Aseptic loosening of total hip replacement presenting as an anterior thigh mass
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Aseptic loosening is one of the commonest complications of total hip replacement that can cause pain and instability. The chronic inflammatory response to the wear debris from the polyethylene or metal can cause osteolysis and implant failure. We report a case of aseptic loosening of the hip, presented with a swelling over the anterior thigh without any pain or instability in the joint. This mass was a foreign body granuloma formed secondary to the polyethylene wear debris due to the instability of the polyethylene in the metal shell. The patient underwent successful revision hip arthroplasty after the removal of the foreign body granuloma.
KeywordsAseptic loosening Polyethylene debris Foreign body granuloma
- 5.Colloier JP, Mayor MB, Surprenant VA et al (1994) The generation of wear debris from cementless hip prosthesis. Instr Course Lect 43:257–262Google Scholar
- 9.Matsumoto K, Hukuda S, Nishioka J, Fujita T (1992) Iliopsoas bursal distension caused by acetabular loosening after total hip arthroplasty. A rare complication after total hip arthroplasty. Clin Orthop 303:144–148Google Scholar