Arthroscopy as a diagnostic tool for painful trunnion corrosion after hip arthroplasty

Verfasser / Beitragende:
[Michael Whitehouse, Clive Duncan]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/9(2015-09-01), 2601-2604
Format:
Artikel (online)
ID: 605456755
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024 7 0 |a 10.1007/s00167-014-3184-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3184-1 
245 0 0 |a Arthroscopy as a diagnostic tool for painful trunnion corrosion after hip arthroplasty  |h [Elektronische Daten]  |c [Michael Whitehouse, Clive Duncan] 
520 3 |a Purpose : Adverse local soft tissue reactions can occur in response to wear debris or corrosion products released from total hip arthroplasty (THA). Hip arthroscopy is a useful diagnostic adjunct in the investigation of painful THA. Methods: A patient with a painful primary metal-on-highly cross-linked polyethylene THA underwent hip arthroscopy to confirm the diagnosis of trunnion corrosion. Results: The prosthetic implants were well fixed and aligned with no indication of infection. Hip arthroscopy was used to confirm the presence of corrosion on the trunnion of a titanium stem at its junction with a cobalt-chrome head. Due to persistent symptoms, the patient subsequently underwent arthrotomy, which confirmed the diagnosis, and revision hip arthroplasty to a titanium adapter sleeve, ceramic head and liner exchange, with relief of his symptoms. Conclusion: Hip arthroscopy may prove a useful additional diagnostic tool in the investigation of this emerging clinical entity. Level of evidence: IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
700 1 |a Whitehouse  |D Michael  |u Musculoskeletal Research Unit, Southmead Hospital, School of Clinical Sciences, University of Bristol, 1st Floor Learning and Research Building, BS10 5NB, Bristol, UK  |4 aut 
700 1 |a Duncan  |D Clive  |u Department of Orthopaedics, The University of British Columbia, 3rd Floor, 910 West 10th Avenue, V5Z 4E3, Vancouver, BC, Canada  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/9(2015-09-01), 2601-2604  |x 0942-2056  |q 23:9<2601  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3184-1  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3184-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Whitehouse  |D Michael  |u Musculoskeletal Research Unit, Southmead Hospital, School of Clinical Sciences, University of Bristol, 1st Floor Learning and Research Building, BS10 5NB, Bristol, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Duncan  |D Clive  |u Department of Orthopaedics, The University of British Columbia, 3rd Floor, 910 West 10th Avenue, V5Z 4E3, Vancouver, BC, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/9(2015-09-01), 2601-2604  |x 0942-2056  |q 23:9<2601  |1 2015  |2 23  |o 167