Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma

An 84-year-old woman who underwent bilateral cementless total hip arthroplasty (THA) for dysplastic osteoarthritis 22 years ago was subjected to analysis. A huge soft-tissue mass was revealed in her left medial thigh. Plain radiographs of the left hip joint revealed severe osteolysis around the stem...

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Autores principales:	Akihiro Yamashita, MD, Yu Takeda, MD, Tomokazu Fukui, MD, Toshiya Tachibana, MD, Shigeo Fukunishi, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Chronic expanding hematoma Osteolysis Total hip arthroplasty Revision surgery Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/2332fdbf7e7a4d99b10240469df9fced
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spelling	oai:doaj.org-article:2332fdbf7e7a4d99b10240469df9fced2021-11-14T04:33:35ZRevision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma2352-344110.1016/j.artd.2021.04.018https://doaj.org/article/2332fdbf7e7a4d99b10240469df9fced2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121000728https://doaj.org/toc/2352-3441An 84-year-old woman who underwent bilateral cementless total hip arthroplasty (THA) for dysplastic osteoarthritis 22 years ago was subjected to analysis. A huge soft-tissue mass was revealed in her left medial thigh. Plain radiographs of the left hip joint revealed severe osteolysis around the stem, cup, and ischium. Magnetic resonance imaging showed a 25 × 14-cm multilobulated mass with a thick-walled pseudocapsule. Two-stage surgery was performed with resection of the mass followed by a subsequent revision THA. The mass was diagnosed as a chronic expanding hematoma through gross and histologic findings. Two years after the revision THA, there was no recurrence of a hematoma. Two-stage revision THA was useful for definitive diagnosis, and good functional recovery was obtained after surgery.Akihiro Yamashita, MDYu Takeda, MDTomokazu Fukui, MDToshiya Tachibana, MDShigeo Fukunishi, MDElsevierarticleChronic expanding hematomaOsteolysisTotal hip arthroplastyRevision surgeryOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 32-37 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chronic expanding hematoma Osteolysis Total hip arthroplasty Revision surgery Orthopedic surgery RD701-811
spellingShingle	Chronic expanding hematoma Osteolysis Total hip arthroplasty Revision surgery Orthopedic surgery RD701-811 Akihiro Yamashita, MD Yu Takeda, MD Tomokazu Fukui, MD Toshiya Tachibana, MD Shigeo Fukunishi, MD Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma
description	An 84-year-old woman who underwent bilateral cementless total hip arthroplasty (THA) for dysplastic osteoarthritis 22 years ago was subjected to analysis. A huge soft-tissue mass was revealed in her left medial thigh. Plain radiographs of the left hip joint revealed severe osteolysis around the stem, cup, and ischium. Magnetic resonance imaging showed a 25 × 14-cm multilobulated mass with a thick-walled pseudocapsule. Two-stage surgery was performed with resection of the mass followed by a subsequent revision THA. The mass was diagnosed as a chronic expanding hematoma through gross and histologic findings. Two years after the revision THA, there was no recurrence of a hematoma. Two-stage revision THA was useful for definitive diagnosis, and good functional recovery was obtained after surgery.
format	article
author	Akihiro Yamashita, MD Yu Takeda, MD Tomokazu Fukui, MD Toshiya Tachibana, MD Shigeo Fukunishi, MD
author_facet	Akihiro Yamashita, MD Yu Takeda, MD Tomokazu Fukui, MD Toshiya Tachibana, MD Shigeo Fukunishi, MD
author_sort	Akihiro Yamashita, MD
title	Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma
title_short	Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma
title_full	Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma
title_fullStr	Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma
title_full_unstemmed	Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma
title_sort	revision total hip arthroplasty due to catastrophic osteolysis caused by massive chronic expanding hematoma
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/2332fdbf7e7a4d99b10240469df9fced
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Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma

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