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Metal-on-Metal Disease in High-Motion Wrist Arthroplasty
Christopher J Rothe1, Brahman S Sivakumar1, Craig A Buchan1
1Gold Coast University Hospital, Southport, QLD, Australia.
Abstract:
Metal-on-metal disease (MOMD) is a rare condition following arthroplasty and has predominantly been reported following hip and knee replacement. Isolated case reports exist with respect to MOMD following total wrist arthroplasty-however, the literature remains limited. Here, we present the history and radiographic and histopathologic features of such a case, and summarize the literature and provide management recommendations.
Insights
Metal-on-metal disease (MOMD) is a rare complication after joint replacement surgery. This case report details MOMD following total wrist arthroplasty, highlighting its limited literature and offering management guidance.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Pathology
Background:
- Metal-on-metal disease (MOMD) is a rare adverse reaction to metal-on-metal bearing surfaces used in arthroplasty.
- While predominantly reported in hip and knee replacements, MOMD can occur in other joint arthroplasties.
- Literature on MOMD following total wrist arthroplasty is scarce.
Purpose of the Study:
- To present a case of metal-on-metal disease following total wrist arthroplasty.
- To describe the radiographic and histopathologic findings associated with this condition.
- To review existing literature and propose management strategies for MOMD in wrist arthroplasty.
Main Methods:
- Detailed case presentation including patient history.
- Radiographic imaging analysis (e.g., X-ray, MRI).
- Histopathologic examination of tissue samples.
- Comprehensive literature search on metal-on-metal disease and wrist arthroplasty.
Main Results:
- The case demonstrated characteristic features of MOMD.
- Radiographic findings included pseudotumor formation and bone changes.
- Histopathology revealed inflammatory and tissue-damaging responses.
- Literature review confirmed the rarity and limited data on MOMD in wrist arthroplasty.
Conclusions:
- Metal-on-metal disease is a potential complication of total wrist arthroplasty, albeit rare.
- Early recognition and diagnosis are crucial for effective management.
- Further research is needed to understand the long-term implications and optimal treatment protocols for MOMD in wrist arthroplasty.
