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Pseudotumor in ceramic-on-metal total hip arthroplasty
- Source :
- Arthroplasty Today, Vol 3, Iss 4, Pp 220-224 (2017)
- Publication Year :
- 2017
- Publisher :
- Elsevier, 2017.
-
Abstract
- 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
- Subjects :
- Orthopedic surgery
RD701-811
Subjects
Details
- Language :
- English
- ISSN :
- 23523441
- Volume :
- 3
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Arthroplasty Today
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.be0d239156e64bd2909aab7ea82f6eb9
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.artd.2017.09.001