Poisoning by metals used in prosthetic materials in orthopedics and its current management

Juan Farak Gomez; Jhonnier Villero Suárez; Mayurin Pérez García; Josselyn Rojas Pérez

Poisoning by metals used in prosthetic materials in orthopedics and its current management

Juan Farak Gomez, Jhonnier Villero Suárez, Mayurin Pérez García, Josselyn Rojas Pérez

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Resumen

Poisoning by metals present in prosthetic materials used in orthopedics is caused by the release of waste metals that are generated mainly by wear and corrosion. The objective of this study is to detail which are the current clinical and pathophysiological manifestations of the prosthetic metals used in orthopedics as well as the management of the most frequent arthroplasty associated with metal toxicity, hip arthroplasty, mentioning the most frequent metals that produce toxicity and implants or arthroplasties that carry a risk of developing intoxication. A narrative review was carried out through various databases from January 2005 to January 2021; the search and selection of articles were carried out in journals indexed in English. The results provided updated and organized information on the clinical and pathophysiological manifestations caused by the different types of frequent metals that produce toxicity present in prosthetic materials, as well as the management of hip arthroplasty.

Palabras clave

intoxication; metals; materials; prosthetics; orthopedics; arthroplasty; implants.

Referencias

S. Valerio, P. Davide, M. Marco. The effects on bone cells of metal ions released from orthopedic implants. A review. Clin Cases Miner Bone Metab. 2013 Jan-Apr; 10 (1): 34–40. Doi: 10.11138 / ccmbm / 2013.10.1.034

Biological Responses to metal implants. Center for devices & radiological health FDA. US FOOD & DRUG Administration. September 2019

D. Bijukumar, A. Segu, J. Souza, X. Li. Systemic and local toxicity of metal debris released from hip prostheses: A review of experimental approaches. Nanomedicine. 2018 Apr; 14 (3): 951–963. doi: 10.1016 / j.nano.2018.01.001

M. Massimiliano, A. Saverio. Materials for Hip Prostheses: A Review of Wear and Loading Considerations. Materials (Basel). 2019 Feb; 12 (3): 495. doi: 10.3390 / ma12030495

Y. Chang, Y. Taek-Rim. Recent updates for biomaterials

used in total hip arthroplasty. Biomater Res. 2018; 22: 33. doi: 10.1186 / s40824-018-0144-8

M. Gulraj, E. Antti, J. Andrew. P. Hemant, W. David. Revision surgery of metal-on-metal hip arthroplasties for adverse reactions to metal debris. Act Orthop. 2018 Jun; 89 (3): 278–288. doi: 10.1080 / 17453674.2018.1440455

P. Christiaan, B. Harmen, D. Catherine, J. Bouwdewijn, M. Cees. Self-reported neurological clinical manifestations of metal toxicity in metal-on-metal hip arthroplasty. Hip Int 2014; 24 (6): 568-574. DOI: 10.5301 / hipint.5000179

H. Sanil, P. Charalambos. Availability of Total Knee Arthroplasty Implants for Metal Hypersensitivity Patients. Knee Surg Relat Res. 2016 Dec; 28 (4): 312–318. Doi: 10.5792 / ksrr.16.018

A. Yahya, V. Ravi, A. Sheeraz. Artificial disc replacement in spine surgery. Ann Transl Med. 2019 Sep; 7 (Suppl 5): S170. doi: 10.21037 / atm.2019.08.26

N. Stephan, P. Nicolas, S. Jennifer, P. Federico. Lumbar disc replacement surgery — successes and obstacles to widespread adoption. Curr Rev Musculoskelet Med. 2017 Jun; 10 (2): 153–159. Doi: 10.1007 / s12178-017-9397-4

B. Stephen. We Need to Talk about Lumbar Total Disc Replacement. Int J Spine Surg. 2018 Apr; 12 (2): 201–240. Doi: 10.14444 / 5029

Z. Sebastien. Shoulder Arthroplasty: Historical Considerations. Open Orthop J. 2017; 11: 1100-1107. Doi: 10.2174 / 1874325001711011100

G. Keegan, D. Learmonth, C. Case. Orthopedic metals and their potential toxicity in the arthroplasty patient. A review of current knowledge and future strategies.J Bone Joint Surg Br. 2007 May; 89 (5): 567-73. doi: 10.1302 / 0301-620X.89B5.18903

J. John, C. Adam, B. Jeffrey, W. Brent, D. Scott, S. Michael. Clinical Features, Testing, and Management of Patients with Suspected Prosthetic Hip-Associated Cobalt Toxicity: a Systematic Review of Cases. J Med Toxicol. 2013 Dec; 9 (4): 405–415. doi: 10.1007 / s13181-013-0320-0

A. Catarina, S. Isabel, B. Pedro F. Antonio, C. Filipe. Metallosis: A diagnosis not only in patients with metal-on-metal prostheses. Eur J Radiol Open. 2015; 2: 3-6. doi: 10.1016 / j.ejro.2014.11.001

A. Schiavone, M. Vasso, S. Cerciello, M. Giulio. Metallosis following knee arthroplasty: a histological and

immunohistochemical study. Int J Immunopathol Pharmacol. Jul-Sep 2011; 24 (3): 711-9. doi: 10.1177 / 039463201102400317

R. James, M. Jonathan, K. Sri-Ram, P. Christopher. The relationship between the presence of metallosis and massive infection in metal-on-metal hip replacements. Hip Int. 2010 Apr-Jun; 20 (2): 242-7. doi: 10.1177 / 112070001002000216.

P. Korovessis, G. Petsinis, M. Repanti, T. Repantis. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Joint Surg Am. 2006 Jun; 88 (6): 1183-91. doi: 10.2106 / JBJS.D.02916.

S. Michael, J. Pooya, K. Vikram, N. Steven. Chronic Systemic Metal Ion Toxicity from Wear on a Revised Cobalt-chromium Trunnion. J Orthop Case Rep. 2019; 9 (2): 48–51. doi: 10.13107 / jocr.2250-0685.1366

M. Bradberry, M. Wilkinson, E. Ferner. Systemic toxicity related to metal hip prostheses. Clin Toxicol (Phila). Sep-Oct 2014; 52 (8): 837-47. doi: 10.3109 / 15563650.2014.944977

P. Christiaan, B. Harmen, R. Jorik, J. Gosse, M. Cees. Clinical manifestations in ten patients with asymptomatic metal-on-metal hip arthroplasty with very high cobalt levels. Hip Int. Sep-Oct 2013; 23 (5): 441-4. doi: 10.5301 / hipint.5000054

H. Anton, C. Henny, K. Sjoerd, J. Henk, N. Danielle. Effects of metal-on-metal wear on the host immune system and infection in hip arthroplasty. Act Orthop. 2010 Oct; 81 (5): 526–534. doi: 10.3109 / 17453674.2010.519169

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