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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Autores principales: Lecoanet, Paul, Blangis, Mathias, Garcia, Matthieu, Legallois, Yohan, Fabre, Thierry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369479/
https://www.ncbi.nlm.nih.gov/pubmed/30809405
http://dx.doi.org/10.1155/2019/4209796
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author Lecoanet, Paul
Blangis, Mathias
Garcia, Matthieu
Legallois, Yohan
Fabre, Thierry
author_facet Lecoanet, Paul
Blangis, Mathias
Garcia, Matthieu
Legallois, Yohan
Fabre, Thierry
author_sort Lecoanet, Paul
collection PubMed
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.
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spelling pubmed-63694792019-02-26 Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture Lecoanet, Paul Blangis, Mathias Garcia, Matthieu Legallois, Yohan Fabre, Thierry Case Rep Orthop Case Report 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. Hindawi 2019-01-27 /pmc/articles/PMC6369479/ /pubmed/30809405 http://dx.doi.org/10.1155/2019/4209796 Text en Copyright © 2019 Paul Lecoanet et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lecoanet, Paul
Blangis, Mathias
Garcia, Matthieu
Legallois, Yohan
Fabre, Thierry
Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369479/
https://www.ncbi.nlm.nih.gov/pubmed/30809405
http://dx.doi.org/10.1155/2019/4209796
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