Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Case ReportCase Report
Open Access

Cobalt-chromium toxicity following revision of total hip replacement

Ramy Samargandi, Louis-Romée Le Nail, Bandar Hetaimish and Maxime Saad
Saudi Medical Journal February 2024, 45 (2) 194-198; DOI: https://doi.org/10.15537/smj.2024.45.2.20230334
Ramy Samargandi
From the Department of Orthopedic Surgery and Traumatology (Samargandi, Le Nail, Saad), The Regional University Hospital Centre of Tours, Tours, France, and from the Department of Orthopedic Surgery (Samargandi, Hetaimish), College of Medicine, University of Jeddah, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Ramy Samargandi
  • For correspondence: [email protected]
Louis-Romée Le Nail
From the Department of Orthopedic Surgery and Traumatology (Samargandi, Le Nail, Saad), The Regional University Hospital Centre of Tours, Tours, France, and from the Department of Orthopedic Surgery (Samargandi, Hetaimish), College of Medicine, University of Jeddah, Jeddah, Kingdom of Saudi Arabia.
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bandar Hetaimish
From the Department of Orthopedic Surgery and Traumatology (Samargandi, Le Nail, Saad), The Regional University Hospital Centre of Tours, Tours, France, and from the Department of Orthopedic Surgery (Samargandi, Hetaimish), College of Medicine, University of Jeddah, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Maxime Saad
From the Department of Orthopedic Surgery and Traumatology (Samargandi, Le Nail, Saad), The Regional University Hospital Centre of Tours, Tours, France, and from the Department of Orthopedic Surgery (Samargandi, Hetaimish), College of Medicine, University of Jeddah, Jeddah, Kingdom of Saudi Arabia.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    - Pre-operative imaging. A) Computed tomography demonstrating a large granuloma of the left acetabular roof (red arrow). B) Magnetic resonance imaging highlights numerous ceramic debris descending to the distal third of the femur and encompassing the sciatic nerve (red arrows). C) Pelvic AP view radiographbefore surgery, which reveals loosening and verticalization of the acetabular cup (as indicated by red arrows).

  • Figure 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2

    - Depicts the intra-operative findings. A) A black-colored fluid collection indicating metallosis. B) A metallic head exhibiting loss of sphericity and wear. C) Removal of the prosthesis with a damaged taper neck, metallosis fluid, and debrided soft tissues. D) Post-operative pelvic AP radiograph.

  • Figure 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3

    - Case presentation timeline.

Tables

  • Figures
    • View popup
    Table 1

    - Summary of cobalt-chromium concentration levels.

    Co-Cr levelsDuration
    One month pre-operativeOne month post-operative3 months post-operative6 months post-operativeOne year post-operative
    Cobalt S86,35 µg/L63,6 µg/L38,6 µg/L27,95 µg/L24.8 µg/L
    Cobalt U411,40 µmol/L91,2 µg/L89.8 µg/LNA33.7 µg/L
    Chrome S234,46 µg/LNA196.64 µg/L104,56 µg/L96.62 µg/L

    S: blood, U: urine, NA: not available

    PreviousNext
    Back to top

    In this issue

    Saudi Medical Journal: 45 (2)
    Saudi Medical Journal
    Vol. 45, Issue 2
    1 Feb 2024
    • Table of Contents
    • Cover (PDF)
    • Index by author
    Print
    Download PDF
    Email Article

    Thank you for your interest in spreading the word on Saudi Medical Journal.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Cobalt-chromium toxicity following revision of total hip replacement
    (Your Name) has sent you a message from Saudi Medical Journal
    (Your Name) thought you would like to see the Saudi Medical Journal web site.
    Citation Tools
    Cobalt-chromium toxicity following revision of total hip replacement
    Ramy Samargandi, Louis-Romée Le Nail, Bandar Hetaimish, Maxime Saad
    Saudi Medical Journal Feb 2024, 45 (2) 194-198; DOI: 10.15537/smj.2024.45.2.20230334

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
    Share
    Cobalt-chromium toxicity following revision of total hip replacement
    Ramy Samargandi, Louis-Romée Le Nail, Bandar Hetaimish, Maxime Saad
    Saudi Medical Journal Feb 2024, 45 (2) 194-198; DOI: 10.15537/smj.2024.45.2.20230334
    Twitter logo Facebook logo Mendeley logo
    • Tweet Widget
    • Facebook Like
    • Google Plus One
    Bookmark this article

    Jump to section

    • Article
      • Abstract
      • Case Report
      • Discussion
      • Acknowledgment
      • Footnotes
      • References
    • Figures & Data
    • eLetters
    • References
    • Info & Metrics
    • PDF

    Related Articles

    • No related articles found.
    • PubMed
    • Google Scholar

    Cited By...

    • No citing articles found.
    • Google Scholar

    More in this TOC Section

    • Cutaneous metastasis of signet ring cell adenocarcinoma of the colon
    • Giant left gastric artery aneurysm with intrathoracic extension
    • A rare case of a horseshoe kidney with a single left-sided ureter presented with recurrent urinary tract infection
    Show more Case Report

    Similar Articles

    Keywords

    • case report
    • cobalt-chromium toxicity
    • total hip replacement
    • complications after surgery

    CONTENT

    • home

    JOURNAL

    • home

    AUTHORS

    • home
    Saudi Medical Journal

    © 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

    Powered by HighWire