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Erschienen in: MUSCULOSKELETAL SURGERY 1/2016

01.12.2016 | Review

Metallosis in shoulder arthroplasty: an integrative review of literature

verfasst von: Paritosh Gogna, Paolo Paladini, Giovanni Merolla, Carlo Alberto Augusti, De Falco Maddalena, Giuseppe Porcellini

Erschienen in: MUSCULOSKELETAL SURGERY | Sonderheft 1/2016

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Abstract

Shoulder arthroplasty has gained popularity as an efficient means of achieving pain relief and improved function in a variety of complex shoulder disorders. Despite promising reports, given the increasing number of shoulder arthroplasty procedures, various causes that may contribute to failure of a well-functioning arthroplasty are being increasingly recognized. One such disastrous condition is metallosis, a subject which has not been much talked off with reference to shoulder arthroplasty. This article besides reviewing the existing literature intends to discuss the possible causes that contribute to metallosis and devise a protocol for its timely diagnosis and management.
Literatur
1.
Zurück zum Zitat Merolla G, Paladini P, Campi F, Porcellini G (2008) Efficacy of anatomical prostheses in primary glenohumeral osteoarthritis. Musculoskelet Surg 91(2):109–115 Merolla G, Paladini P, Campi F, Porcellini G (2008) Efficacy of anatomical prostheses in primary glenohumeral osteoarthritis. Musculoskelet Surg 91(2):109–115
2.
Zurück zum Zitat Merolla G, Campi F, Paladini P, Lollino N, Fauci F, Porcellini G (2009) Correlation between radiographic risk for glenoid component loosening and clinical scores in shoulder arthroplasty. Musculoskelet Surg 93(Suppl 1):S29–S34CrossRef Merolla G, Campi F, Paladini P, Lollino N, Fauci F, Porcellini G (2009) Correlation between radiographic risk for glenoid component loosening and clinical scores in shoulder arthroplasty. Musculoskelet Surg 93(Suppl 1):S29–S34CrossRef
3.
Zurück zum Zitat Lollino N, Pellegrini A, Paladini P, Campi F, Porcellini G (2011) Gleno-humeral arthritis in young patients: clinical and radiographic analysis of humerus resurfacing prosthesis and meniscus interposition. Musculoskelet Surg 95(Suppl 1):S59–S63CrossRefPubMed Lollino N, Pellegrini A, Paladini P, Campi F, Porcellini G (2011) Gleno-humeral arthritis in young patients: clinical and radiographic analysis of humerus resurfacing prosthesis and meniscus interposition. Musculoskelet Surg 95(Suppl 1):S59–S63CrossRefPubMed
4.
Zurück zum Zitat Chang JD, Lee SS, Hur M, Seo EM, Chung YK, Lee CJ (2005) Revision total hip arthroplasty in hip joints with metallosis: a single-center experience with 31 cases. J Arthroplasty 20:568–573CrossRefPubMed Chang JD, Lee SS, Hur M, Seo EM, Chung YK, Lee CJ (2005) Revision total hip arthroplasty in hip joints with metallosis: a single-center experience with 31 cases. J Arthroplasty 20:568–573CrossRefPubMed
5.
Zurück zum Zitat Puskas GJ, Meyer DC, Lebschi JA, Gerber C (2015) Unacceptable failure of hemiarthroplasty combined with biological glenoid resurfacing in the treatment of glenohumeral arthritis in the young. J Shoulder Elbow Surg 24(12):1900–1907CrossRefPubMed Puskas GJ, Meyer DC, Lebschi JA, Gerber C (2015) Unacceptable failure of hemiarthroplasty combined with biological glenoid resurfacing in the treatment of glenohumeral arthritis in the young. J Shoulder Elbow Surg 24(12):1900–1907CrossRefPubMed
6.
Zurück zum Zitat Willis-Owen C, Keene G, Oakeshott RD (2011) Early metallosis related failure after total knee replacement: a report of 15 cases. J Bone Joint Surg Br 93:205–209CrossRefPubMed Willis-Owen C, Keene G, Oakeshott RD (2011) Early metallosis related failure after total knee replacement: a report of 15 cases. J Bone Joint Surg Br 93:205–209CrossRefPubMed
7.
Zurück zum Zitat Pritchett J (2012) Adverse reaction to metal debris: metallosis of the resurfaced hip. Current Orthop Pract 23(1):50–58CrossRef Pritchett J (2012) Adverse reaction to metal debris: metallosis of the resurfaced hip. Current Orthop Pract 23(1):50–58CrossRef
8.
