Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture

Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture

Introduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-...

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Main Authors: Paul Lecoanet, Mathias Blangis, Matthieu Garcia, Yohan Legallois, Thierry Fabre
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/4209796
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spelling doaj-52b531cbbfba44fa80038ec0f71892162020-11-25T00:30:37ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/42097964209796Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic FracturePaul Lecoanet0Mathias Blangis1Matthieu Garcia2Yohan Legallois3Thierry Fabre4CHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceCHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, FranceIntroduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and expressed brutally with mostly central neurological symptoms. Chelation associated with revision surgery allowed rapid regression of all symptoms. Conclusion. Revision of fractured ceramic, even per-operatively, should not be done with metal-on-polyethylene components, in order to avoid potentially lethal metal intoxication.http://dx.doi.org/10.1155/2019/4209796
collection DOAJ
language English
format Article
sources DOAJ
author Paul Lecoanet
Mathias Blangis
Matthieu Garcia
Yohan Legallois
Thierry Fabre
spellingShingle Paul Lecoanet
Mathias Blangis
Matthieu Garcia
Yohan Legallois
Thierry Fabre
Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
Case Reports in Orthopedics
author_facet Paul Lecoanet
Mathias Blangis
Matthieu Garcia
Yohan Legallois
Thierry Fabre
author_sort Paul Lecoanet
title Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
title_short Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
title_full Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
title_fullStr Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
title_full_unstemmed Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative Ceramic Fracture
title_sort chromium-cobalt intoxication with intense systemic complications following total hip revision after per-operative ceramic fracture
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2019-01-01
description Introduction. Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and expressed brutally with mostly central neurological symptoms. Chelation associated with revision surgery allowed rapid regression of all symptoms. Conclusion. Revision of fractured ceramic, even per-operatively, should not be done with metal-on-polyethylene components, in order to avoid potentially lethal metal intoxication.
url http://dx.doi.org/10.1155/2019/4209796
work_keys_str_mv AT paullecoanet chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture
AT mathiasblangis chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture
AT matthieugarcia chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture
AT yohanlegallois chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture
AT thierryfabre chromiumcobaltintoxicationwithintensesystemiccomplicationsfollowingtotalhiprevisionafterperoperativeceramicfracture
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