The natural history of metallosis from catastrophic failure of a polyethylene liner in a total hip

Riaz J K Khan, James Wimhurst, Sara Foroughi, Andoni Toms

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


We report on a case of metallosis initially presumed to be heterotopic ossification based on radiologic findings. A 68-year-old man with a total hip arthroplasty experienced failure of the polyethylene liner, resulting in articulation of the ceramic head with the titanium acetabular shell. During revision surgery, extensive metallic debris was evident macroscopically throughout the periprosthetic tissue and was confirmed histologically to be metallosis.
Original languageEnglish
Pages (from-to)1144.e1-4
JournalJournal of Arthroplasty
Issue number7
Publication statusPublished - Oct 2009


  • Aged
  • Arthroplasty, Replacement, Hip
  • Ceramics
  • Diagnosis, Differential
  • Hip Prosthesis
  • Humans
  • Male
  • Metals
  • Ossification, Heterotopic
  • Polyethylene
  • Prosthesis Failure
  • Reoperation
  • Titanium
  • Treatment Failure

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