Extreme Cobalt Toxicity: Bearing the Brunt of a Failed Ceramic Liner. Issue 4 (October 2015)

• Record Type: Journal Article
• Authors: Griffiths, Jamie; Colvin, Alison; Yates, Piers; Meyerkort, Daniel; Kop, Alan; Prosser, Gareth
• Is Part Of: JBJS case connector. Volume 5:Issue 4(2015)
• Publication Date: 2015-10
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00242
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We present a case of systemic cobalt toxicity secondary to third-body wear of a cobalt-chromium (CoCr) femoral head following revision of a fractured ceramic bearing. Removal of the CoCr head was followed by resolution of much of the systemic symptoms. Conclusion: This case supports previous reports of cobalt toxicity secondary to catastrophic third-body wear of a CoCr femoral head following a fractured ceramic bearing. It also demonstrates the potential reversibility of many systemic sequelae associated with cobalt toxicity. To our knowledge, this case represents the highest documented blood cobalt level (45, 840 nmol/L).