Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty
Various failure mechanisms have been identified in total knee arthroplasty (TKA). We hereby present one case of failure, which stands out because of its rapid and destructive progression. We report the case of a 72-year-old Caucasian female patient who developed a large bone osteolytic lesion of the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235234412030100X |
| _version_ | 1818354611294044160 |
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| author | Afonso Cardoso, MD Pedro Amaro, MD Patrícia Gamelas, MD Rita Carvalho e Silva, MD Maria Helena Oliveira, MD Marcos Correia de Jesus, MD |
| author_facet | Afonso Cardoso, MD Pedro Amaro, MD Patrícia Gamelas, MD Rita Carvalho e Silva, MD Maria Helena Oliveira, MD Marcos Correia de Jesus, MD |
| author_sort | Afonso Cardoso, MD |
| collection | DOAJ |
| description | Various failure mechanisms have been identified in total knee arthroplasty (TKA). We hereby present one case of failure, which stands out because of its rapid and destructive progression. We report the case of a 72-year-old Caucasian female patient who developed a large bone osteolytic lesion of the femur after TKA. The patient presented to our hospital 7 years after the initial surgery, complaining of persistent knee pain. The lesion affected the distal half of the femur and, after a diagnostic workup, required a resection of 20 cm and reconstruction with a tumor prosthesis. Subsequent pathological analysis revealed a reaction to cement and prosthesis components. Periprosthetic osteolysis continues to be a major problem, and a reaction to cement and prosthesis components can be an elusive cause of TKA failure. |
| first_indexed | 2024-12-13T19:28:10Z |
| format | Article |
| id | doaj.art-1b6105cd716045039ae96ebf1f67fe7f |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-13T19:28:10Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-1b6105cd716045039ae96ebf1f67fe7f2022-12-21T23:33:59ZengElsevierArthroplasty Today2352-34412020-09-0163463469Massive Osteolytic Lesion of the Femur after Total Knee ArthroplastyAfonso Cardoso, MD0Pedro Amaro, MD1Patrícia Gamelas, MD2Rita Carvalho e Silva, MD3Maria Helena Oliveira, MD4Marcos Correia de Jesus, MD5Orthopaedics Department, Hospital Beatriz Ângelo, Loures, Portugal; Corresponding author. Av. Carlos Teixeira 514, 2674 Loures, Portugal. Tel.: +351 219847209.Orthopaedics Department, Hospital Beatriz Ângelo, Loures, PortugalOrthopaedics Department, Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalOrthopaedics Department, Hospital Beatriz Ângelo, Loures, PortugalDepartment of Pathological Anatomy, Hospital Beatriz Ângelo, Loures, PortugalOrthopaedics Department, Hospital Beatriz Ângelo, Loures, PortugalVarious failure mechanisms have been identified in total knee arthroplasty (TKA). We hereby present one case of failure, which stands out because of its rapid and destructive progression. We report the case of a 72-year-old Caucasian female patient who developed a large bone osteolytic lesion of the femur after TKA. The patient presented to our hospital 7 years after the initial surgery, complaining of persistent knee pain. The lesion affected the distal half of the femur and, after a diagnostic workup, required a resection of 20 cm and reconstruction with a tumor prosthesis. Subsequent pathological analysis revealed a reaction to cement and prosthesis components. Periprosthetic osteolysis continues to be a major problem, and a reaction to cement and prosthesis components can be an elusive cause of TKA failure.http://www.sciencedirect.com/science/article/pii/S235234412030100XTotal knee arthroplastyOsteolytic femoral lesionLimb preservation prosthesis |
| spellingShingle | Afonso Cardoso, MD Pedro Amaro, MD Patrícia Gamelas, MD Rita Carvalho e Silva, MD Maria Helena Oliveira, MD Marcos Correia de Jesus, MD Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty Arthroplasty Today Total knee arthroplasty Osteolytic femoral lesion Limb preservation prosthesis |
| title | Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty |
| title_full | Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty |
| title_fullStr | Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty |
| title_full_unstemmed | Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty |
| title_short | Massive Osteolytic Lesion of the Femur after Total Knee Arthroplasty |
| title_sort | massive osteolytic lesion of the femur after total knee arthroplasty |
| topic | Total knee arthroplasty Osteolytic femoral lesion Limb preservation prosthesis |
| url | http://www.sciencedirect.com/science/article/pii/S235234412030100X |
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