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Case Reports   |    
Total Hip Wear Debris Presenting as Lower Extremity SwellingA Report of Two Cases
R. Allen Butler, MD1; Robert L. Barrack, MD1
1 Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, SL-32, New Orleans, LA 70112. E-mail address for R.L. Barrack: rbarrack@tulane.edu
The Journal of Bone & Joint Surgery.  2004; 86:142-145 
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Extract

Following total hip arthroplasty, accelerated polyethylene wear is often associated with periprosthetic osteolysis, which may be asymptomatic or may present with groin pain1,2. Rarely, the patient may have a periarticular mass and may present with compression symptoms that can include neuropathy, venous thrombosis, and even urinary obstruction3-10. We report the cases of two patients who presented with unilateral swelling of the lower extremity secondary to compression of the iliac vessels by an intrapelvic mass associated with acetabular polyethylene wear. Both patients were treated surgically, and both had a successful result on the basis of clinical and radiographic findings. Both patients were informed that information regarding their case would be submitted for publication.
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    Topics

    edema ; hip region ; leg
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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