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Adaptive Immune Response Associated with a Zirconium-Containing, Cemented, Total Knee Arthroplasty: A Case Report.
Tarity, T David; Vigdorchik, Jonathan M; Westrich, Geoffrey H; Gonzalez Della Valle, Alejandro; Cerrito, Paola; Baral, Elexis C; Bromage, Timothy G; Bauer, Thomas W.
Afiliación
  • Tarity TD; The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, New York.
  • Vigdorchik JM; The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, New York.
  • Westrich GH; The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, New York.
  • Gonzalez Della Valle A; The Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, New York.
  • Cerrito P; Departments of Anthropology and Molecular Pathobiology, New York University College of Dentistry, New York, New York.
  • Baral EC; Department of Biomedical Engineering, Hospital for Special Surgery, New York, New York.
  • Bromage TG; Department of Molecular Pathobiology, New York University College of Dentistry, New York, New York.
  • Bauer TW; Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, New York, New York.
JBJS Case Connect ; 11(3)2021 08 27.
Article en En | MEDLINE | ID: mdl-34449449
CASE: A 69-year-old woman underwent revision total knee arthroplasty for patellar component aseptic loosening. The periprosthetic tissue demonstrated histologic features of an adaptive immune response (aseptic lymphocyte-dominant vasculitis-associated lesion [ALVAL]). No particles of corrosion debris were identified. The inflammation seemed to be associated with zirconium oxide (ZrO2) particles added as a bone cement radio-opacifier. CONCLUSION: The factors responsible for the adaptive immune response cannot be determined with certainty; however, this is the first reported case of ALVAL associated with ZrO2-containing bone cement. Previous reports describing ALVAL around failed total knee prostheses have not included observations about the type of contrast material added to cement.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Circonio / Artroplastia de Reemplazo de Rodilla Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans Idioma: En Revista: JBJS Case Connect Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Circonio / Artroplastia de Reemplazo de Rodilla Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans Idioma: En Revista: JBJS Case Connect Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos