Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty
The present case shows a case of progression of osteolysis of the greater trochanter caused by a foreign body granuloma associated with the number 5 Ethibond suture in cementless THA with the direct lateral approach that was completely healed by removal of the Ethibond suture. A 55-year-old Japanese...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/6082302 |
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| author | Keiji Kamo Hiroaki Kijima Koichiro Okuyama Nobutoshi Seki Shin Yamada Naohisa Miyakoshi Yoichi Shimada |
| author_facet | Keiji Kamo Hiroaki Kijima Koichiro Okuyama Nobutoshi Seki Shin Yamada Naohisa Miyakoshi Yoichi Shimada |
| author_sort | Keiji Kamo |
| collection | DOAJ |
| description | The present case shows a case of progression of osteolysis of the greater trochanter caused by a foreign body granuloma associated with the number 5 Ethibond suture in cementless THA with the direct lateral approach that was completely healed by removal of the Ethibond suture. A 55-year-old Japanese woman with secondary osteoarthritis caused by acetabular dysplasia underwent left cementless THA with the direct lateral approach. After setting of the total hip prosthesis, the gluteus medius muscle and vastus lateralis muscle were reattached to the greater trochanter through two bone tunnels using number 5 Ethibond EXCEL sutures. The left hip pain disappeared after surgery, but the bone tunnels enlarged gradually and developed osteolysis at 10 weeks. The removal of the Ethibond sutures and debridement improved the osteolysis. Histological examination showed the granuloma reaction to a foreign body with giant cell formation. The Ethibond suture has the lowest inflammatory tissue reaction and relatively high tension strength among nonabsorbable suture materials. However, number 5 Ethibond has the potential to cause osteolysis due to a foreign body granuloma, as in the present case. |
| format | Article |
| id | doaj-art-aaa2e6ff0e0645ff83c979edb8af4b8f |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-aaa2e6ff0e0645ff83c979edb8af4b8f2025-02-03T06:44:46ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/60823026082302Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip ArthroplastyKeiji Kamo0Hiroaki Kijima1Koichiro Okuyama2Nobutoshi Seki3Shin Yamada4Naohisa Miyakoshi5Yoichi Shimada6Department of Orthopedic Surgery, Akita Rosai Hospital, Odate, JapanAkita Hip Research Group (AHRG), Akita, JapanDepartment of Orthopedic Surgery, Akita Rosai Hospital, Odate, JapanDepartment of Orthopedic Surgery, Akita Rosai Hospital, Odate, JapanAkita Hip Research Group (AHRG), Akita, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JapanAkita Hip Research Group (AHRG), Akita, JapanThe present case shows a case of progression of osteolysis of the greater trochanter caused by a foreign body granuloma associated with the number 5 Ethibond suture in cementless THA with the direct lateral approach that was completely healed by removal of the Ethibond suture. A 55-year-old Japanese woman with secondary osteoarthritis caused by acetabular dysplasia underwent left cementless THA with the direct lateral approach. After setting of the total hip prosthesis, the gluteus medius muscle and vastus lateralis muscle were reattached to the greater trochanter through two bone tunnels using number 5 Ethibond EXCEL sutures. The left hip pain disappeared after surgery, but the bone tunnels enlarged gradually and developed osteolysis at 10 weeks. The removal of the Ethibond sutures and debridement improved the osteolysis. Histological examination showed the granuloma reaction to a foreign body with giant cell formation. The Ethibond suture has the lowest inflammatory tissue reaction and relatively high tension strength among nonabsorbable suture materials. However, number 5 Ethibond has the potential to cause osteolysis due to a foreign body granuloma, as in the present case.http://dx.doi.org/10.1155/2017/6082302 |
| spellingShingle | Keiji Kamo Hiroaki Kijima Koichiro Okuyama Nobutoshi Seki Shin Yamada Naohisa Miyakoshi Yoichi Shimada Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty Case Reports in Orthopedics |
| title | Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty |
| title_full | Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty |
| title_fullStr | Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty |
| title_full_unstemmed | Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty |
| title_short | Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty |
| title_sort | osteolysis of the greater trochanter caused by a foreign body granuloma associated with the ethibond r suture after total hip arthroplasty |
| url | http://dx.doi.org/10.1155/2017/6082302 |
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