Thever Yogen, Goh Lynne, Yau Li Sam Fong, Siu Ling Dahlia Ho, Rong Chia Sean Yi, Ing How Moo
Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
Department of Anatomical Pathology, Changi General Hospital, Singapore.
Arthroplast Today. 2024 Dec 7;30:101584. doi: 10.1016/j.artd.2024.101584. eCollection 2024 Dec.
Adverse local tissue reaction (ALTR) and osteolysis formation are more frequently described complications after total hip arthroplasty (THA) with metal-on-metal bearings. In this report, we present a unique case of ALTR and osteolysis formation with ceramic-on-ceramic bearing THA, which has been less commonly described in the existing literature. This rare case occurred in a 54-year-old patient who had a primary THA done 17 years prior to representing to our institution. As part of the workup for our patient to find out the underlying cause of his complications, we have carried out extensive investigations that have not been previously reported. We conclude that ceramic bearings in THA may not be entirely inert and may cause complications such as osteolysis and ALTR.
局部组织不良反应（ALTR）和骨溶解形成是金属对金属轴承全髋关节置换术（THA）后更常被描述的并发症。在本报告中，我们介绍了一例采用陶瓷对陶瓷轴承THA后出现ALTR和骨溶解形成的独特病例，这在现有文献中较少被描述。这一罕见病例发生在一名54岁患者身上，该患者在到我们机构就诊前17年接受了初次THA。作为对该患者并发症潜在病因检查的一部分，我们进行了广泛的此前未报道过的调查。我们得出结论，THA中的陶瓷轴承可能并非完全惰性，可能会导致诸如骨溶解和ALTR等并发症。
