Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head

Adverse Reaction to Zirconia in a Modern Total Hip Arthroplasty with Ceramic Head

Hypersensitivity reactions to zirconia (ZrO2) or similar ceramics is highly unusual. Owing to the stable oxide formed between the base metal and oxygen, ceramics are considered relatively biologically inert. We report the case of an otherwise healthy 50-year-old woman with a 5-year history of progre...

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Bibliographic Details
Main Authors: Kwesi G. Dawson-Amoah, MD, Bradford S. Waddell, MD, Rohan Prakash, BS, Michael M. Alexiades, MD
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Arthroplasty Today
Subjects:
Hypersensitivity
Revision arthroplasty
Allergy
Zirconia
Ceramics
Total hip arthroplasty
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344120300595
Description
Summary:Hypersensitivity reactions to zirconia (ZrO2) or similar ceramics is highly unusual. Owing to the stable oxide formed between the base metal and oxygen, ceramics are considered relatively biologically inert. We report the case of an otherwise healthy 50-year-old woman with a 5-year history of progressively worsening right hip pain who underwent a ceramic-on-polyethylene total hip replacement and subsequently developed hypersensitivity reaction. After metal allergy testing showed her to be highly reactive to zirconium, the femoral head was revised to a custom titanium implant and her symptoms resolved.
ISSN:2352-3441

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