caa a22 4500 605456755 CHVBK 20210128100219.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00167-014-3184-1 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3184-1 Arthroscopy as a diagnostic tool for painful trunnion corrosion after hip arthroplasty [Elektronische Daten] [Michael Whitehouse, Clive Duncan] 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. Springer-Verlag Berlin Heidelberg, 2014 Whitehouse Michael Musculoskeletal Research Unit, Southmead Hospital, School of Clinical Sciences, University of Bristol, 1st Floor Learning and Research Building, BS10 5NB, Bristol, UK aut Duncan Clive Department of Orthopaedics, The University of British Columbia, 3rd Floor, 910 West 10th Avenue, V5Z 4E3, Vancouver, BC, Canada aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2601-2604 0942-2056 23:9<2601 2015 23 167 https://doi.org/10.1007/s00167-014-3184-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3184-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Whitehouse Michael Musculoskeletal Research Unit, Southmead Hospital, School of Clinical Sciences, University of Bristol, 1st Floor Learning and Research Building, BS10 5NB, Bristol, UK aut NATIONALLICENCE 700 1- Duncan Clive Department of Orthopaedics, The University of British Columbia, 3rd Floor, 910 West 10th Avenue, V5Z 4E3, Vancouver, BC, Canada aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2601-2604 0942-2056 23:9<2601 2015 23 167