Zurück zum Zitat von Lüdinghausen M, Meister P, Probst J (1970) Metallosis after osteosynthesis. Pathol Eur 5(3):307–314 von Lüdinghausen M, Meister P, Probst J (1970) Metallosis after osteosynthesis. Pathol Eur 5(3):307–314
9.
Zurück zum Zitat McKee G, Jayson M (1971) McKee-Farrar total prosthetic replacement of the hip Total hip replacement. Sector Publishing, London, pp 47–67 McKee G, Jayson M (1971) McKee-Farrar total prosthetic replacement of the hip Total hip replacement. Sector Publishing, London, pp 47–67
10.
Zurück zum Zitat Khan H, Hurworth M, Kop A (2015) Metallosis following a dual coat porous hydroxyapatite shoulder hemiarthroplasty. J Orthop 12(4):266–271CrossRefPubMed Khan H, Hurworth M, Kop A (2015) Metallosis following a dual coat porous hydroxyapatite shoulder hemiarthroplasty. J Orthop 12(4):266–271CrossRefPubMed
11.
Zurück zum Zitat Lederman ES, Nugent MT, Chhabra A (2011) Metallosis after hemiarthroplasty as a result of glenoid erosion causing contact with retained metallic suture anchors: a case series. J Shoulder Elbow Surg 20(6):e12–e15CrossRefPubMed Lederman ES, Nugent MT, Chhabra A (2011) Metallosis after hemiarthroplasty as a result of glenoid erosion causing contact with retained metallic suture anchors: a case series. J Shoulder Elbow Surg 20(6):e12–e15CrossRefPubMed
12.
Zurück zum Zitat 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):502–505CrossRefPubMed 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):502–505CrossRefPubMed
13.
Zurück zum Zitat Taha R, Roushdi I, Williams C (2015) Pseudotumour secondary to metallosis following Total wrist arthroplasty. J Hand Surg Eur 40(9):995–996CrossRef Taha R, Roushdi I, Williams C (2015) Pseudotumour secondary to metallosis following Total wrist arthroplasty. J Hand Surg Eur 40(9):995–996CrossRef
14.
Zurück zum Zitat Wiater BP, Baker EA, Salisbury MR, Koueiter DM, Baker KC, Nolan BM, Wiater JM (2015) Elucidating trends in revision reverse total shoulder arthroplasty procedures: retrieval study evaluating clinical, radiographic and functional outcomes data. J Shoulder Elbow Surg 24(12):1915–1925CrossRefPubMed Wiater BP, Baker EA, Salisbury MR, Koueiter DM, Baker KC, Nolan BM, Wiater JM (2015) Elucidating trends in revision reverse total shoulder arthroplasty procedures: retrieval study evaluating clinical, radiographic and functional outcomes data. J Shoulder Elbow Surg 24(12):1915–1925CrossRefPubMed
15.
Zurück zum Zitat Fucentese SF, Costouros JG, Kühnel SP, Gerber C (2010) Total shoulder arthroplasty with an uncemented soft-metal-backed glenoid component. J Shoulder Elbow Surg 19(4):624–631CrossRefPubMed Fucentese SF, Costouros JG, Kühnel SP, Gerber C (2010) Total shoulder arthroplasty with an uncemented soft-metal-backed glenoid component. J Shoulder Elbow Surg 19(4):624–631CrossRefPubMed
16.
Zurück zum Zitat Roth TD, Maertz N, Parr J, Buckwalter K, Choplin R (2012) CT of the hip prosthesis: appearance of components, fixation, and complications. Radiographics 32:1089–1107CrossRefPubMed Roth TD, Maertz N, Parr J, Buckwalter K, Choplin R (2012) CT of the hip prosthesis: appearance of components, fixation, and complications. Radiographics 32:1089–1107CrossRefPubMed
17.
Zurück zum Zitat Dalal S, Holt M, Denton J (2012) Titanium metallosis in a cobalt-chrome-polyethylene bipolar shoulder replacement. Shoulder Elb 4:30–32CrossRef Dalal S, Holt M, Denton J (2012) Titanium metallosis in a cobalt-chrome-polyethylene bipolar shoulder replacement. Shoulder Elb 4:30–32CrossRef
18.
