Loading...
Pseudotumor from Metal-on-Metal Total Hip Arthroplasty Causing Unilateral Leg Edema: Case Presentation and Literature Review
Grote, Caleb W. Cowan, Paul C. Anderson, David W. Templeton, Kimberly J.
Grote, Caleb W.
Cowan, Paul C.
Anderson, David W.
Templeton, Kimberly J.
Citations
Altmetric:
Abstract
Metal-on-metal (MoM) total hip arthroplasty (THA) can be associated with adverse metal reactions, including pseudotumors. This case report describes a 58-year-old female with an MoM THA-related pseudotumor that caused unilateral leg edema from compression of her external iliac vein. After thorough preoperative workup to rule out infection and deep vein thrombosis and consultation with a vascular surgeon, the patient underwent revision THA and excision of her pseudotumor. She had complete resolution of her swelling at 4 years after surgery. Review of all available case reports for this rare complication revealed that almost all patients were female. All patients underwent revision THA, with resolution of their symptoms. Literature review demonstrates that women are disproportionally affected by complications associated with MoM THA. We recommend close monitoring of patients with MoM THA, particularly women, for development of adverse metal reactions.
Description
A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.
Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Mary Ann Liebert, Inc.
Research Projects
Organizational Units
Journal Issue
Keywords
Metal-on-metal total hip arthroplasty, Women’s health, Pseudotumor, Unilateral leg edema
Citation
Caleb W. Grote, Paul C. Cowan, David W. Anderson, and Kimberly J. Templeton.BioResearch Open Access. Jul 2018. ahead of print http://doi.org/10.1089/biores.2017.0035