Biopsy Proven Focal Osteolysis in a Stainless-Steel Limb-Lengthening Device: A Report of Three Cases
Autor: | Diana W. Molavi, Oliver Charles Sax, John E. Herzenberg, Shawn C. Standard, Philip K McClure |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Osteolysis medicine.diagnostic_test business.industry Biopsy fungi technology industry and agriculture Case Report Metal debris Prostheses and Implants medicine.disease Stainless Steel chemistry.chemical_compound Silicone chemistry Bone Lengthening Medicine Humans Orthopedics and Sports Medicine Surgery Radiology business Child |
Zdroj: | JAAOS Global Research & Reviews |
ISSN: | 2474-7661 |
Popis: | Three pediatric patients presented with histologically confirmed osteolysis after limb lengthening with a magnetic, telescoping, stainless-steel device. The first patient's findings were discovered radiographically before routine removal of the device. In all cases, intraoperative histologic specimens taken from around the modular junction demonstrated particle-laden macrophages with suspicion for metal debris. Silicone debris was also identified. We found definitive osteolysis secondary to metal at the modular junction of three stainless-steel lengthening implants. This process is not well-understood in the setting of limb lengthening and should be examined further. |
Databáze: | OpenAIRE |
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