Fatal Cobalt Cardiomyopathy Following Revision Total Hip Arthroplasty – A Brief Report with Review of Literature | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 13، دوره 7، شماره 4، مهر 2019، صفحه 379-383 اصل مقاله (1.18 M) | ||
| نوع مقاله: CASE REPORT | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2018.31469.1818 | ||
| نویسندگان | ||
| Deepak Gautam1؛ Ashish Pande2؛ Rajesh Malhotra* 1 | ||
| 1Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India | ||
| 2Department of Orthopedics, Military Hospital, Kirkee, Pune, India | ||
| چکیده | ||
| Ceramic bearing surfaces are being increasingly used in young patients undergoing total hip arthroplasty. However, failures have been reported including fractures even with the newer third generation ceramics. The recommended treatment for fracture of ceramic bearing surfaces is complete synovectomy and revision total hip arthroplasty. However, disappointing results have also been reported with this approach. The residual ceramic particles may lead to complications. We report a fatal case of cobalt toxicity leading to cardiomyopathy secondary to the catastrophic failure of a Cobalt-Chrome femoral head, which followed the revision of a fractured ceramic-on-ceramic total hip arthroplasty. Level of evidence: IV | ||
| کلیدواژهها | ||
| Ceramic head fracture؛ Cobalt Toxicity؛ Fatal cardiomyopathy؛ Metal on Polyethylene؛ Revision hip arthroplasty | ||
| مراجع | ||
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1. Fisher J, Jin Z, Tipper J, Stone M, Ingham E. Tribology of alternative bearings. Clin Orthop Relat Res. 2006; 453(1):25-34. 2. McLean CR, Dabis H, Mok D. Delayed fracture of the ceramic femoral head after trauma. J Arthroplasty. 2002; 17(4):503-4. 3. Allain J, Roudot-Thoraval F, Delecrin J, Anract P, Migaud H, Goutallier D. Revision total hip arthroplasty performed after fracture of a ceramic femoral head. A multicenter survivorship study. J Bone Joint Surg Am. 2003; 85-A(5):825-30. 4. Kwon YM, Jacobs JJ, MacDonald SJ, Potter HG, Fehring TK, Lombardi AV. Evidence-based understanding of management perils for metal-on-metal hip arthroplasty patients. J Arthroplasty. 2010; 27(8 Suppl):20-5. 5. Kennedy A, Dornan JD, King R. Fatal myocardial disease associated with industrial exposure to cobalt. Lancet. 1981; 1(8217):412-4. 6. Mao X, Wong AA, Crawford RW. Cobalt toxicity: an emerging clinical problem in patients with metal-on-metal hip prostheses? Med J Aust. 2011; 194(12):649-51. 7. Bradberry SM, Wilkinson JM, Ferner RE. Systemic toxicity related to metal hip prostheses. Clin Toxicol. 2014; 52(8):837-47 8. Harris A, Johnson J, Mansuripur PK, Limbird R. Cobalt toxicity after revision to a metal-on-polyethylene total hip arthroplasty for fracture of ceramic acetabular component. Arthroplasty Today. 2015; 1(4):89-91. 9. Zywiel MG, Brandt JM, Overgaard CB, Cheung AC, Turgeon TR, Syed KA. Fatal cardiomyopathy after revision total hip replacement for fracture of a ceramic liner. Bone Joint J. 2013; 95-B(1):31-7. 10. Sharma V, Ranawat AS, Rasquinha VJ, Weiskopf J, Howard H, Ranawat CS. Revision total hip arthroplasty for ceramic head fracture: a long-term follow-up. J Arthroplasty. 2010; 25(3):342-7. | ||
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