirconiainamoderntotalhiparthroplastywithceramichead
AT michaelmalexiadesmd adversereactiontozirconiainamoderntotalhiparthroplastywithceramichead