RT Journal Article
SR Electronic
T1 Cobalt-chromium toxicity following revision of total hip replacement
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 194
OP 198
DO 10.15537/smj.2024.45.2.20230334
VO 45
IS 2
A1 Ramy Samargandi
A1 Louis-Romée Le Nail
A1 Bandar Hetaimish
A1 Maxime Saad
YR 2024
UL http://smj.org.sa/content/45/2/194.abstract
AB Systemic cobalt-chromium (Co-Cr) toxicity following a total hip replacement is a rare complication that may sometimes lead to fatal consequences. We report a case of a 64-year-old woman, who presented with Co-Cr toxicity after revision of fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and was expressed brutally with mostly central neurological symptoms. Revision surgery allowed rapid regression of all symptoms. Prosthetic revision with a metal bearing surface after a history of fracture of the ceramic bearing component should be avoided. Orthopedic surgeons and the different medical actors should be aware of this rare but serious complication to allow earlier management. Above all, multidisciplinary management is primordial to allow correct diagnosis and appropriate treatment.