Massive wear of an incompatible metal-on-metal articulation in total hip arthroplasty

被引：14
|
作者：
Keel, JB
Kuster, MS
机构：
[1] Univ Western Australia, Fremantle Orthopaed Unit, Fremantle Hosp, Dept Orthopaed Surg, Fremantle 6160, Australia
[2] Kantonsspital, Dept Orthopaed Surg, St Gallen, Switzerland
来源：
JOURNAL OF ARTHROPLASTY | 2004年 / 19卷 / 05期
关键词：
total hip arthroplasty; wear; metal-on-metal articulation; metasul; incompatible hip arthroplasty; wear couple;
D O I：
10.1016/j.arth.2003.12.076
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 report on a case of massive wear because of an incompatible metal-on-metal combination. In a 62-year-old man, a cobalt-chromium (CoCr) inlay and a stainless steel head were paired by accident. Because of persistent pain, revision surgery was performed 7 months later. Histologic analysis of the surrounding tissue revealed massive metallosis. The wear volume was increased by a factor of 18 for the head and 2 for the cup compared with normal metal-on-metal articulation. The serum concentrations of chromium and cobalt were increased by a factor of 20 and 4 over levels of a healthy population, respectively. Incompatible metal-on-metal combinations should be revised immediately. In case of delayed diagnosis, no metal-on-metal articulation should be implanted because of the high volume of metal in the human body. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码：638 / 642
页数：5
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