Florian Dibra, MD, Hari Parvataneni, MD Arthroplasty Today

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Presentation transcript:

An unusual presentation of catastrophic failure of hip arthroplasty with a thigh mass Florian Dibra, MD, Hari Parvataneni, MD Arthroplasty Today Volume 2, Issue 2, Pages 63-67 (June 2016) DOI: 10.1016/j.artd.2016.03.001 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Anterioposterior radiograph of original left total hip arthroplasty in the immediate postoperative period. Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Anterioposterior radiograph of original left total hip arthroplasty with impending polyethylene wear-through (12 years from surgery). Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Anterioposterior radiograph of left total hip arthroplasty with complete wear of the polyethylene liner and the acetabular socket. The femoral head is mostly contained within the socket (17 years from surgery). Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Axial computed tomography scan image demonstrating homogenous fluid collection in the anterior compartment of the left thigh (arrow). Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 5 Anterioposterior (a) and frog-leg lateral (b) radiographs of left total hip arthroplasty with complete wear of the polyethylene liner and the acetabular socket resulting in femoral head protrusion into the pelvis (3-month interval from Fig. 3) Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 6 Intraoperative photograph demonstrating a large volume of metal-stained fluid and metal debris. Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 7 Intraoperative photographs of the complete wear-through of the polyethylene liner and acetabular socket with surrounding metal debris. Inner (a) and outer surfaces (b) of the components. Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions

Figure 8 Anteroposterior (a) and frog-leg lateral (b) radiographs of the left hip revision arthroplasty 20 months postoperatively showing progressive healing of the bone graft and incorporation of the ingrowth acetabular component. Arthroplasty Today 2016 2, 63-67DOI: (10.1016/j.artd.2016.03.001) Copyright © 2016 The Authors Terms and Conditions