PMID: 9170383May 1, 1997Paper

Lymphoreticular dissemination of metal particles after primary joint replacements

Clinical Orthopaedics and Related Research
K G SheaL Zou

Abstract

Twenty-three patients with a history of primary joint replacement followed by lymph node dissection procedure were studied. These specimens included pelvic, gastric, paraaortic, inguinal, retroduodenal, and axillary node chains. The lymph node specimens were sectioned, processed for scanning electron microscopic study, and viewed with backscattered electron imaging to identify metal particles. On detection of a metal particle, energy dispersive x-ray microanalysis was conducted to determine its elemental composition. Seven of 23 patients had metal alloy particles within the lymph node specimens. Metal particles were identified in the pelvic and axillary node chains. In each case, the metal alloy identified corresponded with the implanted type of alloy. The shortest interval between joint implantation and dissemination of metal to a lymph node chain was 6 months. These data suggest the need for continued followup to determine long term effects, if any, of this distribution of metal particles through the lymphatic system.

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Citations

Oct 20, 2000·Clinical Orthopaedics and Related Research·M J ArchibeckJ Black
Sep 10, 2013·Journal of Orthopaedic Surgery·Katsuhiko MaezawaKazuo Kaneko
Jun 10, 1998·Journal of Biomedical Materials Research·G A LundeenR D Bloebaum
Apr 13, 2000·The Journal of Bone and Joint Surgery. American Volume·R M UrbanM Peoc'h
Mar 29, 2005·Biomedizinische Technik. Biomedical Engineering·Olaf RolfChristof Paul Rader
Jan 22, 2005·Clinical Orthopaedics and Related Research·Mauricio SilvaThomas P Schmalzried
Dec 16, 2006·Journal of Materials Science. Materials in Medicine·Christopher BrownEileen Ingham
Feb 25, 2010·Acta Orthopaedica·Tuomo VisuriEero Pukkala
Jun 17, 2004·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Bettina M WillieRoy D Bloebaum
Aug 27, 2015·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Szu-Yuan ChenPang-Hsin Hsieh
May 4, 2006·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·C BrownE Ingham
May 4, 2006·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·T I VisuriP Paavolainen
May 4, 2006·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·A G Cobb, T P Schmalzreid

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