Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review

Hip replacement is the surgery of the last century due to its impact on the quality of life. A pseudotumour is a rare complication of hip arthroplasty, and it is related to a metal-bearing surface. Pseudotumour is a challenging scenario for hip surgeons due to poor clinical outcomes. The patient con...

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Main Authors: Cristian Barrientos, Julian Brañes, José-Luis Llanos, Alvaro Martinez, Maximiliano Barahona
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/3808362
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author Cristian Barrientos
Julian Brañes
José-Luis Llanos
Alvaro Martinez
Maximiliano Barahona
author_facet Cristian Barrientos
Julian Brañes
José-Luis Llanos
Alvaro Martinez
Maximiliano Barahona
author_sort Cristian Barrientos
collection DOAJ
description Hip replacement is the surgery of the last century due to its impact on the quality of life. A pseudotumour is a rare complication of hip arthroplasty, and it is related to a metal-bearing surface. Pseudotumour is a challenging scenario for hip surgeons due to poor clinical outcomes. The patient consulted for hip pain and paresthesia in the left lower extremity, and analyses showed that the cause was a sizeable intrapelvic pseudotumour. A multidisciplinary team surgery was planned. At first, an infraumbilical approach was made to resect the intrapelvic-retroperitoneum portion of the pseudotumour. Then, a posterolateral hip approach was performed, to resect the remaining portion of the pseudotumour and revision arthroplasty. At five years of follow-up, there are no clinical or imaging signs of recurrence of the pseudotumour. Treatment evidence is limited to a series of cases and expert opinions; we encourage complete resection and revision arthroplasty.
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institution Kabale University
issn 2090-6749
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publishDate 2018-01-01
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series Case Reports in Orthopedics
spelling doaj-art-84cca5a94f6d474e9a52d2ce27ec50682025-02-03T06:11:20ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/38083623808362Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature ReviewCristian Barrientos0Julian Brañes1José-Luis Llanos2Alvaro Martinez3Maximiliano Barahona4Orthopaedic Department at Hospital Clinico Universidad de Chile, Santos Dumontt 999, Santiago, ChileOrthopaedic Department at Hospital San José, 1196 San Jose av. Independencia, Santiago 8380419, ChileColoproctology Surgery at Hospital Clinico Universidad de Chile, Santos Dumontt 999, Santiago, ChileOrthopaedic Department at Hospital San José, 1196 San Jose av. Independencia, Santiago 8380419, ChileOrthopaedic Department at Hospital Clinico Universidad de Chile, Santos Dumontt 999, Santiago, ChileHip replacement is the surgery of the last century due to its impact on the quality of life. A pseudotumour is a rare complication of hip arthroplasty, and it is related to a metal-bearing surface. Pseudotumour is a challenging scenario for hip surgeons due to poor clinical outcomes. The patient consulted for hip pain and paresthesia in the left lower extremity, and analyses showed that the cause was a sizeable intrapelvic pseudotumour. A multidisciplinary team surgery was planned. At first, an infraumbilical approach was made to resect the intrapelvic-retroperitoneum portion of the pseudotumour. Then, a posterolateral hip approach was performed, to resect the remaining portion of the pseudotumour and revision arthroplasty. At five years of follow-up, there are no clinical or imaging signs of recurrence of the pseudotumour. Treatment evidence is limited to a series of cases and expert opinions; we encourage complete resection and revision arthroplasty.http://dx.doi.org/10.1155/2018/3808362
spellingShingle Cristian Barrientos
Julian Brañes
José-Luis Llanos
Alvaro Martinez
Maximiliano Barahona
Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review
Case Reports in Orthopedics
title Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review
title_full Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review
title_fullStr Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review
title_full_unstemmed Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review
title_short Surgical Treatment of Intrapelvic Pseudotumour after Hip Resurfacing Arthroplasty: Case Report and Literature Review
title_sort surgical treatment of intrapelvic pseudotumour after hip resurfacing arthroplasty case report and literature review
url http://dx.doi.org/10.1155/2018/3808362
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