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Case report

Metallosis and elevated serum levels of tantalum following failed revision hip arthroplasty— a case report

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Pages 677-680 | Received 17 Aug 2013, Accepted 24 Mar 2014, Published online: 20 Aug 2014

Figures & data

Figure 1. Pre-revision radiograph. An unexplained “hallo formation” can be seen surrounding the acetabular components.

Figure 1. Pre-revision radiograph. An unexplained “hallo formation” can be seen surrounding the acetabular components.

Figure 2. Skin pigmentation immediately after revision.

Figure 2. Skin pigmentation immediately after revision.

Figure 3. Intraoperative findings. Extensive periprosthetic metallosis and wear of the tantalum augment and the adjacent porous titanium and hydroxyapatite-coated acetabular SYMBIOS cup. Ta particles were embedded in the polyethylene surface (black stains).

Figure 3. Intraoperative findings. Extensive periprosthetic metallosis and wear of the tantalum augment and the adjacent porous titanium and hydroxyapatite-coated acetabular SYMBIOS cup. Ta particles were embedded in the polyethylene surface (black stains).

Figure 4. SEM image and results of EDX analysis of areas A, B, C, and D revealing the predominance of Ta.

Figure 4. SEM image and results of EDX analysis of areas A, B, C, and D revealing the predominance of Ta.

Figure 5. 6 months after re-revision of the acetabular components. A modified jumbo Ta cup-Ti cage construct and peripheral Ta augment were used due to pelvic discontinuity. The patient had no pain at the latest follow-up.

Figure 5. 6 months after re-revision of the acetabular components. A modified jumbo Ta cup-Ti cage construct and peripheral Ta augment were used due to pelvic discontinuity. The patient had no pain at the latest follow-up.