scholarly journals Arthroscopic evaluation and treatment of a squeaking hip. A case report

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Jonathan Bellity ◽  
Marc Elkaïm ◽  
Didier Hannouche ◽  
Rémy Nizard
Keyword(s):  
Case Report ◽  
Total Hip Arthroplasty ◽  
Hip Arthroscopy ◽  
Hip Replacement ◽  
Therapeutic Option ◽  
Fibrous Tissue ◽  
Ceramic Fracture ◽  
Case Presentation ◽  
Sliding Surfaces ◽  
Ceramic On Ceramic

Abstract Background Squeaking of ceramic-on-ceramic total hip arthroplasty is an unexpected complication which occurs in 1- 30% of patients. Revision surgery is required in 0.2% of the cases, when a ceramic fracture is suspected, or in case of severe malposition of the implants, subluxation, or impingement. Hip arthroscopy may be a useful diagnostic and therapeutic option in squeaking hips. Case presentation A patient presenting with a pain-free squeaking underwent hip arthroscopy to examine the sliding surfaces and the rim of the acetabulum, and to search for signs of impingement. Thorough lavage and debridement of hip synovitis and fibrous tissue was performed. The squeaking noise immediately disappeared after the surgery. The patient was allowed to fully weight bear as tolerated with 2 crutches for 2 weeks. Two years after the arthroscopy, the patient remained symptom-free. Conclusions The potential reasons for hip squeaking in our patient are discussed. Hip arthroscopy may prove useful as a diagnostic and therapeutic option for some patients presenting with a squeaking ceramic-on ceramic hip replacement.

scholarly journals Case Report. Extracorporeal Membrane Oxygenation in Nivolumab Associated Pneumonitis

2017 ◽  
Vol 3 (2) ◽  
pp. 84-88
Author(s):  
Thomas-Michael Schneider ◽  
Friederike Klenner ◽  
Franz Brettner
Keyword(s):  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Therapeutic Option ◽  
High Dose ◽  
Great Success ◽  
Case Presentation ◽  
Computed Tomographic ◽  
Rehabilitation Hospital ◽  
Membrane Oxygenation ◽  
History Of

Abstract Background: Newly approved immunotherapeutic agents, like CTLA-4 inhibitors and antibodies against PD-1, are a promising therapeutic option in cancer therapy. Case presentation: A 74-year-old man, with a history of advanced stage melanoma and treatment with ipilimumab, pembrolizumab and nivolumab, was admitted to the hospital due to respiratory failure with hypoxemia and dyspnoea. He rapidly developed severe acute respiratory distress syndrome (ARDS), which required treatment in the intensive care unit which included mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Computed tomographic imaging (CT) showed signs of a pneumonitis, with an ARDS pattern related to the use of PD-1 antibodies. Treating the patient with high-dose immunosuppressive steroids led to an overall improvement. He was transferred to a rehabilitation hospital and subsequently to his home. Discussion and conclusion: This is a unique case report of a patient suffering a grade 4 adverse event under nivolumab who survived having been treated with ECMO. It highlights the possibility of associated adverse reactions as well as the use of ECMO in palliative care patients. ECMO can be of great success even in patients with malignancies, but careful decision making should be done on a case by case basis.

scholarly journals Case Report: Adult Post-COVID-19 Multisystem Inflammatory Syndrome and Thrombotic Microangiopathy

2021 ◽  
Vol 12 ◽  
Author(s):  
Idris Boudhabhay ◽  
Marion Rabant ◽  
Lubka T. Roumenina ◽  
Louis-Marie Coupry ◽  
Victoria Poillerat ◽  
...  
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Thrombotic Microangiopathy ◽  
Therapeutic Option ◽  
Dramatic Improvement ◽  
Case Presentation ◽  
Complement Inhibition ◽  
Clinical Series ◽  
Inflammatory Syndrome

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has affected millions of people worldwide. A clinical series of Kawasaki-like multisystem inflammatory syndrome (MIS), occurring after SARS-CoV-2 infection, have been described in children (MIS-C) and adults (MIS-A), but the pathophysiology remains unknown.Case PresentationWe describe a case of post-COVID-19 MIS-A in a 46-year-old man with biopsy-proven renal thrombotic microangiopathy (TMA). Specific complement inhibition with eculizumab was initiated promptly and led to a dramatic improvement of renal function.ConclusionOur case suggests that that TMA could play a central role in the pathophysiology of post-COVID-19 MIS-A, making complement blockers an interesting therapeutic option.

Dual Aetiology Hip Pain Requiring Total Hip Arthroplasty in Hereditary Multiple Exostoses: A Case Report and Review of the Literature

2002 ◽  
Vol 12 (4) ◽  
pp. 397-399 ◽  
Author(s):  
S.R. Annapureddy ◽  
T.W.L Chapman ◽  
G.J. Charnley
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Avascular Necrosis ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Review Of The Literature ◽  
Hereditary Multiple Exostoses ◽  
Total Hip ◽  
Multiple Exostoses

We report a case of hereditary multiple exostoses (HME) presenting with avascular necrosis of the femoral head and mechanical impingement of an exostosis treated by total hip replacement.

scholarly journals Mode I and II Wear in Ceramic on Ceramic Total Hip Arthroplasty: A Case Report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Kunal Mohan ◽  
Niall P. McGoldrick ◽  
Conor O’Driscoll ◽  
John F. Quinlan
Keyword(s):  
Case Report ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Patient Specific ◽  
Mode I ◽  
Total Hip ◽  
Ceramic Bearing ◽  
Ceramic Femoral Head ◽  
Keywords Hip ◽  
Ceramic On Ceramic

Introduction: Elective total hip arthroplasty (THA) is a common procedure and has been associated with favorable outcomes in both elderly and younger patients. A variety of implant and articular components exist so to allow surgeons to make a patient-specific choice with the intent of maximizing both patient outcomes and implant survival. The utilization of ceramic bearing surfaces during THA has become increasingly prevalent, with their tribological profile conveying favorable wear and osteolysis-resistant properties. Typically, ceramic articulating components are most susceptible to failure through brittle fracture or complications such as squeaking. Case Report: This case describes a 68-year-old Caucasian male who underwent revision of ceramic on ceramic THA due to pain, with intraoperative analysis revealing evidence of gross Mode I acetabular ceramic component wear with a resultant Mode II wear articulation between the ceramic femoral head and acetabular liner. Conclusion: Wear between ceramic implants in THA is infrequently reported, and as such awareness of this uncommon phenomena as well as its potential causative factors is important when considering either primary or revision THA involving ceramic bearing components. Keywords: Hip, arthroplasty, revision, ceramic, wear.

Incidence of Ceramic Fracture in Contemporary Ceramic-on-Ceramic Total Hip Arthroplasty: A Meta-analysis of Proportions

2020 ◽  
Vol 35 (5) ◽  
pp. 1437-1443.e3 ◽  
Author(s):  
Byung-Ho Yoon ◽  
Jung-Wee Park ◽  
Yong-Han Cha ◽  
Suk-Hyung Won ◽  
Young-Kyun Lee ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Meta Analysis ◽  
Ceramic Fracture ◽  
Total Hip ◽  
Ceramic On Ceramic
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