title: Adverse reaction to metal debris in a painful hemiarthroplasty of the hip.
abstract: Adverse reaction to metal debris (ARMD) in total hip arthroplasty surgery is a well-known problem. We present the case of a unipolar hemiarthroplasty requiring revision within 18 months of insertion secondary to an adverse reaction to metal debris. This case demonstrates a rare cause for failure of a hemiarthroplasty following a fragility fracture. We feel that ARMD should be considered in all cases where pain and dysfunction in the presence of any hip prosthesis cannot be explained by routine investigations.
authors.affiliation: Orthopaedic Department, Basingstoke & North Hampshire Hospital, Aldermaston Rd, Basingstoke, Hampshire RG24 9NA, UK jonpalmer@doctors.net.uk.
authors.forename: Jonathan Simon
authors.initials: JS
authors.lastname: Palmer
authors.affiliation: Orthopaedic Department, Basingstoke & North Hampshire Hospital, Aldermaston Rd, Basingstoke, Hampshire RG24 9NA, UK.
authors.forename: Michael William
authors.initials: MW
authors.lastname: Dean
authors.affiliation: Orthopaedic Department, Basingstoke & North Hampshire Hospital, Aldermaston Rd, Basingstoke, Hampshire RG24 9NA, UK.
authors.forename: Toby
authors.initials: T
authors.lastname: Briant-Evans
authors.affiliation: Orthopaedic Department, Basingstoke & North Hampshire Hospital, Aldermaston Rd, Basingstoke, Hampshire RG24 9NA, UK.
authors.forename: Geoff
authors.initials: G
authors.lastname: Stranks