Cargando…
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...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306992/ https://www.ncbi.nlm.nih.gov/pubmed/28255486 http://dx.doi.org/10.1155/2017/6082302 |
_version_ | 1782507288568791040 |
---|---|
author | Kamo, Keiji Kijima, Hiroaki Okuyama, Koichiro Seki, Nobutoshi Yamada, Shin Miyakoshi, Naohisa Shimada, Yoichi |
author_facet | Kamo, Keiji Kijima, Hiroaki Okuyama, Koichiro Seki, Nobutoshi Yamada, Shin Miyakoshi, Naohisa Shimada, Yoichi |
author_sort | Kamo, Keiji |
collection | PubMed |
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 | Online Article Text |
id | pubmed-5306992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-53069922017-03-02 Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty Kamo, Keiji Kijima, Hiroaki Okuyama, Koichiro Seki, Nobutoshi Yamada, Shin Miyakoshi, Naohisa Shimada, Yoichi Case Rep Orthop Case Report 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. Hindawi Publishing Corporation 2017 2017-01-31 /pmc/articles/PMC5306992/ /pubmed/28255486 http://dx.doi.org/10.1155/2017/6082302 Text en Copyright © 2017 Keiji Kamo et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kamo, Keiji Kijima, Hiroaki Okuyama, Koichiro Seki, Nobutoshi Yamada, Shin Miyakoshi, Naohisa Shimada, Yoichi Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty |
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® suture after total hip arthroplasty |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306992/ https://www.ncbi.nlm.nih.gov/pubmed/28255486 http://dx.doi.org/10.1155/2017/6082302 |
work_keys_str_mv | AT kamokeiji osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty AT kijimahiroaki osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty AT okuyamakoichiro osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty AT sekinobutoshi osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty AT yamadashin osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty AT miyakoshinaohisa osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty AT shimadayoichi osteolysisofthegreatertrochantercausedbyaforeignbodygranulomaassociatedwiththeethibondsutureaftertotalhiparthroplasty |