Psoriasis Vulgaris Caused by Ceramic Inserts Used in Total Hip Replacement

2012 ◽  
Vol 16 (6) ◽  
pp. 448-450 ◽  
Author(s):  
Fujio Higuchi ◽  
Daisuke Tsuruta ◽  
Yumiko Ishibashi ◽  
Kazuko Imamura ◽  
Tokiko Shimoyama ◽  
...  
Keyword(s):  
Nous Avons ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Nuclear Factor Κb ◽  
Total Hip ◽  
First Case ◽  
The Right ◽  
Ceramic Insert ◽  
Psoriatic Lesions

Background: Ceramics are inorganic nonmetallic materials and are used as bioinert components in joint replacement surgeries. Ceramics are known to be low allergenic. We experienced a ceramic-induced psoriasis. Objective: We report a first case of possible ceramic-induced psoriasis caused by a ceramic insert. Methods: A 55-year-old female received an implanted ceramic-on-ceramic total hip replacement for osteoarthritis of the right hip joint. Following surgery, she developed psoriatic lesions, which continued for 10 years. We suspected that psoriasis was caused by a ceramic insert and removed it surgically. Results: When the ceramic insert was replaced with a polyethylene-on-metal hip joint, the psoriatic lesions completely disappeared. Conclusion: The pathogenesis of psoriasis is still an enigma, although deregulation of nuclear factor κB signaling and resulting abnormal cytokine secretion are speculated to be involved. Ceramics may affect these signaling events and cause the onset of psoriasis. Renseignements de base: Les céramiques sont des matériaux non métalliques inorganiques et sont utilisées comme composants bio-inertes dans les arthroplasties. Les céramiques sont reconnues pour être peu allergisantes. Nous avons observé un psoriasis provoqué par la céramique. Objectif: Nous exposons un premier cas possible de psoriasis provoqué par la céramique causé par un implant en céramique. Méthodes: Une femme de 55 ans a reçu une prothèse céramique-sur-céramique implantée lors d'une arthroplastie totale de la hanche pour traiter l'arthrose de l'articulation de la hanche droite. Après la chirurgie, elle a développé des lésions psoriasiques dont la manifestation s'est poursuivie pendant 10 ans. Nous avons soupçonné que le psoriasis était causé par l'implant en céramique, et nous l'avons enlevé chirurgicalement. Résultats: Une fois l'implant en céramique remplacé par une prothèse articulaire en polyéthylène-sur-métal, les lésions psoriasiques ont disparu complètement. Conclusion: La pathogenèse du psoriasis demeure une énigme, bien qu'on suppose que la dérégulation de la voie de signalisation NF-κB et que la sécrétion anormale de cytokines résultante soient impliquées. Les céramiques peuvent affecter ces événements de signalisation et provoquer l'apparition du psoriasis.

scholarly journals Fluoroscopy Comes to the Rescue in Anaesthesia Management of a Case of Ankylosing Spondylitis

2021 ◽  
Vol 7 (1) ◽  
Keyword(s):  
Ankylosing Spondylitis ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Epidural Anaesthesia ◽  
Hip Replacement ◽  
Previous History ◽  
Success Rates ◽  
Total Hip ◽  
Neuraxial Anaesthesia ◽  
The Right

Introduction: Ankylosing spondylitis is an anaesthetic challenge both from the airway and neuraxial point of view. The success rates as reported in literature while administering neuraxial anaesthesia in such cases are very low. We describe here such a case posted for total hip replacement. Case Presentation: A 25-year-old male patient was posted for right total hip replacement (THR) due to total arthrodesis of the right hip joint. He had a previous history of left THR done 1.5 yrs back. The patient was unable to sit erect and flexion and extension movements of the spine were painful. Both active and passive movements were severely restricted due to pain and stiffness, upto only 25- 30 degrees in the right hip joint and 45-50 degrees in the left hip joint and this has made him completely bedridden. For the anaesthetic management of this case, we combined fluoroscopy, a commonly used tool in chronic pain practice, into an-aesthesia practice by using it for the administration of epidural anaesthesia via inter-laminar approach in the prone position. The perioperative and post-operative course was uneventful. Conclusion: We conclude that fluoroscopy can be used in realtime as one of the most useful tools while administering neuraxial anaesthesia in difficult spine scenarios. Keywords: Ankylosing Spondylitis, Neuraxial Anaesthesia, Epidural Anaesthesia, Fluoroscopy, Total Hip Replacement.

