Skip to main content

A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties

Archives of Orthopaedic and Trauma Surgery volume 128, pages 1387–1390 (2008)Cite this article

Abstract

A 70-year-old woman with a history of bilateral primary knee osteoarthritis presented with a left knee wound complication, a non-Hodgkins lymphoma, after bilateral total knee arthroplasties. After exploring several etiologies, the evidence in this unusual case suggests a coincidental preexisting lymphoma.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

39,95 €

Price includes VAT (Netherlands)

Fig. 1
Fig. 2

Notes

  1. The following are ASTM F75 composition guidelines: Chromium (27–30%), Molybdenum (5–7%), Carbon (max 0.35%), Iron (max 0.75%), Nickel (max 0.5%), Magnesium (max 1%), Silicone (max 1%), Nitrogen (max 0.25%), Tungsten (max 0.2%), Phosphorus (max 0.02%), Sulphur (max 0.01%), Aluminum (max 0.1%), and Titanium (max 0.1%). The following are performance guidelines: yield strength Rp 0.2 (65 KSi), ultimate tensile strength (95 KSi), Rockwell hardness (25–35 HRC), and elongation (> 8%).

References

  1. Ganapathi M, Lake DNW, Griffiths AP (2001) Periprosthetic high-grade B-cell lymphoma complicating an infected revision total hip arthroplasty. J Arthroplasty 16:229–232

    Article  PubMed  CAS  Google Scholar 

  2. Dodion P, Putz P, Amiri-Lamraski MH, et al. (1982) Immunoblastic lymphoma at the site of an infected vitallium bone plate. Histopathology 6:807–813

    Article  PubMed  CAS  Google Scholar 

  3. Ito H, Shimizu A (1999) Malignant lymphoma at the site of a total hip replacement. Orthopedics 22:82–84

    PubMed  CAS  Google Scholar 

  4. McDonald I (1981) Malignant lymphoma associated with internal fixation of a fractured tibia. Cancer 48:1009–1011

    Article  PubMed  CAS  Google Scholar 

  5. Radhi JM, Ibrahiem K, al-Tweigeri T (1998) Soft tissue malignant lymphoma at sites of previous surgery. J Clin Pathol 51:629–632

    Article  PubMed  CAS  Google Scholar 

  6. Syed AA, Agarwal M, Fenelon G, et al. (2002) Osseous malignant non-Hodgkin’s B-cell lymphoma associated with total hip replacement. Leuk Lymphoma 43:2213–2216

    Article  PubMed  CAS  Google Scholar 

  7. Cheuk W, Chan A, Chan J, Lau G, Chan V, Yiu H (2005) A distinct subgroup of large B-cell lymphoma related to pyothorax-associated lymphoma? Am J Surg Pathol 29:832–836

    Article  PubMed  Google Scholar 

  8. Nyren O, McLaughlin JK, Gridley G, et al. (1995) Cancer risk after hip replacement with metal implants: a population-based cohort study in Sweden. J Natl Cancer Inst 87:28–33

    Article  PubMed  CAS  Google Scholar 

  9. Ostrowski ML, Unni KK, Banks PM, et al. (1986) Malignant lymphoma of bone. Cancer 58:2646–2655

    Article  PubMed  CAS  Google Scholar 

  10. Parsonnet J, Hansen S, Rodriguez L, et al. (1994) Heliocobacter pylori infection and gastric lymphoma. N Engl J Med 330:1267–1271

    Article  PubMed  CAS  Google Scholar 

  11. Posnett DN, Collins RD, Krantz SB (1979) Osteomyelitis and lymphoma. Lancet 2:1085

    Article  PubMed  CAS  Google Scholar 

  12. Gillespie WJ, Frampton CMA, Henderson RJ, et al. (1988) The incidence of cancer following total hip replacement. J Bone Joint Surg Br 70:539–542

    PubMed  CAS  Google Scholar 

  13. Visuri T, Koskenvuo M (1991) Cancer risk after McKee–Farrar total hip replacement. Orthopedics 14:137–142

    PubMed  CAS  Google Scholar 

  14. Paavolainen P, Pukkala E, Pulkkinen P, et al. (1999) Cancer inidence in Finnish hip replacement patients from 1980 to 1995. A nationwide cohort study involving 31,651 patients. J Arthroplasty 14:272–280

    Article  PubMed  CAS  Google Scholar 

  15. Androulaki A, Drakos E, Hatzianastassiou D, et al. (2004) Pyothorax-associated lymphoma (PAL): a western case with marked angiocentricity and review of the literature. Histopathology 44:69–76

    Article  PubMed  CAS  Google Scholar 

  16. Nakatsuka S, Yao M, Hoshida Y, et al. (2002) Pyothorax-associated lymphoma: a review of 106 cases. J Clin Oncol 20:4255–4260

    Article  PubMed  Google Scholar 

  17. Laurent G, Pris J, Delsol G, et al. (1980) Immunoblastic lymphoma and osteomyelitis. Lancet 1:258

    Article  PubMed  CAS  Google Scholar 

  18. Copie-Bergman C, Niedobitek G, Mangham DC, et al. (1997) Epstein-Barr virus in B-cell lymphomas associated with chronic suppurative inflammation. J Pathol 183:287–292

    Article  PubMed  CAS  Google Scholar 

  19. Hussell T, Isaacson PG, Crabtree E, et al. (1996) Heliobacter pylori-specific tumour infiltrating T cells provide contact dependent help for the growth of malignant B cells in low grade gastric lymphoma of mucosa-associated lymphoid tissue. J Pathol 178:122–127

    Article  PubMed  CAS  Google Scholar 

  20. Vahey JW, Simonian PT, Conrad EU (1995) Carcinogenicity and metallic implants. Am J Orthop 24:319–324

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. UMass Memorial Medical Center, The Arthritis and Total Joint Replacement Center, 119 Belmont St, Worcester, MA, 01605, USA

    Mark S. Eskander, Erika McPhee, Jonathan P. Eskander, Robert Nascimento, Jeremy J. McCormick, David Shepro & Kirk Johnson

  2. Department of Pathology, UMass Medical School, Worcester, MA, 01610, USA

    Suyang Hao

Authors
  1. Mark S. Eskander
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Erika McPhee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jonathan P. Eskander
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert Nascimento
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jeremy J. McCormick
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Suyang Hao
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. David Shepro
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Kirk Johnson
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark S. Eskander.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Eskander, M.S., McPhee, E., Eskander, J.P. et al. A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties. Arch Orthop Trauma Surg 128, 1387–1390 (2008). https://doi.org/10.1007/s00402-008-0568-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-008-0568-z

Keywords

  • Total knee arthroplasty
  • Pre-existing lymphoma
  • Malignant tumor
  • Metallic prosthesis