Zurück zum Zitat Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Molé D (2002) Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elb Surg 11:351–359CrossRef Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Molé D (2002) Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elb Surg 11:351–359CrossRef
19.
Zurück zum Zitat Berber O, Pearse EO, Tennent TD (2013) Metallosis and cutaneous metal pigmentation in a reverse shoulder replacement. Shoulder Elb 5:195–197CrossRef Berber O, Pearse EO, Tennent TD (2013) Metallosis and cutaneous metal pigmentation in a reverse shoulder replacement. Shoulder Elb 5:195–197CrossRef
20.
Zurück zum Zitat Daniel J, Holland J, Quigley L, Sprague S, Bhandari M (2012) Pseudotumors associated with total hip arthroplasty. J Bone Joint Surg Am 94:86–93CrossRefPubMed Daniel J, Holland J, Quigley L, Sprague S, Bhandari M (2012) Pseudotumors associated with total hip arthroplasty. J Bone Joint Surg Am 94:86–93CrossRefPubMed
21.
Zurück zum Zitat Morwood MP, Garrigues GE (2015) Shoulder arthroplasty in the patient with metal hypersensitivity. J Shoulder Elbow Surg 24(7):1156–1164CrossRefPubMed Morwood MP, Garrigues GE (2015) Shoulder arthroplasty in the patient with metal hypersensitivity. J Shoulder Elbow Surg 24(7):1156–1164CrossRefPubMed
22.
Zurück zum Zitat Watters TS, Cardona DM, Menon KS, Vinson EN, Bolognesi MP, Dodd LG (2010) Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Am J Clin Pathol 134(6):886–893CrossRefPubMed Watters TS, Cardona DM, Menon KS, Vinson EN, Bolognesi MP, Dodd LG (2010) Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Am J Clin Pathol 134(6):886–893CrossRefPubMed
23.
Zurück zum Zitat Thomas P, Summer B, Sanders CA et al (2000) Intolerance of osteosynthesis material: evidence of dichromate contact allergy with concomitant oligoclonal T-cell infiltrate and TH1-type cytokine expression in the peri-implantar tissue. Allergy 55:969–972CrossRefPubMed Thomas P, Summer B, Sanders CA et al (2000) Intolerance of osteosynthesis material: evidence of dichromate contact allergy with concomitant oligoclonal T-cell infiltrate and TH1-type cytokine expression in the peri-implantar tissue. Allergy 55:969–972CrossRefPubMed
24.
Zurück zum Zitat Hallab NJ, Anderson S, Stafford T et al (2005) Lymphocyte responses in patients with total hip arthroplasty. J Orthop Res 23:384–391CrossRefPubMed Hallab NJ, Anderson S, Stafford T et al (2005) Lymphocyte responses in patients with total hip arthroplasty. J Orthop Res 23:384–391CrossRefPubMed
25.
Zurück zum Zitat Goodman SB, Huie P, Song Y et al (1998) Cellular profile and cytokine production at prosthetic interfaces. J Bone Joint Surg Br 80:531–539CrossRefPubMed Goodman SB, Huie P, Song Y et al (1998) Cellular profile and cytokine production at prosthetic interfaces. J Bone Joint Surg Br 80:531–539CrossRefPubMed
27.
Zurück zum Zitat Birkett N, El-Daly I, Ibraheim H, Mbubaegbu C (2015) Metallosis following full thickness wear in total hip arthroplasty. J Surg Case Rep 2015(9). doi:10.1093/jscr/rjv122. Birkett N, El-Daly I, Ibraheim H, Mbubaegbu C (2015) Metallosis following full thickness wear in total hip arthroplasty. J Surg Case Rep 2015(9). doi:10.​1093/​jscr/​rjv122.
28.
Zurück zum Zitat Su EP, Callander PW, Salvati EA (2003) The bubble sign: a new radiographic sign in total hip arthroplasty. J Arthroplasty 18(1):110–112CrossRefPubMed Su EP, Callander PW, Salvati EA (2003) The bubble sign: a new radiographic sign in total hip arthroplasty. J Arthroplasty 18(1):110–112CrossRefPubMed
29.
Zurück zum Zitat Kirkham JR, Petscavage JM, Richardson ML (2010) Metallosis: CT findings in a total hip arthroplasty. Radio Case Rep 5:1–5CrossRef Kirkham JR, Petscavage JM, Richardson ML (2010) Metallosis: CT findings in a total hip arthroplasty. Radio Case Rep 5:1–5CrossRef
30.
