Severe Pseudotumor Formation on an Asymptomatic Well Functioning Metal-On-Metal Total Hip Arthroplasty - A Case Report and Follow - Up

Year 2018, Volume: 4 Issue: 3, 34 - 38, 27.12.2018

Hakan Özcan , Hacı Önder

https://doi.org/10.19127/mbsjohs.468546

Abstract

A 72-year-old patient who had metal-on-metal (MMO) total hip arthroplasty
(THA) 7 years ago has developed a gluteal mass and pain. Plain radiographs
showed a well-fixed THA on the left side with an increased acetabular
inclination. Needle aspiration of the mass showed “milky stained” highly
viscous liquid. After the approval of the patient, a revision total hip
arthroplasty had been performed. There were severe necrosis and granulomatous
type reactions all around the hip and the components. After extensive
debridement, all the components were removed and a long-stemmed revision total
hip arthroplasty with polyethylene insert was performed. We think that patients
with MMO THA must be carefully reviewed after the surgery even if they are
asymptomatic.

Keywords

Metal-on-metal, pseudotumor, ALVAL, total hip arthroplasty

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