CoxaPro
> Clinical Library > Tervetuloa Clinical Libraryyn > Wound Drainage After Metal-On-Metal Hip Arthroplasty Secondary to Presumed Delayed Hypersensitivity Reaction
The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 26, Issue: 2, Page: 338.e5-338.e7
Hip
Link to article
Wound Drainage After Metal-On-Metal Hip Arthroplasty Secondary to Presumed Delayed Hypersensitivity Reaction
Mark D. Earll; Patrick G. Earll; Russell S. RougeuxHip
An emerging concern with metal-on-metal total hip arthroplasty is metal-induced hypersensitivity. Currently, this is a diagnosis of exclusion in patients with groin pain after metal-on-metal total hip arthroplasty. We describe a patient presenting nearly a year after arthroplasty with incisional drainage. Infection was presumed; but preoperative studies were nondefinitive, and the wound was explored. The operative cultures were negative; the histology revealed lymphocytic vasculitis. The patient recovered uneventfully after exchange to a metal polyethylene bearing couple. We believe that metal-induced hypersensitivity should be considered with draining wounds with this bearing couple if infection cannot be proven.
Link to article