A Rare Case of Adverse Reaction to Metal Debris in a Ceramic-on-Ceramic Total Hip Replacement

被引:4
|
作者
Cannella, Adriano [1 ,2 ]
Greco, Tommaso [1 ,2 ]
Polichetti, Chiara [1 ,2 ]
De Martino, Ivan [1 ]
Mascio, Antonio [1 ,2 ]
Maccauro, Giulio [1 ,2 ]
Perisano, Carlo [1 ]
机构
[1] Fdn Policlin Univ Agostino Gemelli IRCCS, Dept Ageing Neurosci Head Neck & Orthoped Sci, Orthoped & Trauma Surg Unit, I-00168 Rome, Italy
[2] Univ Cattolica Sacro Cuore, Orthoped & Trauma Surg, I-00168 Rome, Italy
关键词
total hip replacement; adverse reaction; metal debris; prosthesis; revision surgery; hip surgery; megaprosthesis; REVISION; CORROSION;
D O I
10.3390/jfb13030145
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Adverse Reaction to Metal Debris (ARMD) is one of the most frequent complications after Total Hip Replacement (THR) and often a cause of surgical revision. This is true especially for implants with Metal-on-Metal (MoM) and Large Diameter Heads (LDHs), which are frequently used to improve stability and reduce the risk of dislocation. However, ARMD is not exclusive to MoM replacement, as it can also occur in other implants such Ceramic-on-Ceramic (CoC), Metal-on-Polyethylene (MoP), and Ceramic-on-Polyethylene (CoP). In these non-MoM implants, ARMD is not caused by the tribo-corrosion between bearing surfaces but, rather, by the fretting at the interface between neck and stem of dissimilar metals. A case of a severe ARMD that happened to a 73-year-old female patient with CoC bearing THR at the right hip is presented in this case report. In this case, the ARMD was misdiagnosed for over a year, resulting in the development of a massive pseudotumor. The treatment of choice was a two-stage revision with the implant of a hip megaprosthesis. After more than 2 years of follow-up, complete recovery of hip Range of Motion (ROM) and normalization of chromium and cobalt levels in blood and urine were achieved. Despite the relatively short follow-up period, this can be considered a successful treatment of a major and misdiagnosed ARMD in a non-MoM hip replacement.
引用
收藏
页数:9
相关论文
共 50 条
  • [1] Ceramic-on-ceramic total hip replacement
    Riska, EB
    [J]. CURRENT ORTHOPAEDICS, 1999, 13 (04): : 320 - 324
  • [2] Ceramic-on-ceramic total hip replacement system
    不详
    [J]. AMERICAN CERAMIC SOCIETY BULLETIN, 2003, 82 (04): : 23 - 23
  • [3] Adverse local tissue reaction after ceramic-on-ceramic total hip arthroplasty
    Valcarenghi, Jerome
    Poinot, Nicolas
    Verstraeten, Pierre-Bernard
    Chahidi, Esfandiar
    Caufriez, Benoit
    Costenoble, Vincent
    Collard, Xavier
    [J]. ACTA ORTHOPAEDICA BELGICA, 2022, 88 (01): : 43 - 46
  • [4] Differences in ion release after ceramic-on-ceramic and metal-on-metal total hip replacement
    Savarino, L
    Greco, M
    Cenni, E
    Cavasinni, L
    Rotini, R
    Baldini, N
    Giunti, A
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (04): : 472 - 476
  • [5] Cementless Ceramic-on-Ceramic Total Hip Replacement in Children and Adolescents
    Trisolino, Giovanni
    Stallone, Stefano
    Castagnini, Francesco
    Bordini, Barbara
    Cosentino, Monica
    Lucchini, Stefano
    Zarantonello, Paola
    Ferrari, Daniele
    Dallari, Dante
    Traina, Francesco
    [J]. CHILDREN-BASEL, 2021, 8 (10):
  • [6] A rare complication of ceramic-on-ceramic bearings in total hip arthroplasty
    Rosneck, James
    Klika, Alison
    Barsoum, Wael
    [J]. JOURNAL OF ARTHROPLASTY, 2008, 23 (02): : 311 - 313
  • [7] Rare Pseudotumor in Ceramic-On-Ceramic Total Hip Replacement with Concomitant Fungal Periprosthetic Joint Infection: A Case Report
    Marcomini, Matias Pablo
    Iqbal, Javaid
    Bennett, Derek
    [J]. AMERICAN JOURNAL OF CASE REPORTS, 2023, 24
  • [8] Intrapelvic Protrusion of a Femoral Head in A Ceramic-on-Ceramic Total Hip Replacement, A Case Report
    Altell, T.
    Massa, E.
    Edwards, M.
    [J]. BRITISH JOURNAL OF SURGERY, 2021, 108
  • [9] Ceramic-on-Ceramic Total Hip Arthroplasty
    Greene, Joseph W.
    Malkani, Arthur L.
    Kolisek, Frank R.
    Jessup, Nenette M.
    Baker, Dale L.
    [J]. JOURNAL OF ARTHROPLASTY, 2009, 24 (06): : 15 - 18
  • [10] Primary Ceramic-on-Ceramic Total Hip Replacement Versus Metal-on-Metal Hip Resurfacing in Young Active Patients
    Pattyn, C.
    De Smet, K. A.
    [J]. ORTHOPEDICS, 2008, 31 (11) : 1078 - 1082