Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma

Autor: Akihiro Yamashita, MD, Yu Takeda, MD, Tomokazu Fukui, MD, Toshiya Tachibana, MD, Shigeo Fukunishi, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Arthroplasty Today, Vol 11, Iss , Pp 32-37 (2021)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2021.04.018
Popis: An 84-year-old woman who underwent bilateral cementless total hip arthroplasty (THA) for dysplastic osteoarthritis 22 years ago was subjected to analysis. A huge soft-tissue mass was revealed in her left medial thigh. Plain radiographs of the left hip joint revealed severe osteolysis around the stem, cup, and ischium. Magnetic resonance imaging showed a 25 × 14-cm multilobulated mass with a thick-walled pseudocapsule. Two-stage surgery was performed with resection of the mass followed by a subsequent revision THA. The mass was diagnosed as a chronic expanding hematoma through gross and histologic findings. Two years after the revision THA, there was no recurrence of a hematoma. Two-stage revision THA was useful for definitive diagnosis, and good functional recovery was obtained after surgery.
Databáze: Directory of Open Access Journals