High Prevalence of Pseudotumors in Patients with a Birmingham Hip Resurfacing Prosthesis by R. Bisschop, M.F. Boomsma, J.J.A.M. Van Raay, A.T.M.G. Tiebosch,

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Presentation transcript:

High Prevalence of Pseudotumors in Patients with a Birmingham Hip Resurfacing Prosthesis by R. Bisschop, M.F. Boomsma, J.J.A.M. Van Raay, A.T.M.G. Tiebosch, M. Maas, and C.L.E. Gerritsma J Bone Joint Surg Am Volume 95(17): September 4, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Axial CT image of a patient (Cases 5 and 10) with bilateral pseudotumors after bilateral resurfacing arthroplasty showing inferomedial eccentric enlargement of the hip capsule (red circle) toward the obturator foramen on the left (grade IV) and extensive fi... R. Bisschop et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative image of a pseudotumor. R. Bisschop et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Low-power photomicrographic image of ARMD (adverse reactions to metal debris), demonstrating the dense, deep eosinophilic (pink) fibrinoid material lining the pseudocyst (upper and lower area), with the thick dens (blue) lymphoid aggregates, composed of lym... R. Bisschop et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

High-power photomicrographic image of ARMD (adverse reactions to metal debris), showing the lymphoid aggregates in the cases of ARMD. The lymphoid aggregates are predominantly composed of lymphocytes and plasma cells (hematoxylin and eosin stain; original m... R. Bisschop et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Kaplan-Meier survivorship curve for the BHR prosthesis. R. Bisschop et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.