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Cobalt toxicity after revision total hip replacement due to fracture of a ceramic head
- Source :
- Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 61:203-207
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Symptomatic cobalt toxicity from a failed total hip replacement is a rare, but devastating complication. Potential clinical findings include cardiomyopathy, hypothyroidism, skin rash, visual and hearing impairment, polycythaemia, weakness, fatigue, cognitive impairment, and neuropathy. The case is presented of a 74 year-old man in whom, after a ceramic–ceramic replacement and two episodes of prosthetic dislocation, it was decided to replace it with a polyethylene–metal total hip arthroplasty (THA). At 6 months after the revision he developed symptoms of cobalt toxicity, confirmed by analytical determination (serum cobalt level = 651.2 μg/L). After removal of the prosthesis, the levels of chromium and cobalt in blood and urine returned to normal, with the patient currently being asymptomatic. It is recommended to use a new ceramic on ceramic bearing at revision, in order to minimise the risk of wear-related cobalt toxicity following breakage of ceramic components.
- Subjects :
- inorganic chemicals
030222 orthopedics
medicine.medical_specialty
Polycythaemia
Weakness
business.industry
medicine.medical_treatment
Cardiomyopathy
chemistry.chemical_element
medicine.disease
Rash
Asymptomatic
Prosthesis
Surgery
03 medical and health sciences
0302 clinical medicine
chemistry
Medicine
Orthopedics and Sports Medicine
medicine.symptom
business
Complication
Cobalt
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 19888856
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- Revista Española de Cirugía Ortopédica y Traumatología (English Edition)
- Accession number :
- edsair.doi...........3a8bac659cb7ce688894b4ba12833af8