Pseudotumor in ceramic-on-metal total hip arthroplasty
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, w...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-12-01
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| Series: | Arthroplasty Today |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344117301231 |
| _version_ | 1828481534310481920 |
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| author | Yoni M. Blau, MD Andrew J. Meyers, MD, MS Mauro Giordani, MD John P. Meehan, MD |
| author_facet | Yoni M. Blau, MD Andrew J. Meyers, MD, MS Mauro Giordani, MD John P. Meehan, MD |
| author_sort | Yoni M. Blau, MD |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-11T07:58:33Z |
| format | Article |
| id | doaj.art-be0d239156e64bd2909aab7ea82f6eb9 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-11T07:58:33Z |
| publishDate | 2017-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-be0d239156e64bd2909aab7ea82f6eb92022-12-22T01:15:11ZengElsevierArthroplasty Today2352-34412017-12-0134220224Pseudotumor in ceramic-on-metal total hip arthroplastyYoni M. Blau, MD0Andrew J. Meyers, MD, MS1Mauro Giordani, MD2John P. Meehan, MD3Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USADepartment of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USADepartment of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USACorresponding author. 4860 Y Street Suite 3800, Sacramento, CA 95817, USA. Tel.: +1 916 734 5878.; Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USAThe 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-metalhttp://www.sciencedirect.com/science/article/pii/S2352344117301231 |
| spellingShingle | Yoni M. Blau, MD Andrew J. Meyers, MD, MS Mauro Giordani, MD John P. Meehan, MD Pseudotumor in ceramic-on-metal total hip arthroplasty Arthroplasty Today |
| title | Pseudotumor in ceramic-on-metal total hip arthroplasty |
| title_full | Pseudotumor in ceramic-on-metal total hip arthroplasty |
| title_fullStr | Pseudotumor in ceramic-on-metal total hip arthroplasty |
| title_full_unstemmed | Pseudotumor in ceramic-on-metal total hip arthroplasty |
| title_short | Pseudotumor in ceramic-on-metal total hip arthroplasty |
| title_sort | pseudotumor in ceramic on metal total hip arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2352344117301231 |
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