Document Detail


Massive osteolysis after ceramic on ceramic total hip arthroplasty. A case report.
MedLine Citation:
PMID:  9170369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case of a 66-year-old woman who sustained a pathologic femur fracture secondary to extensive osteolysis distal to a pressfit femoral prosthesis with a ceramic on ceramic bearing surface is reported. The femoral and acetabular bearing surfaces showed signs of visible wear, although the stem showed little evidence of burnishing. Material curetted from the femoral medullary canal in the area of the osteolysis contained extensive amounts of histiocytes and foreign body debris. Qualitative spectrographic analysis of the curetted material showed levels of aluminum to be approximately 10 times more prevalent than either cobalt or chromium. Although there is little understanding of the cellular reactions to ceramic debris products, the extensive osteolysis seen in this patient suggests that alumina ceramic bearings may not be as biologically inert as initially perceived.
Authors:
P Z Wirganowicz; B J Thomas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-19     Completed Date:  1997-06-19     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  100-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, University of California, Los Angeles 90024, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Ceramics*
Electron Probe Microanalysis
Female
Femoral Fractures / etiology
Foreign Bodies / etiology
Fractures, Spontaneous / etiology
Hip Prosthesis*
Humans
Osteolysis / etiology*
Postoperative Complications*
Reoperation
Chemical
Reg. No./Substance:
0/Ceramics
Comments/Corrections
Comment In:
Clin Orthop Relat Res. 1998 Apr;(349):273-4   [PMID:  9584393 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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