Mr. T in Thanh Hoa went to Vinmec Hospital to visit due to pain in the hip joint.At the time of seeking, the patient had to move by wheelchair due to non -stop pain at the cave joint.
In addition, the patient also appearsSigns of kidney failureDue to metal ion poisoning.
Mr. T is assigned to do intensive tests to determine the tumor in the pelvis that is malignant bone tumor or fake bodies.After the evaluation, doctors determined that 80% this was a fake form and appointed surgery.
In Vietnam, fake tumors account for less than 1% of hip replacement cases but make the diagnosis process complicated, easily confused with cancer.
Through prehistoric exploitation, in 2006, Mr. T was one of the first generation patients in Vietnam to replace the hip joints on both sides.
Patient T. (photo BSCC)
However, the older generation artificial joints have an optimal material design, causing abrasion between the metal head and the plastic joint.This process releases metal and plastic mites, causing risk of inflammation, poisoning and serious complications for patients.
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This is also the reason that Mr. T has serious metal poisoning.This rare complication not only causes bone inflammation but also leads to the formation of large tumor masses in the pelvis.
Prof. Dr. Tran Trung Dung, Vinmec Hospitalsaid:"BMetal poisoning due to artificial joint abrasion accounts for less than 5% of global joint replacement cases.The main complications occurred with older generation joints produced more than 20 years ago.NIf not detected in time, the patient may face dangerous complications such as kidney failure before the fake mass is treated ”.
According to Professor Dung, in the case of patient T, the team of doctors and doctors applied 3D technology to prepare surgical plans, proactively handle when encountering both cases.If it is malignant, the doctor will proceed to remove the pelvis.In case the patient has a fake mass, the doctor cleanses the inflammation and regenerates the bone with artificial materials, preserves the pelvis and replaces the hip joints.
At the same time, the surgical team must also carefully select and prepare a new hip joint material to minimize the risk of metal poisoning for patients.
Complicated disease
BSCKII Pham Trung Hieu, Vinmec Hospitalsaid, the surgery process for patients was extremely blessed.When opening the patient's hip joint, the team of doctors discovered nearly half a liter of black joints like lubricant accumulated around the old artificial joint, filled with metal and plastic mites.This is a sign of prolonged metal poisoning, causing damage to internal organs, especially kidneys and heart.
Patients walk after surgery.(Photo BSCC)
After thoroughly removing the fake mass of black mucus, the doctors continue to use 3D technology to design a custom pelvis model, overcoming the defects due to bone pepper with high accuracy.The hip joint replaces the use of ceramics ceramics, which is a material with high inert, helping to minimize the release of metal mites and prevent the risk of metal poisoning later.
On the first day after the surgery, Mr. T was able to sit up and started walking.This is a remarkable step after a long time of the patient has to be in a wheelchair.The condition of renal failure due to metal poisoning has also been controlled, the kidney function is gradually recovering.In particular, after only a week, Mr. T was able to walk without any support.