Revision Total Hip Arthroplasty Due to Pain From Hypersensitivity to Cobalt-Chromium in Total Hip Arthroplasty

Abstract We report a case with hypersensitivity to CoCr in total hip arthroplasty coupled with conventional polyethylene and CoCr femoral head. The patient complained of left hip pain and systemic fever, and computed tomography imaging revealed a periprosthetic cystic lesion, so we performed revisio...

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Veröffentlicht in:	The Journal of arthroplasty 2011-09, Vol.26 (6), p.978.e1-978.e3
Hauptverfasser:	Kosukegawa, Ima, MD, Nagoya, Satoshi, MD, PhD, Kaya, Mitsunori, MD, PhD, Sasaki, Koichi, MD, PhD, Sasaki, Mikito, MD, Yamashita, Toshihiko, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	ALVAL (aseptic lymphocytic vasculitis-associated lesion Arthralgia - etiology Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - instrumentation Chromium - adverse effects Cobalt - adverse effects Female Granuloma, Plasma Cell - chemically induced Granuloma, Plasma Cell - complications Hip Dislocation - surgery Hip Joint - diagnostic imaging Hip Joint - surgery Hip Prosthesis - adverse effects Humans Hypersensitivity - complications hypersensitivity of cobalt-chromium Middle Aged Muscular Diseases - chemically induced Muscular Diseases - complications Orthopedics Reoperation revision hip arthroplasty THA with couple of conventional polyethylene and cobalt-chromium, cystic lesion in the left iliopsoas muscle Tomography, X-Ray Computed Treatment Outcome
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Zusammenfassung:	Abstract We report a case with hypersensitivity to CoCr in total hip arthroplasty coupled with conventional polyethylene and CoCr femoral head. The patient complained of left hip pain and systemic fever, and computed tomography imaging revealed a periprosthetic cystic lesion, so we performed revision total hip arthroplasty using a titanium stem and ceramic head and highly crosslinked polyethylene. Hip pain and cystic lesion disappeared 3 years after revision surgery.
ISSN:	0883-5403 1532-8406
DOI:	10.1016/j.arth.2010.09.003