Case Report
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İki Olguda Metal Baş Yorgunluk Kırığı ve para benzeri metal serbest cisim: neden -3 Baş Kullanımı mı?

Year 2019, Volume: 10 Issue: 2, 268 - 271, 12.06.2019
https://doi.org/10.18663/tjcl.542753

Abstract

Metal üzeri metal
kalça protezi uygulamalarında çok nadir ve sıra dışı bir komplikasyon olan
protez baş yuvasının ucunda oluşan yorgunluk kırığını sunmaktayız. Başın boyun
yuvasının derin ucundaki katastrofik aşınması ve burada oluşan para benzeri
serbest metal parça metallozis, osteoliz ve yetmezliğe neden olmuştur. Revizyon
ameliyatı sonuçları tatminkar olmuş ve hastalar sorunsuzca günlük
aktivitelerine dönmüşlerdir. Metal üzeri metal eklemleşmelerde başın aşınması
iyi bilinen bir sonuçtur ve instabilite, metallozis, ağrı ve mekanik
semptomlarla ortaya çıkabilir. Bu gibi vakalar biotribolojik olarak kalça
implantlarının tribolojik performanslarının araştırılması için önemli olabilir.
Bu katastrofik komplikasyonun nedeninin -3 metal baş kullanımı olduğuna ve
metal üzeri metal protezlerde kullanılmaması gerektiğine inanıyoruz.

References

  • 1. Giori N J. Unexpected finding of a fractured metal prosthetic femoral head in a nonmodular ımplant during revision total hip arthroplasty. J Arthroplasty 2010; 25: 13-15.
  • 2. Lombardi AV Jr, Barrack RL, Berend KR, Cuckler JM, Jacobs JJ, Mont MA, Schmalzried TP. Algorithmic approach to diagnosis and management of metal-on-metal arthroplasty. J Bone Joint Surg 2012; 94: 14-18.
  • 3. Gutman G, Hershkovich O, Amit Y, Israeli A. Catastrophic failure due to massive osteolysis of both acetabular and femoral component in a metal-on-metal hip arthroplasty: a demonstrative case report. Eur J Orthop Surg Traumatol 2013; 23: 225-28.
  • 4. Shetty V, Shitole B, Shetty G, Thakur H, Bhandari M. Optimal bearing surfaces for total hip replacement in the young patient: a meta-analysis. Int Orthop 2011; 35: 1281-87.
  • 5. Lanting BA, Springer BD. Catastrophic wear in total hip arthroplasty. Complete wear-through of a metal backed acetabular component: case report. Orthop Clin N Am 2012; 23 : 63-65.
  • 6. Miguad H, Putman S, Combes A, Berton C, Bocquet D, Vasseur L, Girard J. Metal-on-metal bearing: Is the end of the line? We do not think so. HSSJ 2012; 8: 262-69.
  • 7. Alaia MJ, Alan JD. Catastrophic failure of a metal-on-metal total hip arthroplasty secondary to metal inlay dissociation. J Arthroplasty 2011; 26: 1-5.

Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?

Year 2019, Volume: 10 Issue: 2, 268 - 271, 12.06.2019
https://doi.org/10.18663/tjcl.542753

Abstract

We
report a very rare and extraordinary complication, metal head fatique fracture
at the site of the socket tip deep border and coin like metal corpora libera in
two cases with metal on metal total hip prosthesis. Catastrophic wear at the
site of the deep border of the collum socket and coin like loose body
originating from the crom-cobalt head resulted with metallosis, osteolysis and
failure. The outcomes of the revision operations were satisfactory and the
patients returned to their daily activity without discomfort in their hip.
Headwear is a well-known result of the metal on metal articulation and may present
with instability, metallosis, pain and mechanical symptoms. These incidents
might be important to investigate for tribological performance of hip implants
in biotribology science. We believe -3 sized metal head usage might be the
reason of this catastrophic complication their usage should be avoided in metal
on metal artroplasties.

