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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Format: | Article |
Language: | English |
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Elsevier
2020-09-01
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Series: | Arthroplasty Today |
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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. |
first_indexed | 2024-12-20T22:36:56Z |
format | Article |
id | doaj.art-5746b440162446d8aba9d34ebda711f8 |
institution | Directory Open Access Journal |
issn | 2352-3441 |
language | English |
last_indexed | 2024-12-20T22:36:56Z |
publishDate | 2020-09-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroplasty Today |
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 |
work_keys_str_mv | AT kwesigdawsonamoahmd adversereactiontozirconiainamoderntotalhiparthroplastywithceramichead AT bradfordswaddellmd adversereactiontozirconiainamoderntotalhiparthroplastywithceramichead AT rohanprakashbs adversereactiontozirconiainamoderntotalhiparthroplastywithceramichead AT michaelmalexiadesmd adversereactiontozirconiainamoderntotalhiparthroplastywithceramichead |