Concomitant infection and local metal reaction in patients undergoing revision of metal on metal total hip arthroplasty

Kyle T Judd; Nicolas Noiseux

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Concomitant infection and local metal reaction in patients undergoing revision of metal on metal total hip arthroplasty

Journal article

Open access

Peer reviewed

Concomitant infection and local metal reaction in patients undergoing revision of metal on metal total hip arthroplasty

Kyle T Judd and Nicolas Noiseux

The Iowa orthopaedic journal, Vol.31, pp.59-63

2011

PMCID: PMC3215115

PMID: 22096421

Appears in Diamond Open Access

Files and links (1)

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215115/View

Published (Version of record) Open Access

Abstract

Total hip arthroplasty (THA) with conventional polyethylene bearings is traditionally the standard operative treatment for endstage arthritis of the hip. This design has excellent survivorship in most populations, with a low occurrence of infection and other associated complications. Due to concern over increased wear in younger, more active populations, other bearing surfaces have been evaluated, particularly metal-on-metal with wear rates theorized to be lower than conventional THA. Unique to metal-on-metal THA, however, is the possibility of local soft tissue reactions that can mimic infection, making proper diagnosis and treatment difficult. We present a case series of nine hips in eight patients undergoing revision of metal-on-metal THA for local soft tissue reactions, three of which were also found to be concomitantly infected. The laboratory and hip aspirate data described show significant overlap between the infected and non-infected cases. Care must be taken when evaluating patients with failed metal-on-metal THA as there may be an increased incidence of co-infection in this group of patients.

Reoperation

Prosthesis-Related Infections - complications

Humans

Middle Aged

Prosthesis Failure - adverse effects

Hip Prosthesis - adverse effects

Foreign-Body Reaction - complications

Male

Metals - adverse effects

Arthroplasty, Replacement, Hip - adverse effects

Joint Instability - surgery

Debridement

Prosthesis-Related Infections - surgery

Streptococcal Infections - diagnosis

Female

Aged

Prosthesis-Related Infections - diagnosis

Retrospective Studies

Streptococcal Infections - complications

Joint Instability - etiology

Foreign-Body Reaction - diagnosis

Joint Instability - microbiology

Therapeutic Irrigation

Details

Title: Subtitle: Concomitant infection and local metal reaction in patients undergoing revision of metal on metal total hip arthroplasty
Creators: Kyle T Judd - Department of Orthopaedics and Rehabilitation, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA
Nicolas Noiseux
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.31, pp.59-63
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 22096421
PMCID: PMC3215115
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2011
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040316702771

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