Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
Introduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/4209796 |
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| _version_ | 1832551351274438656 |
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| author | Paul Lecoanet Mathias Blangis Matthieu Garcia Yohan Legallois Thierry Fabre |
| author_facet | Paul Lecoanet Mathias Blangis Matthieu Garcia Yohan Legallois Thierry Fabre |
| author_sort | Paul Lecoanet |
| collection | DOAJ |
| description | Introduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and expressed brutally with mostly central neurological symptoms. Chelation associated with revision surgery allowed rapid regression of all symptoms. Conclusion. Revision of fractured ceramic, even per-operatively, should not be done with metal-on-polyethylene components, in order to avoid potentially lethal metal intoxication. |
| format | Article |
| id | doaj-art-52b531cbbfba44fa80038ec0f7189216 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-52b531cbbfba44fa80038ec0f71892162025-02-03T06:01:39ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/42097964209796Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic FracturePaul Lecoanet0Mathias Blangis1Matthieu Garcia2Yohan Legallois3Thierry Fabre4CHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceIntroduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and expressed brutally with mostly central neurological symptoms. Chelation associated with revision surgery allowed rapid regression of all symptoms. Conclusion. Revision of fractured ceramic, even per-operatively, should not be done with metal-on-polyethylene components, in order to avoid potentially lethal metal intoxication.http://dx.doi.org/10.1155/2019/4209796 |
| spellingShingle | Paul Lecoanet Mathias Blangis Matthieu Garcia Yohan Legallois Thierry Fabre Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture Case Reports in Orthopedics |
| title | Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture |
| title_full | Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture |
| title_fullStr | Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture |
| title_full_unstemmed | Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture |
| title_short | Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture |
| title_sort | chromium cobalt intoxication with intense systemic complications following total hip revision after per operative ceramic fracture |
| url | http://dx.doi.org/10.1155/2019/4209796 |
| work_keys_str_mv | AT paullecoanet chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture AT mathiasblangis chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture AT matthieugarcia chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture AT yohanlegallois chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture AT thierryfabre chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture |