Extreme cobalt toxicity: Bearing the brunt of a failed ceramic liner

Jamie Griffiths, Alison Colvin, Piers Yates, Daniel Meyerkort, Alan Kop, Gareth Prosser

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Case: We present a case of systemic cobalt toxicity secondary to third-body wear of a cobalt-chromium (CoCr) femoral head following revision of a fractured ceramic bearing. Removal of the CoCr head was followed by resolution of much of the systemic symptoms. Conclusion: This case supports previous reports of cobalt toxicity secondary to catastrophic third-body wear of a CoCr femoral head following a fractured ceramic bearing. It also demonstrates the potential reversibility of many systemic sequelae associated with cobalt toxicity. To our knowledge, this case represents the highest documented blood cobalt level (45, 840 nmol/L).

Original languageEnglish
Article numbere92
JournalJBJS Case Connector
Volume5
Issue number4
DOIs
Publication statusPublished - 14 Oct 2015
Externally publishedYes

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Ceramics
Cobalt
Chromium
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Griffiths, Jamie ; Colvin, Alison ; Yates, Piers ; Meyerkort, Daniel ; Kop, Alan ; Prosser, Gareth. / Extreme cobalt toxicity : Bearing the brunt of a failed ceramic liner. In: JBJS Case Connector. 2015 ; Vol. 5, No. 4.
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Extreme cobalt toxicity : Bearing the brunt of a failed ceramic liner. / Griffiths, Jamie; Colvin, Alison; Yates, Piers; Meyerkort, Daniel; Kop, Alan; Prosser, Gareth.

In: JBJS Case Connector, Vol. 5, No. 4, e92, 14.10.2015.

Research output: Contribution to journalArticle

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T1 - Extreme cobalt toxicity

T2 - Bearing the brunt of a failed ceramic liner

AU - Griffiths, Jamie

AU - Colvin, Alison

AU - Yates, Piers

AU - Meyerkort, Daniel

AU - Kop, Alan

AU - Prosser, Gareth

PY - 2015/10/14

Y1 - 2015/10/14

N2 - Case: We present a case of systemic cobalt toxicity secondary to third-body wear of a cobalt-chromium (CoCr) femoral head following revision of a fractured ceramic bearing. Removal of the CoCr head was followed by resolution of much of the systemic symptoms. Conclusion: This case supports previous reports of cobalt toxicity secondary to catastrophic third-body wear of a CoCr femoral head following a fractured ceramic bearing. It also demonstrates the potential reversibility of many systemic sequelae associated with cobalt toxicity. To our knowledge, this case represents the highest documented blood cobalt level (45, 840 nmol/L).

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