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A 62-year-old female patient showed radiographic signs of severe linear wear of the acetabular component six years after cementless total hip arthroplasty. This suggested wear-through of the acetabular liner with secondary wear of the titanium shell. At revision surgery wear-through of both the inlay and the acetabular shell were confirmed. Despite meticulous debridement serum titanium levels remained elevated for more than 12 months. Wear-through of a polyethylene acetabular liner with secondary wear of the titanium shell can lead to increased titanium serum levels. Titanium serum levels can remain highly elevated despite revision surgery.

biomedizinische technik

Titanium serum levels may remain elevated despite hip revision surgery for wear-through of an acetabular component Erhöhter Titan-Serumspiegel trotz Revisionsoperation bei abriebpartikelinduzierter Pfannenlockerung