Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings
The natural course of adverse events following the use of metal-on-metal (MoM) bearings in total hip arthroplasty (THA) is not well known. In this article, we report the case of a patient with asymptomatic major acetabular osteolysis following MoM THA that diminished gradually without any surgical i...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/2576196 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552208091054080 |
|---|---|
| author | Tatsuya Tamaki Kazuhiro Oinuma |
| author_facet | Tatsuya Tamaki Kazuhiro Oinuma |
| author_sort | Tatsuya Tamaki |
| collection | DOAJ |
| description | The natural course of adverse events following the use of metal-on-metal (MoM) bearings in total hip arthroplasty (THA) is not well known. In this article, we report the case of a patient with asymptomatic major acetabular osteolysis following MoM THA that diminished gradually without any surgical intervention. A 58-year-old male underwent one-stage bilateral MoM THA for bilateral osteoarthritis. Four years after THA, major acetabular osteolysis developed in his right hip without any local or systemic symptoms. The patient underwent a careful radiographic and clinical observation without any surgical intervention because he did not want to undergo revision surgery. The lesion gradually diminished after 7 years, and most of the osteolytic area was replaced by newly formed bone at 10 years. He continues to be followed with no evidence of cup loosening or migration. Our observation suggests that a periprosthetic osteolytic change related to the use of MoM bearings has the potential for natural remission. |
| format | Article |
| id | doaj-art-1f861aa009824b6b84066ee284fd1166 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-1f861aa009824b6b84066ee284fd11662025-02-03T05:59:12ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/25761962576196Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal BearingsTatsuya Tamaki0Kazuhiro Oinuma1Joint Reconstruction Center, Funabashi Orthopedic Hospital, Funabashi, JapanJoint Reconstruction Center, Funabashi Orthopedic Hospital, Funabashi, JapanThe natural course of adverse events following the use of metal-on-metal (MoM) bearings in total hip arthroplasty (THA) is not well known. In this article, we report the case of a patient with asymptomatic major acetabular osteolysis following MoM THA that diminished gradually without any surgical intervention. A 58-year-old male underwent one-stage bilateral MoM THA for bilateral osteoarthritis. Four years after THA, major acetabular osteolysis developed in his right hip without any local or systemic symptoms. The patient underwent a careful radiographic and clinical observation without any surgical intervention because he did not want to undergo revision surgery. The lesion gradually diminished after 7 years, and most of the osteolytic area was replaced by newly formed bone at 10 years. He continues to be followed with no evidence of cup loosening or migration. Our observation suggests that a periprosthetic osteolytic change related to the use of MoM bearings has the potential for natural remission.http://dx.doi.org/10.1155/2017/2576196 |
| spellingShingle | Tatsuya Tamaki Kazuhiro Oinuma Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings Case Reports in Orthopedics |
| title | Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings |
| title_full | Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings |
| title_fullStr | Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings |
| title_full_unstemmed | Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings |
| title_short | Natural Remission of Major Periprosthetic Osteolysis following Total Hip Arthroplasty with Metal-on-Metal Bearings |
| title_sort | natural remission of major periprosthetic osteolysis following total hip arthroplasty with metal on metal bearings |
| url | http://dx.doi.org/10.1155/2017/2576196 |
| work_keys_str_mv | AT tatsuyatamaki naturalremissionofmajorperiprostheticosteolysisfollowingtotalhiparthroplastywithmetalonmetalbearings AT kazuhirooinuma naturalremissionofmajorperiprostheticosteolysisfollowingtotalhiparthroplastywithmetalonmetalbearings |