Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium
Osteoarthritis of the hip joint (coxarthrosis) is the most common hip disease in adults. Since the 1960s, total hip arthroplasty (THA) has made great progress and is nowadays one of the most frequently used procedures in orthopedic surgery. Different bearing concepts exist in various implant designs...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6151679 |
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| author | Peter Caspar Bünemann Stefan Luck Malte Ohlmeier Thorsten Gehrke Tobias Malte Ballhause |
| author_facet | Peter Caspar Bünemann Stefan Luck Malte Ohlmeier Thorsten Gehrke Tobias Malte Ballhause |
| author_sort | Peter Caspar Bünemann |
| collection | DOAJ |
| description | Osteoarthritis of the hip joint (coxarthrosis) is the most common hip disease in adults. Since the 1960s, total hip arthroplasty (THA) has made great progress and is nowadays one of the most frequently used procedures in orthopedic surgery. Different bearing concepts exist in various implant designs. A metal-on-metal bearing can create metal debris and lead to metallosis. We present a unique case of a 78-year old woman, who received hip resurfacing with a McMinn-like prosthesis 15 years ago. Over the cause of time, metallosis developed and created a bone cyst in the Os ilium, and osteolysis led to a dislocation of the femoral implant. A minor stumble fall led to a fracture of the Os ilium. We present our treatment method with implantation of a cemented THA and refill of the bone cyst with bone from allogene femoral heads. The surgery led to a reconstruction of the physiological center of rotation in the hip. Consequently, to the inpatient stay, the patient took part in a follow-up treatment with intensive physiotherapy. Taken together, the results after total hip arthroplasty are more superior to other hip surface replacements in terms of longevity and patient satisfaction. Especially, metal-on-metal bearing couples carry a great risk of metallosis, which goes a long with pseudotumors, osteolysis, and the elevated metal ions in the blood. Since this case is unique in the literature, no guidelines are noted for surgical treatment. In our opinion, a periprosthetic fracture of this type should be performed in a hospital using extensive endoprosthetic expertise. |
| format | Article |
| id | doaj-art-fe06d209696e4bd588e94ed783828035 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-fe06d209696e4bd588e94ed7838280352025-02-03T01:04:25ZengWileyCase Reports in Orthopedics2090-67572021-01-01202110.1155/2021/6151679Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os IliumPeter Caspar Bünemann0Stefan Luck1Malte Ohlmeier2Thorsten Gehrke3Tobias Malte Ballhause4Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryOsteoarthritis of the hip joint (coxarthrosis) is the most common hip disease in adults. Since the 1960s, total hip arthroplasty (THA) has made great progress and is nowadays one of the most frequently used procedures in orthopedic surgery. Different bearing concepts exist in various implant designs. A metal-on-metal bearing can create metal debris and lead to metallosis. We present a unique case of a 78-year old woman, who received hip resurfacing with a McMinn-like prosthesis 15 years ago. Over the cause of time, metallosis developed and created a bone cyst in the Os ilium, and osteolysis led to a dislocation of the femoral implant. A minor stumble fall led to a fracture of the Os ilium. We present our treatment method with implantation of a cemented THA and refill of the bone cyst with bone from allogene femoral heads. The surgery led to a reconstruction of the physiological center of rotation in the hip. Consequently, to the inpatient stay, the patient took part in a follow-up treatment with intensive physiotherapy. Taken together, the results after total hip arthroplasty are more superior to other hip surface replacements in terms of longevity and patient satisfaction. Especially, metal-on-metal bearing couples carry a great risk of metallosis, which goes a long with pseudotumors, osteolysis, and the elevated metal ions in the blood. Since this case is unique in the literature, no guidelines are noted for surgical treatment. In our opinion, a periprosthetic fracture of this type should be performed in a hospital using extensive endoprosthetic expertise.http://dx.doi.org/10.1155/2021/6151679 |
| spellingShingle | Peter Caspar Bünemann Stefan Luck Malte Ohlmeier Thorsten Gehrke Tobias Malte Ballhause Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium Case Reports in Orthopedics |
| title | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
| title_full | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
| title_fullStr | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
| title_full_unstemmed | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
| title_short | Dislocation of a McMinn-Like Prosthesis with Distinctive Metallosis and Fracture of the Os Ilium |
| title_sort | dislocation of a mcminn like prosthesis with distinctive metallosis and fracture of the os ilium |
| url | http://dx.doi.org/10.1155/2021/6151679 |
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