|. By Heidi Turner|
The study was published in December in the journal Orthopedics, and details the condition of a 54-year-old female patient who received a metal-on-metal hip replacement. According to researchers, the patient developed swelling in her leg five years after hip replacement surgery and this swelling grew worse when the patient walked. The leg swelling was "secondary to venous obstruction by a metallosis-induced iliopsoas bursal cyst associated with markedly elevataed intralesional cobalt and chromium levels."
In other words, after having a metal-on-metal hip replacement, the patient experienced metallic debris coming loose from the device and being absorbed by her bloodstream. This caused a bursal cyst on her iliopsoas, which compressed her femoral vein. The bursal cyst had increased levels of chromium and cobalt.
Researchers noted the patient underwent revision surgery to replace the metal-on-metal hip device with a ceramic-on-ceramic hip device and at one-year follow-up did not have any signs of recurrence of the cyst.
"Metal-on-metal bearings of the hip are associated with elevated concentrations of metal ions in the hip joint and systemically," researchers noted. These elevated metal concentrations can cause adverse reactions, including build-up of fluids, and the development of lesions, cysts and pseudotumors