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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2024; 15(7): 668-674
Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.668
Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.668
Bone graft incorporation failure with inappropriate limb load transfer can lead to aseptic acetabular loosening of metal-on-metal prosthesis: A case report
Rafał Stanisław Domagalski, Szymon Czech, Tomasz Stołtny, District Hospital of Orthopaedics and Trauma Surgery in Piekary Śląskie, Piekary Śląskie 41-940, Poland
Bogdan Dugiełło, District Railway Hospital, Medical University of Silesia, Katowice 40-760, Poland
Sonia Rokicka, Faculty of Medicine, Medical University of Gdańsk, Gdańsk 80-210, Poland
Rafał Skowroński, “ALFA” Orthopaedics and Traumatology Center, Białystok 15-763, Poland
Dominika Rokicka, Marta Patrycja Wróbel, Krzysztof Strojek, Department of Internal Medicine, Diabetology and Cardiometabolic Disorders, Faculty of Medical Sciences Zabrze, Medical University of Silesia, Zabrze 41-800, Poland
Author contributions: All authors discussed the results and contributed to the final manuscript; Domagalski RS, Dugiełło B and Rokicka S wrote the draft of the manuscript and participated in the follow-up examination of the patient and clinical materials; Czech S, Skowroński R, Rokicka D, Wróbel MP and Strojek K were involved in drafting the manuscript and critically revising it; Stołtny T performed the surgery, and coordinated and helped to draft and finalize the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this anonymized report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bogdan Dugiełło, MD, Doctor, District Railway Hospital, Medical University of Silesia, Panewnicka Street 65, Katowice 40-760, Poland.
Received: January 2, 2024
Revised: February 11, 2024
Accepted: May 9, 2024
Published online: July 18, 2024
Processing time: 191 Days and 12.7 Hours
Revised: February 11, 2024
Accepted: May 9, 2024
Published online: July 18, 2024
Processing time: 191 Days and 12.7 Hours
Core Tip
Core Tip: This article explores a rare case of acetabular loosening following total hip arthroplasty (THA) due to improper limb load transfer after hip trauma. A 63-year-old patient underwent THA with a metal-on-metal bearing, initially showing no complications. However, 2 years later, acetabular component loosening occurred, requiring revision THA with a ceramic-on-ceramic bearing. The study emphasizes the impact of limb load distribution on hip arthroplasty outcomes. Post-revision, the patient showed significant improvement in clinical parameters. This case underscores the need for careful consideration of limb load transfer after THA to mitigate risks of loosening.