Management of high concentrations of cobalt and chromium in blood due to metal-on-metal hip arthroplasty in a pregnant woman

Grulli, F.; Lonati, Davide; Ronchi, A.; Perotti, F; Spinillo, Arsenio; Locatelli, Carlo

doi:10.1080/15563650.2020.1757694

Cited by 9 publications

(1 citation statement)

References 6 publications

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“…In pregnant patients with high serum metal ions, evidence of high metal ions has also been reported in whole blood, plasma, urine, cerebrospinal fluid, amniotic fluid, cord blood, pseudotumor tissue, and abortive products 10,41 . Cobalt and chromium cross the placenta in all pregnant women 10,11 .…”

Section: The Prosthetic Hip In Pregnancymentioning

confidence: 95%

Pregnancy, Hip Pain, and Total Hip Replacement

García

Prosser

Bucher

2023

Journal of Bone and Joint Surgery

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➤ Young women who are 15 to 45 years of age and undergo total hip replacements are at increased risk for revision compared with women >75 years of age.➤ Among women of childbearing age with a total hip replacement, 12% to 17% will later have at least 1 pregnancy.➤ Young women who undergo total hip replacement do not have an increased risk of pregnancy complications.➤ Of the 60% of women who experienced pain with a total hip replacement during pregnancy, 21% had persisting pain, and 4% reported the pain as severe.➤ Women who have a total hip replacement and later experience pregnancy and childbirth have no increased risk of pregnancy complications or increased revision rates; there was no effect of the mode of delivery on revision rates or complications including fracture, dislocation, or loosening, according to the limited studies available.

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