References

  • 1. Giori N J. Unexpected finding of a fractured metal prosthetic femoral head in a nonmodular ımplant during revision total hip arthroplasty. J Arthroplasty 2010; 25: 13-15.
  • 2. Lombardi AV Jr, Barrack RL, Berend KR, Cuckler JM, Jacobs JJ, Mont MA, Schmalzried TP. Algorithmic approach to diagnosis and management of metal-on-metal arthroplasty. J Bone Joint Surg 2012; 94: 14-18.
  • 3. Gutman G, Hershkovich O, Amit Y, Israeli A. Catastrophic failure due to massive osteolysis of both acetabular and femoral component in a metal-on-metal hip arthroplasty: a demonstrative case report. Eur J Orthop Surg Traumatol 2013; 23: 225-28.
  • 4. Shetty V, Shitole B, Shetty G, Thakur H, Bhandari M. Optimal bearing surfaces for total hip replacement in the young patient: a meta-analysis. Int Orthop 2011; 35: 1281-87.
  • 5. Lanting BA, Springer BD. Catastrophic wear in total hip arthroplasty. Complete wear-through of a metal backed acetabular component: case report. Orthop Clin N Am 2012; 23 : 63-65.
  • 6. Miguad H, Putman S, Combes A, Berton C, Bocquet D, Vasseur L, Girard J. Metal-on-metal bearing: Is the end of the line? We do not think so. HSSJ 2012; 8: 262-69.
  • 7. Alaia MJ, Alan JD. Catastrophic failure of a metal-on-metal total hip arthroplasty secondary to metal inlay dissociation. J Arthroplasty 2011; 26: 1-5.
There are 7 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Ali Utkan

Hüsamettin Çakıcı

Bülent Özkurt This is me

Abdülrahim Dündar

Publication Date June 12, 2019
Published in Issue Year 2019 Volume: 10 Issue: 2

Cite

APA Utkan, A., Çakıcı, H., Özkurt, B., Dündar, A. (2019). Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?. Turkish Journal of Clinics and Laboratory, 10(2), 268-271. https://doi.org/10.18663/tjcl.542753
AMA Utkan A, Çakıcı H, Özkurt B, Dündar A. Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?. TJCL. June 2019;10(2):268-271. doi:10.18663/tjcl.542753
Chicago Utkan, Ali, Hüsamettin Çakıcı, Bülent Özkurt, and Abdülrahim Dündar. “Metal Head Fatigue Fracture and Coin Like Metal Corpora Libera in Two Cases. Is the Reason -3 Size Head Usage?”. Turkish Journal of Clinics and Laboratory 10, no. 2 (June 2019): 268-71. https://doi.org/10.18663/tjcl.542753.
EndNote Utkan A, Çakıcı H, Özkurt B, Dündar A (June 1, 2019) Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?. Turkish Journal of Clinics and Laboratory 10 2 268–271.
IEEE A. Utkan, H. Çakıcı, B. Özkurt, and A. Dündar, “Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?”, TJCL, vol. 10, no. 2, pp. 268–271, 2019, doi: 10.18663/tjcl.542753.
ISNAD Utkan, Ali et al. “Metal Head Fatigue Fracture and Coin Like Metal Corpora Libera in Two Cases. Is the Reason -3 Size Head Usage?”. Turkish Journal of Clinics and Laboratory 10/2 (June 2019), 268-271. https://doi.org/10.18663/tjcl.542753.
JAMA Utkan A, Çakıcı H, Özkurt B, Dündar A. Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?. TJCL. 2019;10:268–271.
MLA Utkan, Ali et al. “Metal Head Fatigue Fracture and Coin Like Metal Corpora Libera in Two Cases. Is the Reason -3 Size Head Usage?”. Turkish Journal of Clinics and Laboratory, vol. 10, no. 2, 2019, pp. 268-71, doi:10.18663/tjcl.542753.
Vancouver Utkan A, Çakıcı H, Özkurt B, Dündar A. Metal head fatigue fracture and coin like metal corpora libera in two cases. Is the reason -3 size head usage?. TJCL. 2019;10(2):268-71.


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