JBJS | Hidden Intrapelvic Granulomatous Lesions Associated with Total Hip Arthroplasty : A Report of Two Cases

The Journal of Bone & Joint Surgery, Volume 85, Issue 4

Case Reports | April 01, 2003

Hidden Intrapelvic Granulomatous Lesions Associated with Total Hip Arthroplasty : A Report of Two Cases

Takashi Hisatome, MD, PhD; Yuji Yasunaga, MD, PhD; Yoshikazu Ikuta, MD, PhD; Kazuhiro Takahashi, MD

The Journal of Bone & Joint Surgery. 2003; 85:708-710

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Extract

Granulomatous lesions have been reported in association with total hip arthroplasties both with and without cement ^1-9 . The chief cause of these lesions is considered to be osteolysis induced by polyethylene wear debris from the hip prosthesis ^7,9,10 . We report on two patients with a hidden intrapelvic granulomatous lesion associated with a total hip arthroplasty. Both patients were informed that data concerning their cases would be submitted for publication. Previous reports identified intrapelvic granulomas only after symptoms developed as a result of compression of vital structures. The granulomatous lesions in this report were confirmed by computed tomography but were not detected by plain radiography.

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Topics

hip replacement arthroplasty ; polyethylene

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