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Updated: Jan 28, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Chromium-Cobalt Intoxication with Intense Systemic Complications following Total Hip Revision after Per-Operative
Paul Lecoanet1, Mathias Blangis1, Matthieu Garcia1
1CHU de Bordeaux, Place Amélie Raba-Léon, 33000 Bordeaux, France.
Introduction:
Heavy metal intoxication after arthroplasty is extremely rare but could be lethal. Case Report. We report the case of a 69-year-old woman, who presented intense systemic symptoms of chromium-cobalt intoxication after revision of per-operative fractured ceramic components with metal-on-polyethylene. Systemic toxicity occurred a year after surgery and expressed brutally with mostly central neurological symptoms. Chelation associated with revision surgery allowed rapid regression of all symptoms.
Conclusion:
Revision of fractured ceramic, even per-operatively, should not be done with metal-on-polyethylene components, in order to avoid potentially lethal metal intoxication.
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