Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2024; 15(7): 668-674
Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.668
Bone graft incorporation failure with inappropriate limb load transfer can lead to aseptic acetabular loosening of metal-on-metal prosthesis: A case report
Rafał Stanisław Domagalski, Bogdan Dugiełło, Sonia Rokicka, Szymon Czech, Rafał Skowroński, Dominika Rokicka, Marta Patrycja Wróbel, Krzysztof Strojek, Tomasz Stołtny
Rafał Stanisław Domagalski, Szymon Czech, Tomasz Stołtny, District Hospital of Orthopaedics and Trauma Surgery in Piekary Śląskie, Piekary Śląskie 41-940, Poland
Bogdan Dugiełło, District Railway Hospital, Medical University of Silesia, Katowice 40-760, Poland
Sonia Rokicka, Faculty of Medicine, Medical University of Gdańsk, Gdańsk 80-210, Poland
Rafał Skowroński, “ALFA” Orthopaedics and Traumatology Center, Białystok 15-763, Poland
Dominika Rokicka, Marta Patrycja Wróbel, Krzysztof Strojek, Department of Internal Medicine, Diabetology and Cardiometabolic Disorders, Faculty of Medical Sciences Zabrze, Medical University of Silesia, Zabrze 41-800, Poland
Author contributions: All authors discussed the results and contributed to the final manuscript; Domagalski RS, Dugiełło B and Rokicka S wrote the draft of the manuscript and participated in the follow-up examination of the patient and clinical materials; Czech S, Skowroński R, Rokicka D, Wróbel MP and Strojek K were involved in drafting the manuscript and critically revising it; Stołtny T performed the surgery, and coordinated and helped to draft and finalize the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this anonymized report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bogdan Dugiełło, MD, Doctor, District Railway Hospital, Medical University of Silesia, Panewnicka Street 65, Katowice 40-760, Poland.bogdan.dugiello@gmail.com
Received: January 2, 2024
Revised: February 11, 2024
Accepted: May 9, 2024
Published online: July 18, 2024
Processing time: 191 Days and 12.7 Hours
Core Tip

Core Tip: This article explores a rare case of acetabular loosening following total hip arthroplasty (THA) due to improper limb load transfer after hip trauma. A 63-year-old patient underwent THA with a metal-on-metal bearing, initially showing no complications. However, 2 years later, acetabular component loosening occurred, requiring revision THA with a ceramic-on-ceramic bearing. The study emphasizes the impact of limb load distribution on hip arthroplasty outcomes. Post-revision, the patient showed significant improvement in clinical parameters. This case underscores the need for careful consideration of limb load transfer after THA to mitigate risks of loosening.