Delayed Fracture of a Ceramic Insert With Modern Ceramic Total Hip Replacement

2007 ◽  
Vol 22 (1) ◽  
pp. 136-139 ◽  
Author(s):  
Byung-Woo Min ◽  
Kwang-Soon Song ◽  
Chul-Hyung Kang ◽  
Ki-Cheol Bae ◽  
Ye-Yeon Won ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Delayed Fracture ◽  
Total Hip ◽  
Ceramic Insert

Acoustic Vibration and Mechanical In Vivo Analysis of the Hip Joint After a Total Hip Arthroplasty

2007 ◽  
Author(s):  
D. A. Glaser ◽  
R. D. Komistek ◽  
H. E. Cates ◽  
M. Mahfouz
Keyword(s):  
Femoral Head ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Acoustic Vibration ◽  
Valuable Insight ◽  
Acetabular Cup ◽  
Total Hip ◽  
Resonance Frequencies

The major complications following total hip replacement (THA) are implant loosening, dislocation, instability, fracture and infection. It is hypothesized that vibration, in the range of the resonance frequencies, may cause pain, bone degeneration and fracture. A further understanding of the physical response resulting from impact during femoral head sliding may lead to valuable insight pertaining to THA failure. Therefore, the first objective of this present study was to determine if frequencies propagating through the hip joint near resonant frequencies may lead to wear or loosening of the components. Recently, studies found that femoral head sliding, often referred to as hip separation, between the acetabulum cup and the femoral head does occur, which may also play a role in complications observed with THA today, but a the effects of hip separation and the causes of its occurrence has not been studied as jet. Therefore, the second objective of this study was to determine if a sound sensor, externally attached, could be used to correlate impact loading sounds from femoral head sliding in the acetabular cup. Additional objective of this study was to develop a mathematical model that better simulates the in vivo loading conditions of total hip replacement patients using in vivo fluoroscopic and ground reaction data as input.

Comparison of Body Weight Distribution, Peak Vertical Force, and Vertical Impulse as Measures of Hip Joint Pain and Efficacy of Total Hip Replacement

2012 ◽  
Vol 41 (4) ◽  
pp. 443-447 ◽  
Author(s):  
Rachel Seibert ◽  
Denis J. Marcellin-Little ◽  
Simon C. Roe ◽  
Venita DePuy ◽  
B. Duncan X. Lascelles
Keyword(s):  
Body Weight ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Weight Distribution ◽  
Hip Replacement ◽  
Joint Pain ◽  
Vertical Force ◽  
Total Hip

A Study of Antero-Posterior Load Transfer in Total Hip Replacement using a Modelling Technique

1983 ◽  
Vol 12 (3) ◽  
pp. 113-115 ◽  
Author(s):  
A W Miles ◽  
D M Dall ◽  
M Rivarola
Keyword(s):  
Polyurethane Foam ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Load Transfer ◽  
Modelling Technique ◽  
Total Hip

This paper describes the application of a modelling technique to determine the effect of the antero-posterior loading in the hip joint on bone and prosthesis stresses. The technique employs the use of model femora cast in a polyurethane foam and femoral prostheses made from various plastics to simulate titanium and chrome–cobalt. The study showed that antero-posterior forces produce significant stresses in the prostheses and emphasises the importance of considering these forces in the design of femoral prostheses.

scholarly journals Online follow-up after total hip replacement: a first case

2013 ◽  
Vol 2013 (feb08 1) ◽  
pp. bcr2012008163-bcr2012008163
Author(s):  
C. Dexter ◽  
B. Bradley ◽  
D. H. Williams
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
First Case
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