Pseudotumor in ceramic-on-metal total hip arthroplasty

Yoni M. Blau, Andrew J. Meyers, Mauro Giordani, John Meehan

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

The increasing demand for total hip arthroplasty (THA) in relatively young, high-demand patients has led to the use of hard-on-hard bearing surfaces. Adverse local tissue reaction/pseudotumor and elevated serum metal ion levels are commonly reported complications encountered in metal-on-metal THA, while audible articulation and rim fracture are reported in ceramic-on-ceramic THA. For this reason, ceramic-on-metal THA was implemented as an ideal hard-on-hard bearing combination. In this report, we describe a case of bilateral simultaneous ceramic-on-metal THA in a 69-year-old woman who presented 7 years postoperatively with unilateral hip pain associated with underlying pseudotumor and elevated serum cobalt and chromium ion levels. Pre-revision workup, intraoperative findings, and postoperative evaluation are included and suggest acetabular malposition as a potential source for complication.

Original languageEnglish (US)
JournalArthroplasty Today
DOIs
StateAccepted/In press - 2017

Keywords

  • Adverse local tissue reaction
  • Ceramic-on-metal
  • Hard-on-hard
  • Pseudotumor
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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