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10.1155/2017/9123684 http://scihub22266oqcxt.onion/10.1155/2017/9123684 C5591987!5591987!28929003     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Case+Rep+Orthop 2017 ; 2017 (ä): ä Nephropedia Template TP {{tp|p=28929003|t=2017. Fatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplasty |pdf=|usr=}}{{28929003}} gab.com Text Fatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplasty JO: Case Rep Orthop http://www.kidney.de/pget.php?&tw=1&pmid=28929003 #FOAvip This case illustrates the potential for systemic cobalt toxicity in non-metal-on-metal bearings and its potentially devastating consequences. We present a 71-year-old male with grinding sensations in his right hip following ceramic-on-ceramic total hip arthroplasty (THA). After diagnosing a fractured ceramic liner, the hip prosthesis was revised into a metal-on-polyethylene bearing. At one year postoperatively, X-rays and MARS-MRI showed a fixed reversed hybrid THA, with periarticular densities, flattening of the femoral head component, and a pattern of periarticular metal wear debris and pseudotumor formation. Before revision could take place, the patient was admitted with the clinical picture of systemic cobalt toxicity, supported by excessively high serum cobalt and chromium levels, and ultimately died. At autopsy dilated cardiomyopathy as cause of death was hypothesized. A third body wear reaction between ceramic remnants and the metal femoral head very likely led to excessive metal wear, which contributed systemic cobalt toxicity leading to neurotoxicity and heart failure. This case emphasizes that fractured ceramic-on-ceramic bearings should be revised to ceramic-on-ceramic or ceramic-on-polyethylene bearings, but not to metal-on-polyethylene bearings. We aim to increase awareness among orthopedic surgeons for clinical clues for systemic cobalt intoxication, even when there is no metal-on-metal bearing surface. Twit Text FOAVip Fatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplasty ????Case Rep Orthop http://www.kidney.de/pget.php?&tw=1&pmid=28929003 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28929003 #FOAvip English Wikipedia <ref>{{Cite pmid|28929003}}</ref> Fatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplasty #MMPMID28929003 Peters RM; Willemse P; Rijk PC; Hoogendoorn M; Zijlstra WP Case Rep Orthop 2017[]; 2017 (ä): ä PMID28929003show ga This case illustrates the potential for systemic cobalt toxicity in non-metal-on-metal bearings and its potentially devastating consequences. We present a 71-year-old male with grinding sensations in his right hip following ceramic-on-ceramic total hip arthroplasty (THA). After diagnosing a fractured ceramic liner, the hip prosthesis was revised into a metal-on-polyethylene bearing. At one year postoperatively, X-rays and MARS-MRI showed a fixed reversed hybrid THA, with periarticular densities, flattening of the femoral head component, and a pattern of periarticular metal wear debris and pseudotumor formation. Before revision could take place, the patient was admitted with the clinical picture of systemic cobalt toxicity, supported by excessively high serum cobalt and chromium levels, and ultimately died. At autopsy dilated cardiomyopathy as cause of death was hypothesized. A third body wear reaction between ceramic remnants and the metal femoral head very likely led to excessive metal wear, which contributed systemic cobalt toxicity leading to neurotoxicity and heart failure. This case emphasizes that fractured ceramic-on-ceramic bearings should be revised to ceramic-on-ceramic or ceramic-on-polyethylene bearings, but not to metal-on-polyethylene bearings. We aim to increase awareness among orthopedic surgeons for clinical clues for systemic cobalt intoxication, even when there is no metal-on-metal bearing surface. äFatal Cobalt Toxicity after a Non-Metal-on-Metal Total Hip Arthroplast(epmc).pdf DeepDyve Pubget Overpricing