Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement

W. S. Khan; M. Agarwal; A. A. Malik; A. G. Cox; J. Denton; E. M. Holt

doi:10.1302/0301-620X.90B4.20302

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Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement

W. S. Khan
M. Agarwal
A. A. Malik
A. G. Cox
J. Denton
E. M. Holt

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Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement

Khan WS, Agarwal M, Malik AA, Cox AG, Denton J, Holt EM. Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement. J Bone Joint Surg Br. 2008;90-B(4):502-505. doi:10.1302/0301-620X.90B4.20302

Khan, W. S., et al. “Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement.” The Journal of Bone & Joint Surgery British Volume, vol. 90-B, no. 4, 2008, pp. 502-505., https://doi.org/10.1302/0301-620X.90B4.20302

Khan, W. S., Agarwal, M., Malik, A. A., Cox, A. G., Denton, J., & Holt, E. M. (2008). Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement. The Journal of Bone & Joint Surgery British Volume, 90-B(4), 502-505. https://doi.org/10.1302/0301-620X.90B4.20302

Khan, W. S., Agarwal, M., Malik, A. A., Cox, A. G., Denton, J. and Holt, E. M. (2008) “Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement.” The Journal of Bone & Joint Surgery British Volume, 90-B(4), pp. 502-505. Available at: https://doi.org/10.1302/0301-620X.90B4.20302

Khan, W. S., M. Agarwal, A. A. Malik, A. G. Cox, J. Denton, and E. M. Holt. “Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement.” The Journal of Bone & Joint Surgery British Volume 90-B, no. 4 (2008): 502-505. https://doi.org/10.1302/0301-620X.90B4.20302

Khan WS, Agarwal M, Malik AA, Cox AG, Denton J, Holt EM. Chromium, cobalt and titanium metallosis involving a Nottingham shoulder replacement. J Bone Joint Surg Br. 2008 Apr 1;90-B(4):502-505. https://doi.org/10.1302/0301-620X.90B4.20302

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Abstract

Metallosis after shoulder replacement has not previously been described in the literature. We report a patient who developed extensive metallosis after implantation of an uncemented Nottingham shoulder replacement. He underwent a revision procedure.

Examination of the retrieved prosthesis showed that the titanium porous coating was separating from the humeral stem and becoming embedded in the ultra-high-molecular-weight polyethylene glenoid component, resulting in abrasive wear of the humeral component. There was metallosis despite exchange of the modular humeral head. Both components had to be exchanged to resolve the problem.

Correspondence should be sent to Dr W. S. Khan at The Old Bakery, Northaw, Hertfordshire EN6 4NW, UK; e-mail: wasimkhan@doctors.org.uk

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The Journal of Bone & Joint Surgery British Volume

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90-B No.4 | Pages 502 - 505

Published

01 April 2008

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W. S. Khan

Clinical Research Fellow, Faculty of Life Sciences

Musculoskeletal Research Group, University of Manchester, Oxford Road, Manchester M13 9PT, UK.

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M. Agarwal

Orthopaedic Specialist Registar

Wythenshawe Hospital, South Manchester University Teaching Hospitals NHS Trust, Southmoor Road, Manchester M23 9LT, UK.

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A. A. Malik

Orthopaedic Specialist Registar

Wythenshawe Hospital, South Manchester University Teaching Hospitals NHS Trust, Southmoor Road, Manchester M23 9LT, UK.

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A. G. Cox

Centre Manager

Centre of Analytical Sciences, Dainton Building, University of Sheffield, Western Bank, Sheffield S3 7HF, UK.

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J. Denton

Pathology Research Fellow

Musculoskeletal Research Group, University of Manchester, Oxford Road, Manchester M13 9PT, UK.

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E. M. Holt

Consultant Orthopaedic Surgeon

Wythenshawe Hospital, South Manchester University Teaching Hospitals NHS Trust, Southmoor Road, Manchester M23 9LT, UK.

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