ArticleInternational journal of surgery case reports2026
Coexistence of metallosis and prosthetic joint infection following metal-on-polyethylene total hip arthroplasty: a rare case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Early post-traumatic avascular necrosis with secondary osteoarthritis following an acetabular fracture in a 19-year-old patient treated with total hip arthroplasty: a case report.International journal of surgery case reports · 2026Article
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2 authors.
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Abstract
Introduction and importance: Total hip arthroplasty (THA) is a widely performed procedure with excellent outcomes, though complications such as infection, osteolysis, and rare metallosis may occur. Metallosis results from metallic debris deposition in periprosthetic tissues and is usually linked to metal-on-metal implants, but can also develop with nonmetallic prostheses. Case presentation: We describe a 59-year-old male with a right uncemented metal-on-polyethylene THA who developed persistent hip pain, clicking, and functional decline. The laboratory workup indicated high C-reactive protein levels, while imaging showed acetabular loosening with the classic "cloud" and "bubble" appearance. Clinical discussion: This case highlights the unusual coexistence of metallosis and prosthetic joint infection in a nonmetallic implant. It emphasizes the diagnostic value of imaging and aspiration, as well as the need for immediate surgical management. Conclusion: Metallosis, albeit rare, should be evaluated in patients who report prolonged discomfort following THA, regardless of prosthesis type.
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