Zurück zum Zitat Sabah SA, Mitchell AW, Henckel J, Sandison A, Skinner JA, Hart AJ (2011) Magnetic resonance imaging findings in painful metal-on-metal hips: a prospective study. J Arthroplasty 26:71–76CrossRefPubMed Sabah SA, Mitchell AW, Henckel J, Sandison A, Skinner JA, Hart AJ (2011) Magnetic resonance imaging findings in painful metal-on-metal hips: a prospective study. J Arthroplasty 26:71–76CrossRefPubMed
31.
Zurück zum Zitat Barba T, Wach J, Lustig S, Laurent F, Devouassoux-Shisheboran M, Valour F, Chidiac C, Ferry T, Lyon BJI (2015) Study Group. Metallosis-associated prosthetic joint infection. Med Mal Infect 45(11–12):484–487CrossRefPubMed Barba T, Wach J, Lustig S, Laurent F, Devouassoux-Shisheboran M, Valour F, Chidiac C, Ferry T, Lyon BJI (2015) Study Group. Metallosis-associated prosthetic joint infection. Med Mal Infect 45(11–12):484–487CrossRefPubMed
32.
Zurück zum Zitat Sperling JW, Cofield RH, O’Driscoll SW, Torchia ME, Rowland CM (2000) Radiographic assessment of ingrowth total shoulder arthroplasty. J Shoulder Elbow Surg 9(6):507–513CrossRefPubMed Sperling JW, Cofield RH, O’Driscoll SW, Torchia ME, Rowland CM (2000) Radiographic assessment of ingrowth total shoulder arthroplasty. J Shoulder Elbow Surg 9(6):507–513CrossRefPubMed
33.
Zurück zum Zitat Christie MJ (2002) Clinical applications of trabecular metal. Am J Orthop 31:219–220PubMed Christie MJ (2002) Clinical applications of trabecular metal. Am J Orthop 31:219–220PubMed
34.
Zurück zum Zitat Bailie DS, Ellenbecker TS (2009) Severe chondrolysis after shoulder arthroscopy: a case series. J Shoulder Elb Surg 18:742–747CrossRef Bailie DS, Ellenbecker TS (2009) Severe chondrolysis after shoulder arthroscopy: a case series. J Shoulder Elb Surg 18:742–747CrossRef
35.
Zurück zum Zitat Green A, Norris TR (2001) Shoulder arthroplasty for advanced glenohumeral arthritis after anterior instability repair. J Shoulder Elb Surg 10:539–545CrossRef Green A, Norris TR (2001) Shoulder arthroplasty for advanced glenohumeral arthritis after anterior instability repair. J Shoulder Elb Surg 10:539–545CrossRef
36.
Zurück zum Zitat De Smet K, De Haan R, Calistri A, Campbell PA, Ebramzadeh E, Pattyn C, Gill HS (2008) Metal ion measurement as a diagnostic tool to identify problems with metal-on-metal hip resurfacing. J Bone Joint Surg Am 90(Suppl 4):202–208CrossRefPubMed De Smet K, De Haan R, Calistri A, Campbell PA, Ebramzadeh E, Pattyn C, Gill HS (2008) Metal ion measurement as a diagnostic tool to identify problems with metal-on-metal hip resurfacing. J Bone Joint Surg Am 90(Suppl 4):202–208CrossRefPubMed
39.
Zurück zum Zitat Keegan GM, Learmonth ID, Case CP (2007) Orthopaedic metals and their toxicity in the arthroplasty patient: a review of current knowledge and future strategies. J Bone Joint Surg 89:567–573CrossRef Keegan GM, Learmonth ID, Case CP (2007) Orthopaedic metals and their toxicity in the arthroplasty patient: a review of current knowledge and future strategies. J Bone Joint Surg 89:567–573CrossRef
40.
Zurück zum Zitat Tower SS (2010) Arthroprosthetic cobaltism: neurological and cardiac manifestations in two patients with metal-on-metal arthroplasty: a case report. J Bone Joint Surg Am 92:2847–2851CrossRefPubMed Tower SS (2010) Arthroprosthetic cobaltism: neurological and cardiac manifestations in two patients with metal-on-metal arthroplasty: a case report. J Bone Joint Surg Am 92:2847–2851CrossRefPubMed
41.
