Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair
ABSTRACT The aim here was to report a case of a young adult patient who evolved with tumor formation in the left thigh, 14 years after revision surgery on hip arthroplasty. Davies in 2005 made the first description of this disease in patients undergoing metal-on-metal hip arthroplasty. Over the last...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2015-12-01
|
| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000600747&lng=en&tlng=en |
| _version_ | 1797334954246406144 |
|---|---|
| author | Lorenzo Fagotti José Ricardo Negreiros Vicente Helder Souza Miyahara Pedro Vitoriano de Oliveira Antônio Carlos Bernabé Alberto Tesconi Croci |
| author_facet | Lorenzo Fagotti José Ricardo Negreiros Vicente Helder Souza Miyahara Pedro Vitoriano de Oliveira Antônio Carlos Bernabé Alberto Tesconi Croci |
| author_sort | Lorenzo Fagotti |
| collection | DOAJ |
| description | ABSTRACT The aim here was to report a case of a young adult patient who evolved with tumor formation in the left thigh, 14 years after revision surgery on hip arthroplasty. Davies in 2005 made the first description of this disease in patients undergoing metal-on-metal hip arthroplasty. Over the last decade, however, pseudotumors around metal-on-polyethylene surfaces have become more prevalent. Our patient presented with increased volume of the left thigh 8 years after hip arthroplasty revision surgery. Two years before the arising of the tumor in the thigh, a nodule in the inguinal region was investigated to rule out a malignant neoplastic process, but the results were inconclusive. The main preoperative complaints were pain, functional limitation and marked reduction in the range of motion of the left hip. Plain radiographs showed loosening of acetabular and femoral, and a large mass between the muscle planes was revealed through magnetic resonance imaging of the left thigh. The surgical procedure consisted of resection of the lesion and removal of the components through lateral approach. In respect of total hip arthroplasty, pseudotumors are benign neoplasms in which the bearing surface consists of metal-on-metal, but they can also occur in different tribological pairs, as presented in this case. |
| first_indexed | 2024-03-08T08:29:46Z |
| format | Article |
| id | doaj.art-bf8dc0f7689048c4a61109c166f83e40 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:29:46Z |
| publishDate | 2015-12-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-bf8dc0f7689048c4a61109c166f83e402024-02-02T03:45:35ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782015-12-0150674775110.1016/j.rboe.2015.10.006S0102-36162015000600747Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pairLorenzo FagottiJosé Ricardo Negreiros VicenteHelder Souza MiyaharaPedro Vitoriano de OliveiraAntônio Carlos BernabéAlberto Tesconi CrociABSTRACT The aim here was to report a case of a young adult patient who evolved with tumor formation in the left thigh, 14 years after revision surgery on hip arthroplasty. Davies in 2005 made the first description of this disease in patients undergoing metal-on-metal hip arthroplasty. Over the last decade, however, pseudotumors around metal-on-polyethylene surfaces have become more prevalent. Our patient presented with increased volume of the left thigh 8 years after hip arthroplasty revision surgery. Two years before the arising of the tumor in the thigh, a nodule in the inguinal region was investigated to rule out a malignant neoplastic process, but the results were inconclusive. The main preoperative complaints were pain, functional limitation and marked reduction in the range of motion of the left hip. Plain radiographs showed loosening of acetabular and femoral, and a large mass between the muscle planes was revealed through magnetic resonance imaging of the left thigh. The surgical procedure consisted of resection of the lesion and removal of the components through lateral approach. In respect of total hip arthroplasty, pseudotumors are benign neoplasms in which the bearing surface consists of metal-on-metal, but they can also occur in different tribological pairs, as presented in this case.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000600747&lng=en&tlng=enGranuloma de células plasmáticasArtroplastia de quadrilOrtopédica |
| spellingShingle | Lorenzo Fagotti José Ricardo Negreiros Vicente Helder Souza Miyahara Pedro Vitoriano de Oliveira Antônio Carlos Bernabé Alberto Tesconi Croci Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair Revista Brasileira de Ortopedia Granuloma de células plasmáticas Artroplastia de quadril Ortopédica |
| title | Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair |
| title_full | Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair |
| title_fullStr | Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair |
| title_full_unstemmed | Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair |
| title_short | Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair |
| title_sort | formation of a pseudotumor in total hip arthroplasty using a tribological metal polyethylene pair |
| topic | Granuloma de células plasmáticas Artroplastia de quadril Ortopédica |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000600747&lng=en&tlng=en |
| work_keys_str_mv | AT lorenzofagotti formationofapseudotumorintotalhiparthroplastyusingatribologicalmetalpolyethylenepair AT josericardonegreirosvicente formationofapseudotumorintotalhiparthroplastyusingatribologicalmetalpolyethylenepair AT heldersouzamiyahara formationofapseudotumorintotalhiparthroplastyusingatribologicalmetalpolyethylenepair AT pedrovitorianodeoliveira formationofapseudotumorintotalhiparthroplastyusingatribologicalmetalpolyethylenepair AT antoniocarlosbernabe formationofapseudotumorintotalhiparthroplastyusingatribologicalmetalpolyethylenepair AT albertotesconicroci formationofapseudotumorintotalhiparthroplastyusingatribologicalmetalpolyethylenepair |