PMC6369479_01
Pelvic A-P view at symptom onset, April 2017. Left periprosthetic collection with hydroaeric levels.
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fig1
Plain radiographs and CT scan showed massive collection around the left prosthesis (Figures 1 and 2).
Frontal and axial views of the CT scan showing the important left periprosthetic collection.
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Plain radiographs and CT scan showed massive collection around the left prosthesis (Figures 1 and 2).
MRI showing the important metal accumulation in the basal ganglia and caudate nucleus with T1 hypersignal and T2 hyposignal.
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Neurological exam with MRI showed heavy metal accumulation in the basal ganglia and caudate nucleus (Figure 3).
Per-operative aspect of the femoral chromium-cobalt head, flattened with a hole in it. 18 g of metal loss explaining metallosis with systemic repercussions.
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Every component was removed and the cobalt-chromium femoral head was severely worn, with a hole in it (Figure 4).
Post revision surgery X-rays at six-month follow-up.
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Standard X-rays at the six-month follow-up showed no radiological complications of the left hip revision (Figure 5).