Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction

Mechanically assisted crevice corrosion (MACC) at the trunnion-bore junction of a total hip arthroplasty may cause adverse local tissue reaction (ALTR) with inflammatory reaction and tissue necrosis. Complications, including acute infection, continued pain, and instability, are therefore common afte...

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Detalles Bibliográficos
Autores principales: Lachance, Andrew D., Stogsdill, Patricia B., McGrory, Brian J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647085/
https://www.ncbi.nlm.nih.gov/pubmed/36387330
http://dx.doi.org/10.1016/j.artd.2022.10.005
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author Lachance, Andrew D.
Stogsdill, Patricia B.
McGrory, Brian J.
author_facet Lachance, Andrew D.
Stogsdill, Patricia B.
McGrory, Brian J.
author_sort Lachance, Andrew D.
collection PubMed
description Mechanically assisted crevice corrosion (MACC) at the trunnion-bore junction of a total hip arthroplasty may cause adverse local tissue reaction (ALTR) with inflammatory reaction and tissue necrosis. Complications, including acute infection, continued pain, and instability, are therefore common after a revision surgery for MACC. We now present 2 cases of late hematogenous bacterial infection years after revision for MACC and ALTR, a previously unreported outcome in this population. We hypothesize that MACC-induced tissue necrosis does not heal over time, and some patients with metal-on-polyethylene total hip arthroplasty treated for ALTR are at long-term risk of hematogenous bacterial infection.
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spelling pubmed-96470852022-11-15 Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction Lachance, Andrew D. Stogsdill, Patricia B. McGrory, Brian J. Arthroplast Today Case Report Mechanically assisted crevice corrosion (MACC) at the trunnion-bore junction of a total hip arthroplasty may cause adverse local tissue reaction (ALTR) with inflammatory reaction and tissue necrosis. Complications, including acute infection, continued pain, and instability, are therefore common after a revision surgery for MACC. We now present 2 cases of late hematogenous bacterial infection years after revision for MACC and ALTR, a previously unreported outcome in this population. We hypothesize that MACC-induced tissue necrosis does not heal over time, and some patients with metal-on-polyethylene total hip arthroplasty treated for ALTR are at long-term risk of hematogenous bacterial infection. Elsevier 2022-11-05 /pmc/articles/PMC9647085/ /pubmed/36387330 http://dx.doi.org/10.1016/j.artd.2022.10.005 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Lachance, Andrew D.
Stogsdill, Patricia B.
McGrory, Brian J.
Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction
title Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction
title_full Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction
title_fullStr Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction
title_full_unstemmed Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction
title_short Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction
title_sort late hematogenous total hip infection after revision for mechanically assisted crevice corrosion with adverse local tissue reaction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647085/
https://www.ncbi.nlm.nih.gov/pubmed/36387330
http://dx.doi.org/10.1016/j.artd.2022.10.005
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AT mcgrorybrianj latehematogenoustotalhipinfectionafterrevisionformechanicallyassistedcrevicecorrosionwithadverselocaltissuereaction

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