Surgical management of hip prosthetic failure in metallosis: A case series and literature review

Local and remote complications can be observed in hip prosthesis failures associated with metallosis. Structural changes in the periprosthetic bone and soft tissues may not always be precisely assessed preoperatively due to metal artifacts. The unpredictability of the damage extension, potentially l...

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Published inJournal of orthopaedics Vol. 28; pp. 10 - 20
Main Authors Pisanu, Francesco, Andreozzi, Matteo, Fiori, Enrico, Altamore, Fabiana, Bartoli, Marco, Caggiari, Gianfilippo, Ortu, Sebastiano, Rios, Mario, Manunta, Andrea Fabio, Doria, Carlo
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.11.2021
Elsevier
Subjects
Acetabular cup revision
ARMD
Femoral stem revision
Hip revision surgery complications
Metallosis
Pseudotumor
Pseudotumor
Hip revision surgery complications
Femoral stem revision
ARMD
Acetabular cup revision
Metallosis
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Summary:Local and remote complications can be observed in hip prosthesis failures associated with metallosis. Structural changes in the periprosthetic bone and soft tissues may not always be precisely assessed preoperatively due to metal artifacts. The unpredictability of the damage extension, potentially leading to complex and insidious surgeries, requires the availability of alternative surgical plan(s) for the reconstruction of the joint. The aim of the study is to present and analyze, with the literature data support, practical tips for the revision of the prosthetic components, the management of ARMD and of intraoperative complications in the unusual scenario of metallosis.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0972-978X
0972-978X
DOI:10.1016/j.jor.2021.10.002