Document Detail

Aggressive granulomatous lesions after hip arthroplasty.
MedLine Citation:
PMID:  2768299     Owner:  NLM     Status:  MEDLINE    
We reviewed 19 patients who presented with aggressive granulomatosis around the femoral stem after hip replacement. All had experienced stress pain and had required revision arthroplasty on average 8.8 years after the primary operation. Fifteen patients were men and four were women; none had rheumatoid arthritis. One patient had an uncemented Moore hemiprosthesis; the others all had cemented total hip replacements. When first detected, the granulomatous lesions were multifocal in 13 patients. The first granuloma was in the region of the lesser trochanter in 10, and near the tip of the stem in only two. Speed of growth varied but on average there was doubling of the area on anteroposterior films in 2.2 years (range 6 months to 4.6 years). Aggressive granulomatous lesions in replaced hips are a distinct condition, different from simple loosening or infection; the lesions may grow rapidly, so revision surgery is indicated soon after diagnosis.
K Tallroth; A Eskola; S Santavirta; Y T Konttinen; T S Lindholm
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  71     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-10-04     Completed Date:  1989-10-04     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  571-5     Citation Subset:  AIM; IM    
Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
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MeSH Terms
Granuloma / etiology*,  radiography
Hip Joint* / radiography,  surgery
Hip Prosthesis / adverse effects*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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