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Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement.

Khan, WS; Agarwal, M; Malik, AA; Cox, AG; Denton, J; Holt, EM; (2008) Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement. J Bone Joint Surg Br , 90 (4) 502 - 505. 10.1302/0301-620X.90B4.20302.

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Abstract

Metallosis after shoulder replacement has not previously been described in the literature. We report a patient who developed extensive metallosis after implantation of an uncemented Nottingham shoulder replacement. He underwent a revision procedure. Examination of the retrieved prosthesis showed that the titanium porous coating was separating from the humeral stem and becoming embedded in the ultra-high-molecular-weight polyethylene glenoid component, resulting in abrasive wear of the humeral component. There was metallosis despite exchange of the modular humeral head. Both components had to be exchanged to resolve the problem.

Type:Article
Title:Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement.
Location:England
DOI:10.1302/0301-620X.90B4.20302
Language:English
Keywords:Arthroplasty, Replacement, Humans, Image Enhancement, Joint Prosthesis, Magnetic Resonance Imaging, Male, Metals, Middle Aged, Prosthesis Failure, Reoperation, Shoulder Joint, Treatment Outcome
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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