Diagnosis of adverse local tissue reactions follow

Authors: Brian P Chalmers Kevin I Perry Michael J Taunton Tad M Mabry Matthew P Abdel

Publish Date: 2016/01/27

Volume: 9, Issue: 1, Pages: 67-74

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Abstract

Metalonmetal MOM bearing surfaces in hip arthroplasty have distinct advantages that led to the increase in popularity in North America in the early 2000s However with their increased use concerns such as local cytotoxicity and hypersensitivity reactions leading to soft tissue damage and cystic mass formation known collectively as adverse local tissue reactions ALTR became apparent The clinical presentation of ALTR is highly variable The diagnosis of ALTR in MOM articulations in hip arthroplasty can be challenging and a combination of clinical presentation physical examination implant track record component positioning serum metal ion levels crosssectional imaging histopathologic analysis and consideration of alternative diagnoses are essential

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