Evidence map›Paper›PMID 28326382›Full record

ArticleArthroplasty today2015

Cardiac cobaltism: a rare complication after bilateral metal-on-metal total hip arthroplasty.

John R Martin, Luke Spencer-Gardner, Christopher L Camp, John M Stulak, Rafael J Sierra

Abstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
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  11. Article
  12. Review
  13. Total hip arthroplasty and cardiovascular complications: a review.Therapeutics and clinical risk management · 2018
    Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John R MartinDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Luke Spencer-GardnerDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Christopher L CampDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
John M StulakDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.
Rafael J SierraDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is one of the first documented cases of metal-on-metal (MoM) total hip arthroplasty cobalt cardiac toxicity that has led to patient death. A 69-year-old female presented to our institution with cardiac failure secondary to cobalt toxicity resulting from bilateral MoM total hip arthroplasty. Her presenting metal ion levels were a cobalt level of 199 ppb and a chromium level of 77 ppb. She underwent bilateral femoral revisions to remove the source of cobalt. On postoperative day 7, the patient sustained a cerebral infarct and eventually expired because of the insult. This case represents one of the first documented fatalities related to MoM cobalt cardiac toxicity.

Indexed as

Cardiac cobaltismMetal-on-metal (MoM)Total hip arthroplasty (THA)

Identifiers

PMID28326382
PMCPMC4958119

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.