Revision total hip arthroplasty due to pain from hypersensitivity to cobalt-chromium in total hip arthroplasty.
We report a case with hypersensitivity to CoCr in total hip arthroplasty coupled with conventional polyethylene and CoCr femoral head. The patient complained of left hip pain and systemic fever, and computed tomography imaging revealed a periprosthetic cystic lesion, so we performed revision total hip arthroplasty using a titanium stem and ceramic head and highly crosslinked polyethylene. Hip pain and cystic lesion disappeared 3 years after revision surgery.
Department of Orthopaedics, Edinburgh Royal Infirmary, LittleFrance, UK.
Ima
I
Kosukegawa
Satoshi
S
Nagoya
Mitsunori
M
Kaya
Koichi
K
Sasaki
Mikito
M
Sasaki
Toshihiko
T
Yamashita
D018771:Arthralgia / Q000209:etiology*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000295:instrumentation*; D002857:Chromium / Q000009:adverse effects*; D003035:Cobalt / Q000009:adverse effects*; D005260:Female; D006104:Granuloma, Plasma Cell / Q000139:chemically induced / Q000150:complications; D006617:Hip Dislocation / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D006967:Hypersensitivity / Q000150:complications*; D008875:Middle Aged; D009135:Muscular Diseases / Q000139:chemically induced / Q000150:complications; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D002857:Chromium; D003035:Cobalt