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Alumina-debris-induced osteolysis in contemporary alumina-on-alumina total hip arthroplasty. A case report

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Authors
Nam, Kwang Woo; Yoo, Jeong Joon; Kim, Yong Lae; Kim, Young-Min; Lee, Myung-Hyun; Kim, Hee Joong
Issue Date
2007
Publisher
Journal of Bone and Joint Surgery, Inc.
Citation
J Bone Joint Surg Am. 2007;89:2499-503
Keywords
Aluminum Oxide/*adverse effectsArthroplasty, Replacement, Hip/*methods*Hip ProsthesisOsteolysis/*chemically inducedProsthesis Design
Abstract
Aceramic-on-ceramic bearing coupling, because of its
qualities of reduced friction and wear, is an attractive
alternative bearing surface in total hip arthroplasty.
The use of such bearing couplings is likely to reduce problems
related to polyethylene wear debris1-6. Osteolysis has only
rarely been reported in association with ceramic-on-ceramic
bearing couplings, and reports are generally limited to cases
involving early generation ceramic bearings or loosened prostheses7,8.
Recently, several cases of osteolysis have been reported
after total hip arthroplasty with use of a contemporary
alumina bearing, but these reports only described the femoral
scalloping seen on radiographs and did not present any histological
evidence that ceramic particles were the causative
factor9. We present the case of a patient who had formation of
a large amount of osteolysis about both the acetabulum and
the proximal part of the femur, induced by ceramic wear
particles from a well-functioning contemporary alumina-onalumina
total hip prosthesis. The patient was informed that
data concerning the case would be submitted for publication,
and she consented.
ISSN
1535-1386 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17974894

http://hdl.handle.net/10371/11157
DOI
https://doi.org/10.2106/JBJS.G.00130
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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