Show simple item record

dc.contributor.authorJayasekera, Narlaka
dc.contributor.authorGouk, Conor
dc.contributor.authorPatel, Amit
dc.contributor.authorEyres, Keith
dc.date.accessioned2020-10-23T00:05:11Z
dc.date.available2020-10-23T00:05:11Z
dc.date.issued2015
dc.identifier.issn2090-6749
dc.identifier.doi10.1155/2015/891904
dc.identifier.urihttp://hdl.handle.net/10072/398599
dc.description.abstractIntroduction. Metallosis is a phenomenon most commonly associated with hip replacement. However it can occur in any metallic implant subject to wear. Wear creates metal debris, which is deposited in the surrounding soft tissue. This leads to many local adverse reactions including, but not limited to, implant loosening/osteolysis, pain, and effusion. In the deeper joints, for example, the hip, metal deposits are mostly only seen intraoperatively. Case Study. A 74-year-old lady represented to orthopaedic outpatient clinic. Her principle complaint was skin discolouration, associated with pain and swelling over the left knee, on the background of a previous total knee replacement with a metal backed patella resurfacing six years. A plain radiograph revealed loosening of the patellar prosthesis. A diagnosis of metallosis was made; the patient underwent debridement of the stained soft tissue and primary revision of the prosthesis. She remained symptom-free five years after revision. Discussion. Metallosis results in metallic debris which causes tissue staining, often hidden within the soft tissue envelope of the hip, but more apparent in the knee. Metallosis may cause pain, effusion, and systemic symptoms because of raised levels of serum-metal ions. Surgical intervention with revision and debridement can have good functional results.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherHindawi Limited
dc.relation.ispartofpagefrom891904
dc.relation.ispartofjournalCase Reports in Orthopedics
dc.relation.ispartofvolume2015
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.titleApparent Skin Discoloration about the Knee Joint: A Rare Sequela of Metallosis after Total Knee Replacement
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationJayasekera, N; Gouk, C; Patel, A; Eyres, K, Apparent Skin Discoloration about the Knee Joint: A Rare Sequela of Metallosis after Total Knee Replacement, Case Reports in Orthopedics, 2015, 2015, pp. 891904
dcterms.dateAccepted2015-03-05
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-10-22T23:51:05Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2015 Narlaka Jayasekera 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.
gro.hasfulltextFull Text
gro.griffith.authorGouk, Conor J.


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record