Abductor Dysfunction and Related Sciatic Nerve Palsy, a New Complication of Metal-on-Metal Arthroplasty

Abstract The optimal bearing for use in young patients with hip arthritis remains elusive. Current options include metal–on–cross-linked polyethylene, ceramic–on–cross-linked polyethylene, ceramic on ceramic, and metal on metal. Each of these bearing couples has advantages and disadvantages. Metal-o...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2012-08, Vol.27 (7), p.1414.e13-1414.e15
Main Authors: Beaver, Walter B., MD, Fehring, Thomas K., MD
Format: Article
Language:English
Subjects:
abductor dysfunction
Acetabulum - diagnostic imaging
Acetabulum - surgery
Aged
Arthroplasty, Replacement, Hip - instrumentation
Braces
complication metal-on-metal arthroplasty
Female
Femur - diagnostic imaging
Femur - surgery
Hip Prosthesis - adverse effects
Humans
Metals - adverse effects
Muscle, Skeletal - physiopathology
Orthopedics
Orthotic Devices
Radiography
Reoperation
sciatic nerve palsy
Sciatic Neuropathy - etiology
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract The optimal bearing for use in young patients with hip arthritis remains elusive. Current options include metal–on–cross-linked polyethylene, ceramic–on–cross-linked polyethylene, ceramic on ceramic, and metal on metal. Each of these bearing couples has advantages and disadvantages. Metal-on-metal designs allow the use of large heads that decrease impingement and improve stability. This fact has made this bearing an attractive option for surgeons and patients alike. This case report will illustrate a severe adverse reaction to metal debris with necrosis of soft tissues and subsequent damage to the sciatic nerve.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2011.11.002