![]() Importantly, metallic debris can also have superficial manifestations of periarticular skin tattooing, due to an adverse local tissue reaction. Systemically, metallosis has been linked to neurologic complications (visual, hearing, and cognitive deficits), cardiac failure, and hypothyroidism. Metallosis may present locally with pain, instability, and metallic debris staining the local tissue. Metallosis can be either local or systemic and has been observed at an estimated incidence of up to 5% in metal joint replacement patients. As the number of patients seeking orthopedic intervention grows, joint arthroplasty is becoming more common.Ī potential risk of joint replacement surgery is metallosis, caused by the release of metallic debris secondary to hardware failure. The advent of joint replacement surgery has allowed patients with joint pathologies to return to being pain-free and functional in the effected site to a level not previously possible. This article should also serve to remind orthopedic surgeons that with increasing patient concern regarding cosmesis, a multispecialty approach including referral to a dermatologist is valuable. After assessing publications on the treatment of traumatic and cosmetic tattooing, we hope to stimulate further research regarding treatment. Our aim is to review the published literature on metallosis, including the pathophysiology. However, any skin tattooing secondary to metallosis presents the treating dermatologist with clinical challenge, due to lack of research regarding treatment of this condition. The structural components of a failed joint replacement can be revised (improving patients' pain and functioning). As the number of patients seeking major orthopedic interventions grows, the incidence of metallosis-related skin tattooing will also increase. The release of metal ions has further been known to lead to systemic upsets including neurologic deficit (declining vision, hearing, or cognition headaches), cardiac failure, and hypothyroidism. Additionally, metallic debris can also lead to periarticular superficial skin manifestations. The phenomenon is most commonly associated with failed metal-on-metal hip prostheses and is characterized locally by heavy staining of surrounding soft tissue, metallic synovitis, joint effusion, and gradual loosening of the prosthesis. Metallosis is caused by the release of metallic debris, secondary to hardware failure. One of the potential risks of joint replacement is metallosis, or the local and systemic release of metal ions. ![]() With advancing technologies in orthopedics and increasing demands of the population for orthopedic interventions, younger patients are now receiving joint replacements. ![]()
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