Metal-on-metal total hip arthroplasty adverse local tissue reaction with intermittent unilateral vascular claudication.

Adverse local tissue reaction Mechanically assisted crevice corrosion Metal-on-metal Metallosis Pseudotumor Revision arthroplasty THA Total hip arthroplasty

Journal

Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 16 06 2019
revised: 14 08 2019
accepted: 26 08 2019
entrez: 31 12 2019
pubmed: 31 12 2019
medline: 31 12 2019
Statut: epublish

Résumé

Osteolysis and adverse local soft-tissue reactions are well-documented complications of metal-on-metal prosthetic implants. This case report describes a 68-year-old man who presented to the clinic 10 years after staged bilateral metal-on-metal total hip arthroplasty revisions with the primary complaint of groin pain, intermittent right leg pain, swelling, and muscle cramping while ambulating that resolved with rest. A complete workup was negative for deep venous thrombosis and infection. His symptoms were found to be secondary to an iliopsoas bursal mass externally compressing the femoral vasculature resulting in vascular claudication. He was treated with revision arthroplasty and drainage of the fluid within the iliopsoas bursal effusion with symptomatic resolution.

Identifiants

pubmed: 31886377
doi: 10.1016/j.artd.2019.08.012
pii: S2352-3441(19)30111-6
pmc: PMC6920729
doi:

Types de publication

Case Reports

Langues

eng

Pagination

389-393

Informations de copyright

© 2019 The Authors.

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Auteurs

Alex Lencioni (A)

Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.

Byron Ellis (B)

Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.

Chase S Dean (CS)

Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.

James Lendrum (J)

Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.

Craig A Hogan (CA)

Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.

Classifications MeSH