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Case Reports in OrthopedicsVolume 2013 2013, Article ID 398973, 5 pages

Case Report

Department of Orthopaedics, Greenville Health System, University of South Carolina SOM, 701 Grove Road, Greenville, SC 29605, USA

Department of Bioengineering, Clemson University, 301 Rhodes Engineering Center, Clemson, SC 29634, USA

Department of Pathology, Greenville Health System, Pathology Associates of Greenville PA, 8 Memorial Medical Court, Greenville, SC 29605, USA

Steadman Hawkins Clinic of the Carolinas, Greenville, 315 Medical Parkway, Suite 100, Greer, SC 29650, USA

Received 6 March 2013; Accepted 23 May 2013

Academic Editors: P. Carpintero and S. N. Parikh

Copyright © 2013 Thomas B. Pace et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This is a case report involving a single case with severe bone and soft tissue destruction in a young male patient with a 10-year-metal on-metal total hip arthroplasty. Following complete aseptic erosion of the affected hip greater trochanter and abductor muscles, the hip was revised for recurrent instability. Histological examination of the patient’s periprosthetic tissues, serological studies, and review of recent medical reports of similar cases were used to support an explanation of the destructive process and better contribute to our understanding of human reaction to metal debris in some patients following metal-on-metal hip arthroplasty.

Autor: Thomas B. Pace, Kara A. Rusaw, Lawrence J. Minette, Brayton R. Shirley, Rebecca G. Snider, and John D. DesJardins



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