Zurück zum Zitat Mao X, Wong AA, Crawford RW (2011) Cobalt toxicity an emerging clinical problem in patients with metal-on-metal hip prostheses? Med J Aust 194(12):649–651PubMed Mao X, Wong AA, Crawford RW (2011) Cobalt toxicity an emerging clinical problem in patients with metal-on-metal hip prostheses? Med J Aust 194(12):649–651PubMed
42.
Zurück zum Zitat Moore RJ, Fraser RD, Vernon-Roberts B et al (2002) The biologic response to particles from a lumbar disc prosthesis. Spine 27:2088–2094CrossRefPubMed Moore RJ, Fraser RD, Vernon-Roberts B et al (2002) The biologic response to particles from a lumbar disc prosthesis. Spine 27:2088–2094CrossRefPubMed
43.
Zurück zum Zitat Gill HS, Grammatopoulos G, Adshead S, Tsialogiannis E, Tsiridis E (2012) Molecular and immune toxicity of CoCr nanoparticles in MoM hip arthroplasty. Trends Mol Med 18(3):145–155CrossRefPubMed Gill HS, Grammatopoulos G, Adshead S, Tsialogiannis E, Tsiridis E (2012) Molecular and immune toxicity of CoCr nanoparticles in MoM hip arthroplasty. Trends Mol Med 18(3):145–155CrossRefPubMed
44.
Zurück zum Zitat Pioletti DP, Takei H, Kwon SY, Wood D, Sung KL (1999) The cytotoxic effect of titanium particles phagocytosed by osteoblasts. J Biomed Mater Res 46:399–407CrossRefPubMed Pioletti DP, Takei H, Kwon SY, Wood D, Sung KL (1999) The cytotoxic effect of titanium particles phagocytosed by osteoblasts. J Biomed Mater Res 46:399–407CrossRefPubMed
45.
Zurück zum Zitat Schaaff P, Dalmiglio M, Holzwarth U (2006) Frequency effect in fretting wear of Co–28Cr–6Mo versus Ti–6AL–4 V implant alloys. J Biomed Mater Res B Appl Biomater 77:79–88CrossRefPubMed Schaaff P, Dalmiglio M, Holzwarth U (2006) Frequency effect in fretting wear of Co–28Cr–6Mo versus Ti–6AL–4 V implant alloys. J Biomed Mater Res B Appl Biomater 77:79–88CrossRefPubMed
46.
Zurück zum Zitat Innocenti M, Carulli C, Matassi F, Carossino AM, Brandi ML, Civinini R (2014) Total knee arthroplasty in patients with hypersensitivity to metals. Int Orthop 38:329–333CrossRefPubMedPubMedCentral Innocenti M, Carulli C, Matassi F, Carossino AM, Brandi ML, Civinini R (2014) Total knee arthroplasty in patients with hypersensitivity to metals. Int Orthop 38:329–333CrossRefPubMedPubMedCentral
47.
Zurück zum Zitat Cadosch D, Chan E, Gautschi OP, Filgueira L (2009) Metal is not inert: role of metal ions released by biocorrosion in aseptic loosening–current concepts. J Biomed Mater Res A 91:1252–1262CrossRefPubMed Cadosch D, Chan E, Gautschi OP, Filgueira L (2009) Metal is not inert: role of metal ions released by biocorrosion in aseptic loosening–current concepts. J Biomed Mater Res A 91:1252–1262CrossRefPubMed
48.
Zurück zum Zitat Lutzner J, Hartmann A, Dinnebier G, Spornraft-Ragaller P, Hamann C, Kirschner S (2013) Metal hypersensitivity and metal ion levels in patients with coated or uncoated total knee arthroplasty: a randomized controlled study. Int Orthop 37:1925–1931CrossRefPubMedPubMedCentral Lutzner J, Hartmann A, Dinnebier G, Spornraft-Ragaller P, Hamann C, Kirschner S (2013) Metal hypersensitivity and metal ion levels in patients with coated or uncoated total knee arthroplasty: a randomized controlled study. Int Orthop 37:1925–1931CrossRefPubMedPubMedCentral
Metadaten
Titel
Metallosis in shoulder arthroplasty: an integrative review of literature
verfasst von
Paritosh Gogna
Paolo Paladini
Giovanni Merolla
Carlo Alberto Augusti
De Falco Maddalena
Giuseppe Porcellini
Publikationsdatum
01.12.2016
Verlag
Springer Milan
Erschienen in
MUSCULOSKELETAL SURGERY / Ausgabe Sonderheft 1/2016
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-016-0408-1

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