Diagnosis and Management of Adverse Local Tissue Reactions Secondary to Corrosion at the Head-Neck Junction in Patients With Metal on Polyethylene Bearings

被引：111

作者：

Plummer, Darren R. ^{[1
]}

Berger, Richard A. ^{[2
]}

Paprosky, Wayne G. ^{[2
]}

Sporer, Scott M. ^{[2
]}

Jacobs, Joshua J. ^{[2
]}

Della Valle, Craig J. ^{[2
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Dept Orthopaed Surg, Columbus, OH 43210 USA

[2] Midwest Orthopaed Rush, Orthopaed Surg, Chicago, IL USA

来源：

JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 01期

关键词：

total hip arthroplasty; bearing surfaces; revision total hip arthroplasty; modular taper corrosion; adverse local tissue reaction; TOTAL HIP-ARTHROPLASTY; PROSTHESIS; TAPER; PSEUDOTUMOR; COMPONENTS; RELEASE; STEM;

D O I：

10.1016/j.arth.2015.07.039

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We reviewed 27 patients who underwent revision for an adverse local tissue reaction (ALTR) secondary to corrosion at the head-neck junction with MoP bearings. Serum cobalt and chromium levels were elevated in all cases, with a mean cobalt of 11.2 ppb and chromium of 2.2 ppb. Patients underwent modular bearing exchange, including a ceramic head with a titanium sleeve in 23 of 27 cases with only one recurrence of ALTR in one of the four patients not treated with a ceramic head. The diagnosis of ALTR secondary to corrosion is associated with cobalt levels of >1 ppb with cobalt levels elevated above chromium. Retention of a well-fixed stem and modular exchange to a ceramic head leads to resolution of symptoms and decreases in metal levels. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：264 / 268

页数：5

共 29 条

[1] Corrosion-Induced Fracture of a Double-Modular Hip Prosthesis A Case Report [J].

Atwood, Sara A. ;

Patten, Eli W. ;

Bozic, Kevin J. ;

Pruitt, Lisa A. ;

Ries, Michael D. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (06) :1522-1525

[2] High Prevalence of Pseudotumors in Patients with a Birmingham Hip Resurfacing Prosthesis A Prospective Cohort Study of One Hundred and Twenty-nine Patients [J].

Bisschop, R. ;

Boomsma, M. F. ;

Van Raay, J. J. A. M. ;

Tiebosch, A. T. M. G. ;

Maas, M. ;

Gerritsma, C. L. E. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (17) :1554-1560

[3] Histological Features of Pseudotumor-like Tissues From Metal-on-Metal Hips [J].

Campbell, Pat ;

Ebramzadeh, Edward ;

Nelson, Scott ;

Takamura, Karren ;

De Smet, Koen ;

Amstutz, Harlan C. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (09) :2321-2327

[4] Femoral Stem Fracture and In Vivo Corrosion of Retrieved Modular Femoral Hips [J].

Carlson, J. Caitlin Huot ;

Van Citters, Douglas W. ;

Currier, John H. ;

Bryant, Amber M. ;

Mayor, Michael B. ;

Collier, John P. .

JOURNAL OF ARTHROPLASTY, 2012, 27 (07) :1389-1396

[5]

COLLIER JP, 1995, CLIN ORTHOP RELAT R, P91

[6] CORROSION BETWEEN THE COMPONENTS OF MODULAR FEMORAL HIP PROSTHESES [J].

COLLIER, JP ;

SURPRENANT, VA ;

JENSEN, RE ;

MAYOR, MB ;

SURPRENANT, HP .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (04) :511-517

[7]

COOK SD, 1994, CLIN ORTHOP RELAT R, P80

[8] Adverse Local Tissue Reaction Arising from Corrosion at the Femoral Neck-Body Junction in a Dual-Taper Stem with a Cobalt-Chromium Modular Neck [J].

Cooper, H. John ;

Urban, Robert M. ;

Wixson, Richard L. ;

Meneghini, R. Michael ;

Jacobs, Joshua J. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (10) :865-872

[9] Corrosion at the Head-Neck Taper as a Cause for Adverse Local Tissue Reactions After Total Hip Arthroplasty [J].

Cooper, H. John ;

Della Valle, Craig J. ;

Berger, Richard A. ;

Tetreault, Matthew ;

Paprosky, Wayne G. ;

Sporer, Scott M. ;

Jacobs, Joshua J. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (18) :1655-1661

[10]

Dangles CJ, 2010, J ARTHROPLAST, V25

← 1 2 3 →