RESUMO
We report an unusual case of a failed metal-on-metal total hip arthroplasty presenting as a groin mass with associated weight loss, night sweats, and raised inflammatory markers. After a malignant process was ruled out, the patient was found to have a loose acetabular component. Histopathologic results revealed features of an aseptic lymphocytic vasculitic associated lesion. All symptoms resolved completely after the metal-on-metal bearing was revised to metal-on-polyethylene.
Assuntos
Artroplastia de Quadril/efeitos adversos , Prótese de Quadril/efeitos adversos , Falha de Prótese , Vasculite/etiologia , Vitálio/efeitos adversos , Diagnóstico Diferencial , Feminino , Humanos , Hiperidrose , Linfócitos/patologia , Pessoa de Meia-Idade , Desenho de Prótese , Reoperação , Resultado do Tratamento , Vasculite/patologia , Vasculite/cirurgia , Redução de PesoRESUMO
We reviewed 68 patients who underwent anterior cruciate ligament (ACL) reconstruction after initial EUA & arthroscopy in the knee unit of a United Kingdom district general hospital. Mean time between injury and ACL reconstruction surgery was 23.3 months with the incidence of meniscal tear at reconstruction being 67.6%. In this series 10.3% of patients sustained a meniscal tear in the delay period between arthroscopy and reconstruction surgery. Meniscal tear is strongly associated with ACL rupture and also a poorer outcome following reconstruction surgery. The delay in diagnosis and wait for reconstruction surgery that patients experience are potentially worsening surgical outcomes in the anterior cruciate deficient knee.