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Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium
Osteoarthritis of the hip joint (coxarthrosis) is the most common hip disease in adults. Since the 1960s, total hip arthroplasty (THA) has made great progress and is nowadays one of the most frequently used procedures in orthopedic surgery. Different bearing concepts exist in various implant designs...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8598352/ https://www.ncbi.nlm.nih.gov/pubmed/34804622 http://dx.doi.org/10.1155/2021/6151679 |
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author | Bünemann, Peter Caspar Luck, Stefan Ohlmeier, Malte Gehrke, Thorsten Ballhause, Tobias Malte |
author_facet | Bünemann, Peter Caspar Luck, Stefan Ohlmeier, Malte Gehrke, Thorsten Ballhause, Tobias Malte |
author_sort | Bünemann, Peter Caspar |
collection | PubMed |
description | Osteoarthritis of the hip joint (coxarthrosis) is the most common hip disease in adults. Since the 1960s, total hip arthroplasty (THA) has made great progress and is nowadays one of the most frequently used procedures in orthopedic surgery. Different bearing concepts exist in various implant designs. A metal-on-metal bearing can create metal debris and lead to metallosis. We present a unique case of a 78-year old woman, who received hip resurfacing with a McMinn-like prosthesis 15 years ago. Over the cause of time, metallosis developed and created a bone cyst in the Os ilium, and osteolysis led to a dislocation of the femoral implant. A minor stumble fall led to a fracture of the Os ilium. We present our treatment method with implantation of a cemented THA and refill of the bone cyst with bone from allogene femoral heads. The surgery led to a reconstruction of the physiological center of rotation in the hip. Consequently, to the inpatient stay, the patient took part in a follow-up treatment with intensive physiotherapy. Taken together, the results after total hip arthroplasty are more superior to other hip surface replacements in terms of longevity and patient satisfaction. Especially, metal-on-metal bearing couples carry a great risk of metallosis, which goes a long with pseudotumors, osteolysis, and the elevated metal ions in the blood. Since this case is unique in the literature, no guidelines are noted for surgical treatment. In our opinion, a periprosthetic fracture of this type should be performed in a hospital using extensive endoprosthetic expertise. |
format | Online Article Text |
id | pubmed-8598352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-85983522021-11-18 Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium Bünemann, Peter Caspar Luck, Stefan Ohlmeier, Malte Gehrke, Thorsten Ballhause, Tobias Malte Case Rep Orthop Case Report Osteoarthritis of the hip joint (coxarthrosis) is the most common hip disease in adults. Since the 1960s, total hip arthroplasty (THA) has made great progress and is nowadays one of the most frequently used procedures in orthopedic surgery. Different bearing concepts exist in various implant designs. A metal-on-metal bearing can create metal debris and lead to metallosis. We present a unique case of a 78-year old woman, who received hip resurfacing with a McMinn-like prosthesis 15 years ago. Over the cause of time, metallosis developed and created a bone cyst in the Os ilium, and osteolysis led to a dislocation of the femoral implant. A minor stumble fall led to a fracture of the Os ilium. We present our treatment method with implantation of a cemented THA and refill of the bone cyst with bone from allogene femoral heads. The surgery led to a reconstruction of the physiological center of rotation in the hip. Consequently, to the inpatient stay, the patient took part in a follow-up treatment with intensive physiotherapy. Taken together, the results after total hip arthroplasty are more superior to other hip surface replacements in terms of longevity and patient satisfaction. Especially, metal-on-metal bearing couples carry a great risk of metallosis, which goes a long with pseudotumors, osteolysis, and the elevated metal ions in the blood. Since this case is unique in the literature, no guidelines are noted for surgical treatment. In our opinion, a periprosthetic fracture of this type should be performed in a hospital using extensive endoprosthetic expertise. Hindawi 2021-11-10 /pmc/articles/PMC8598352/ /pubmed/34804622 http://dx.doi.org/10.1155/2021/6151679 Text en Copyright © 2021 Peter Caspar Bünemann et al. https://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 Bünemann, Peter Caspar Luck, Stefan Ohlmeier, Malte Gehrke, Thorsten Ballhause, Tobias Malte Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
title | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
title_full | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
title_fullStr | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
title_full_unstemmed | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
title_short | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
title_sort | dislocation of a mcminn-like prosthesis with distinctive metallosis and fracture of the os ilium |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8598352/ https://www.ncbi.nlm.nih.gov/pubmed/34804622 http://dx.doi.org/10.1155/2021/6151679 |
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