Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty

The use of metal bearings in total hip arthroplasty (THA) has been linked with adverse local tissue reactions (ALTRs). There is 1 reported case of ALTR from a ceramic-on-ceramic (CoC) bearing and none that resulted in nerve compression. In this case, a 71-year-old man presented with an ALTR after a...

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Autores principales: Rodriguez, Hugo C., Mekkawy, Kevin L., Cannon, Dylan, Naqvi, Abbas, Gösthe, Raúl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713287/
https://www.ncbi.nlm.nih.gov/pubmed/36465695
http://dx.doi.org/10.1016/j.artd.2022.08.024
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author Rodriguez, Hugo C.
Mekkawy, Kevin L.
Cannon, Dylan
Naqvi, Abbas
Gösthe, Raúl
author_facet Rodriguez, Hugo C.
Mekkawy, Kevin L.
Cannon, Dylan
Naqvi, Abbas
Gösthe, Raúl
author_sort Rodriguez, Hugo C.
collection PubMed
description The use of metal bearings in total hip arthroplasty (THA) has been linked with adverse local tissue reactions (ALTRs). There is 1 reported case of ALTR from a ceramic-on-ceramic (CoC) bearing and none that resulted in nerve compression. In this case, a 71-year-old man presented with an ALTR after a CoC THA that resulted in femoral nerve compression. An anterior approach was utilized to revise his THA, which resulted in nerve decompression and near-resolution of his preoperative symptoms. We conclude that CoC bearings may not be completely inert and can result in ALTRs and nerve compression.
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spelling pubmed-97132872022-12-02 Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty Rodriguez, Hugo C. Mekkawy, Kevin L. Cannon, Dylan Naqvi, Abbas Gösthe, Raúl Arthroplast Today Case Report The use of metal bearings in total hip arthroplasty (THA) has been linked with adverse local tissue reactions (ALTRs). There is 1 reported case of ALTR from a ceramic-on-ceramic (CoC) bearing and none that resulted in nerve compression. In this case, a 71-year-old man presented with an ALTR after a CoC THA that resulted in femoral nerve compression. An anterior approach was utilized to revise his THA, which resulted in nerve decompression and near-resolution of his preoperative symptoms. We conclude that CoC bearings may not be completely inert and can result in ALTRs and nerve compression. Elsevier 2022-11-29 /pmc/articles/PMC9713287/ /pubmed/36465695 http://dx.doi.org/10.1016/j.artd.2022.08.024 Text en © 2022 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. 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
Rodriguez, Hugo C.
Mekkawy, Kevin L.
Cannon, Dylan
Naqvi, Abbas
Gösthe, Raúl
Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty
title Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty
title_full Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty
title_fullStr Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty
title_full_unstemmed Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty
title_short Femoral Nerve Compression due to Adverse Local Tissue Reaction After Ceramic-on-ceramic Total Hip Arthroplasty
title_sort femoral nerve compression due to adverse local tissue reaction after ceramic-on-ceramic total hip arthroplasty
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713287/
https://www.ncbi.nlm.nih.gov/pubmed/36465695
http://dx.doi.org/10.1016/j.artd.2022.08.024
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