Pseudotumor in Large Diameter Head Metal-on-metal Total Hip Replacement^[*]

Abstract

The authors describe a case of a large diameter head metal-on-metal total hip replacement that evolved with an inflammatory pseudotumor formation. The diagnosis was established by magnetic resonance imaging (MRI) with suppression of the metal artifact. The treatment consisted on the resection of the abnormal tissue and on the revision to a ceramic on cross-linked polyethylene hip replacement. To this date, no similar case has been reported, in Portuguese language, in the PubMed, Scielo, and Lilacs databases.

Keywords

adverse tissue reaction - pseudotumor - total hip arthroplasty

^* Work developed at the Hospital Universitário, Universidade Federal de Juiz de Fora (UFJF), and at the Hospital Albert Sabin, Juiz de Fora, MG, Brazil.

• Referências

• 1 Bozic KJ, Kurtz S, Lau E, Ong K, Chiu V, Vail TP. , et al. The epidemiology of bearing surface usage in total hip arthroplasty in the United States. J Bone Joint Surg Am 2009; 91 (07) 1614-20
• 2 Bosker BH, Ettema HB, van Rossum M, Boomsma MF, Kollen BJ, Maas M. , et al. Pseudotumor formation and serum ions after large head metal-on-metal stemmed total hip replacement. Risk factors, time course and revisions in 706 hips. Arch Orthop Trauma Surg 2015; 135 (03) 417-25
• 3 Fricka KB, Ho H, Peace WJ, Engh Jr CA. Metal-on-metal local tissue reaction is associated with corrosion of the head taper junction. J Arthroplasty 2012; 27 (8, Suppl) 26-31.e1
• 4 Kop AM, Swarts E. Corrosion of a hip stem with a modular neck taper junction: a retrieval study of 16 cases. J Arthroplasty 2009; 24 (07) 1019-23
• 5 Cooper HJ, Della Valle CJ, Berger RA, Tetreault M, Paprosky WG, Sporer SM. , et al. Corrosion at the head-neck taper as a cause for adverse local tissue reactions after total hip arthroplasty. J Bone Joint Surg Am 2012; 94 (18) 1655-61
• 6 Fagotti L, Vicente JR, Miyahara HS, de Oliveira PV, Bernabé AC, Croci AT. Formation of a pseudotumor in total hip arthroplasty using a tribological metal-polyethylene pair. Rev Bras Ortop 2015; 50 (06) 747-51
• 7 Scully WF, Teeny SM. Pseudotumor associated with metal-on-polyethylene total hip arthroplasty. Orthopedics 2013; 36 (05) e666-70
• 8 Berry DJ, Callaghan JJ, Barrack RL, Bostrom MP, Browne JA, Greenwald AS. , et al. Trunions, Tapers, and Corrosion in Total Hip Arthroplasty: What's All the Fuss About? What Every Surgeon Should Know. In: AAOS 2015 Annual Meeting –Instructional Course #301 Lecture Handout 2015
• 9 Langton DJ, Sidaginamale R, Lord JK, Nargol AVF, Joyce TJ. Taper junction failure in large-diameter metal-on-metal bearings. Bone Joint Res 2012; 1 (04) 56-63
• 10 Kwon YM, Lombardi AV, Jacobs JJ, Fehring TK, Lewis CG, Cabanela ME. Risk stratification algorithm for management of patients with metal-on-metal hip arthroplasty: consensus statement of the American Association of Hip and Knee Surgeons, the American Academy of Orthopaedic Surgeons, and the Hip Society. J Bone Joint Surg Am 2014; 96 (01) e4