Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty

Adverse local tissue reactions secondary to mechanically assisted crevice corrosion (MACC) at the trunnion is a complication of total hip arthroplasty known to cause local soft-tissue damage. However, what is not as well appreciated is that MACC in metal-on-polyethylene (MOP) articulations can lead...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Brandon W. Yan, BA, Stefano A. Bini, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Adverse local tissue reactions Mechanically assisted crevice corrosion Cobalt toxicity Neurologic dysfunction Total hip arthroplasty Surgical complication Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/32a2463615b045f2844f26bc44ecfbdf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:32a2463615b045f2844f26bc44ecfbdf
record_format	dspace
spelling	oai:doaj.org-article:32a2463615b045f2844f26bc44ecfbdf2021-11-14T04:34:08ZNeurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty2352-344110.1016/j.artd.2021.09.002https://doaj.org/article/32a2463615b045f2844f26bc44ecfbdf2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001643https://doaj.org/toc/2352-3441Adverse local tissue reactions secondary to mechanically assisted crevice corrosion (MACC) at the trunnion is a complication of total hip arthroplasty known to cause local soft-tissue damage. However, what is not as well appreciated is that MACC in metal-on-polyethylene (MOP) articulations can lead to cobalt ion serum elevations with associated neurological dysfunction just as in metal-on-metal articulations. We report a compelling case for the association of neurologic dysfunction tied to metal ion elevations secondary to MACC at two distinct MOP tapers in a 58-year-old intensive care unit nurse with two hips implanted 3 years apart. This report further raises awareness about the potential of MACC-generated elevated ion levels to produce neurological symptoms that might otherwise be overlooked in patients with MOP articulations.Brandon W. Yan, BAStefano A. Bini, MDElsevierarticleAdverse local tissue reactionsMechanically assisted crevice corrosionCobalt toxicityNeurologic dysfunctionTotal hip arthroplastySurgical complicationOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 217-221 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adverse local tissue reactions Mechanically assisted crevice corrosion Cobalt toxicity Neurologic dysfunction Total hip arthroplasty Surgical complication Orthopedic surgery RD701-811
spellingShingle	Adverse local tissue reactions Mechanically assisted crevice corrosion Cobalt toxicity Neurologic dysfunction Total hip arthroplasty Surgical complication Orthopedic surgery RD701-811 Brandon W. Yan, BA Stefano A. Bini, MD Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty
description	Adverse local tissue reactions secondary to mechanically assisted crevice corrosion (MACC) at the trunnion is a complication of total hip arthroplasty known to cause local soft-tissue damage. However, what is not as well appreciated is that MACC in metal-on-polyethylene (MOP) articulations can lead to cobalt ion serum elevations with associated neurological dysfunction just as in metal-on-metal articulations. We report a compelling case for the association of neurologic dysfunction tied to metal ion elevations secondary to MACC at two distinct MOP tapers in a 58-year-old intensive care unit nurse with two hips implanted 3 years apart. This report further raises awareness about the potential of MACC-generated elevated ion levels to produce neurological symptoms that might otherwise be overlooked in patients with MOP articulations.
format	article
author	Brandon W. Yan, BA Stefano A. Bini, MD
author_facet	Brandon W. Yan, BA Stefano A. Bini, MD
author_sort	Brandon W. Yan, BA
title	Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty
title_short	Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty
title_full	Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty
title_fullStr	Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty
title_full_unstemmed	Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty
title_sort	neurologic dysfunction associated with mechanically assisted crevice corrosion and elevated cobalt ion levels after total hip arthroplasty
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/32a2463615b045f2844f26bc44ecfbdf
work_keys_str_mv	AT brandonwyanba neurologicdysfunctionassociatedwithmechanicallyassistedcrevicecorrosionandelevatedcobaltionlevelsaftertotalhiparthroplasty AT stefanoabinimd neurologicdysfunctionassociatedwithmechanicallyassistedcrevicecorrosionandelevatedcobaltionlevelsaftertotalhiparthroplasty
_version_	1718429948165750784

Neurologic Dysfunction Associated With Mechanically Assisted Crevice Corrosion and Elevated Cobalt Ion Levels After Total Hip Arthroplasty

Ejemplares similares