The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty.
Concerns now exist about the long-term biological effects of exposure to orthopaedic metal alloys, particularly serum cobalt and chromium ions derived from metal-on-metal wear debris in these patients. A pseudotumour mass complicating metal-on-metal resurfacing arthroplasty has been recognized by or...
| Autores principales: | , , , , , , |
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| Formato: | Journal article |
| Lenguaje: | English |
| Publicado: |
2008
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| _version_ | 1826280406542974976 |
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| author | Harvie, P Giele, H Fang, C Ansorge, O Ostlere, S Gibbons, M Whitwell, D |
| author_facet | Harvie, P Giele, H Fang, C Ansorge, O Ostlere, S Gibbons, M Whitwell, D |
| author_sort | Harvie, P |
| collection | OXFORD |
| description | Concerns now exist about the long-term biological effects of exposure to orthopaedic metal alloys, particularly serum cobalt and chromium ions derived from metal-on-metal wear debris in these patients. A pseudotumour mass complicating metal-on-metal resurfacing arthroplasty has been recognized by orthopaedic oncologists and specialist hip units. Pseudotumours may also present with a major nerve palsy. Two cases of femoral neuropathy due to pseudotumour masses caused by metal-on-metal resurfacing arthroplasty are presented. Preoperative neurophysiological studies showed severe and irreversible pathological changes to nerve function with neurohistopathological evidence of complete nerve destruction with a previously unreported pathological appearance. This may represent a previously unrecognized pathological process, possibly 'toxic' in nature, resulting from metal-on-metal wear debris. Prolonged follow-up and detailed clinical assessment of patients after hip resurfacing arthroplasty is advocated with planned and expeditious revision of any patient in whom evidence of femoral neuropathy develops. |
| first_indexed | 2024-03-07T00:13:14Z |
| format | Journal article |
| id | oxford-uuid:79f7bf8c-4251-441f-9adf-10cea39cf5cd |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:13:14Z |
| publishDate | 2008 |
| record_format | dspace |
| spelling | oxford-uuid:79f7bf8c-4251-441f-9adf-10cea39cf5cd2022-03-26T20:40:44ZThe treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:79f7bf8c-4251-441f-9adf-10cea39cf5cdEnglishSymplectic Elements at Oxford2008Harvie, PGiele, HFang, CAnsorge, OOstlere, SGibbons, MWhitwell, DConcerns now exist about the long-term biological effects of exposure to orthopaedic metal alloys, particularly serum cobalt and chromium ions derived from metal-on-metal wear debris in these patients. A pseudotumour mass complicating metal-on-metal resurfacing arthroplasty has been recognized by orthopaedic oncologists and specialist hip units. Pseudotumours may also present with a major nerve palsy. Two cases of femoral neuropathy due to pseudotumour masses caused by metal-on-metal resurfacing arthroplasty are presented. Preoperative neurophysiological studies showed severe and irreversible pathological changes to nerve function with neurohistopathological evidence of complete nerve destruction with a previously unreported pathological appearance. This may represent a previously unrecognized pathological process, possibly 'toxic' in nature, resulting from metal-on-metal wear debris. Prolonged follow-up and detailed clinical assessment of patients after hip resurfacing arthroplasty is advocated with planned and expeditious revision of any patient in whom evidence of femoral neuropathy develops. |
| spellingShingle | Harvie, P Giele, H Fang, C Ansorge, O Ostlere, S Gibbons, M Whitwell, D The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. |
| title | The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. |
| title_full | The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. |
| title_fullStr | The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. |
| title_full_unstemmed | The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. |
| title_short | The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. |
| title_sort | treatment of femoral neuropathy due to pseudotumour caused by metal on metal resurfacing arthroplasty |
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