Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty

Adverse local tissue reaction (ALTR) and osteolysis formation are more frequently described complications after total hip arthroplasty (THA) with metal-on-metal bearings. In this report, we present a unique case of ALTR and osteolysis formation with ceramic-on-ceramic bearing THA, which has been les...

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Main Authors: Yogen Thever, MBBS, MRCS (Edinburgh), Lynne Goh, MBBS, FRCPath, FRCPA, Sam Fong Yau Li, PhD, DSc, FRSC, Dahlia Ho Siu Ling, Bsc, Sean Yi Rong Chia, Bsc (Hons), Moo Ing How, MBBS, MRCS (Ireland), MMed (Ortho), FRCS
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Arthroplasty Today
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352344124002693
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author Yogen Thever, MBBS, MRCS (Edinburgh)
Lynne Goh, MBBS, FRCPath, FRCPA
Sam Fong Yau Li, PhD, DSc, FRSC
Dahlia Ho Siu Ling, Bsc
Sean Yi Rong Chia, Bsc (Hons)
Moo Ing How, MBBS, MRCS (Ireland), MMed (Ortho), FRCS
author_facet Yogen Thever, MBBS, MRCS (Edinburgh)
Lynne Goh, MBBS, FRCPath, FRCPA
Sam Fong Yau Li, PhD, DSc, FRSC
Dahlia Ho Siu Ling, Bsc
Sean Yi Rong Chia, Bsc (Hons)
Moo Ing How, MBBS, MRCS (Ireland), MMed (Ortho), FRCS
author_sort Yogen Thever, MBBS, MRCS (Edinburgh)
collection DOAJ
description Adverse local tissue reaction (ALTR) and osteolysis formation are more frequently described complications after total hip arthroplasty (THA) with metal-on-metal bearings. In this report, we present a unique case of ALTR and osteolysis formation with ceramic-on-ceramic bearing THA, which has been less commonly described in the existing literature. This rare case occurred in a 54-year-old patient who had a primary THA done 17 years prior to representing to our institution. As part of the workup for our patient to find out the underlying cause of his complications, we have carried out extensive investigations that have not been previously reported. We conclude that ceramic bearings in THA may not be entirely inert and may cause complications such as osteolysis and ALTR.
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spelling doaj-art-d3c0e763e0124ac6b65533f65a3fcf182025-08-20T02:52:27ZengElsevierArthroplasty Today2352-34412024-12-013010158410.1016/j.artd.2024.101584Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip ArthroplastyYogen Thever, MBBS, MRCS (Edinburgh)0Lynne Goh, MBBS, FRCPath, FRCPA1Sam Fong Yau Li, PhD, DSc, FRSC2Dahlia Ho Siu Ling, Bsc3Sean Yi Rong Chia, Bsc (Hons)4Moo Ing How, MBBS, MRCS (Ireland), MMed (Ortho), FRCS5Department of Orthopaedic Surgery, Changi General Hospital, Singapore; Corresponding author. Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Singapore, 529889.Department of Anatomical Pathology, Changi General Hospital, SingaporeDepartment of Chemistry, National University of Singapore, SingaporeDepartment of Anatomical Pathology, Changi General Hospital, SingaporeDepartment of Chemistry, National University of Singapore, SingaporeDepartment of Orthopaedic Surgery, Changi General Hospital, SingaporeAdverse local tissue reaction (ALTR) and osteolysis formation are more frequently described complications after total hip arthroplasty (THA) with metal-on-metal bearings. In this report, we present a unique case of ALTR and osteolysis formation with ceramic-on-ceramic bearing THA, which has been less commonly described in the existing literature. This rare case occurred in a 54-year-old patient who had a primary THA done 17 years prior to representing to our institution. As part of the workup for our patient to find out the underlying cause of his complications, we have carried out extensive investigations that have not been previously reported. We conclude that ceramic bearings in THA may not be entirely inert and may cause complications such as osteolysis and ALTR.http://www.sciencedirect.com/science/article/pii/S2352344124002693PseudotumourOsteolysisRevision total hip arthroplastyTHACeramic-on-ceramic
spellingShingle Yogen Thever, MBBS, MRCS (Edinburgh)
Lynne Goh, MBBS, FRCPath, FRCPA
Sam Fong Yau Li, PhD, DSc, FRSC
Dahlia Ho Siu Ling, Bsc
Sean Yi Rong Chia, Bsc (Hons)
Moo Ing How, MBBS, MRCS (Ireland), MMed (Ortho), FRCS
Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty
Arthroplasty Today
Pseudotumour
Osteolysis
Revision total hip arthroplasty
THA
Ceramic-on-ceramic
title Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty
title_full Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty
title_fullStr Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty
title_full_unstemmed Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty
title_short Adverse Local Tissue Reaction and Osteolysis After Ceramic-on-Ceramic Total Hip Arthroplasty
title_sort adverse local tissue reaction and osteolysis after ceramic on ceramic total hip arthroplasty
topic Pseudotumour
Osteolysis
Revision total hip arthroplasty
THA
Ceramic-on-ceramic
url http://www.sciencedirect.com/science/article/pii/S2352344124002693
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