Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty

The authors report a case of a huge cystic pseudotumor, surrounding a failed metal-on-metal total hip arthroplasty (THA). The cyst surrounded the hip anteriorly, occupied part of the anterior portion of the thigh, and extended to the anterolateral aspect of the abdomen. The case was treated by a two...

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Autores principales: Cottino, Umberto, Dettoni, Federico, Risitano, Salvatore, Marmotti, Antonio, Rossi, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672869/
https://www.ncbi.nlm.nih.gov/pubmed/29114642
http://dx.doi.org/10.1055/s-0037-1603676
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author Cottino, Umberto
Dettoni, Federico
Risitano, Salvatore
Marmotti, Antonio
Rossi, Roberto
author_facet Cottino, Umberto
Dettoni, Federico
Risitano, Salvatore
Marmotti, Antonio
Rossi, Roberto
author_sort Cottino, Umberto
collection PubMed
description The authors report a case of a huge cystic pseudotumor, surrounding a failed metal-on-metal total hip arthroplasty (THA). The cyst surrounded the hip anteriorly, occupied part of the anterior portion of the thigh, and extended to the anterolateral aspect of the abdomen. The case was treated by a two-stage procedure. The first stage consisted of a percutaneous drainage of the fluid content of the cyst (∼1,200 mL). This procedure reduced the risk of tearing the cyst capsule spreading the liquid in the tissues surrounding the THA, and in the abdomen. Thanks to this simple procedure, the second stage treatment consisted of a relatively usual THA revision. The patient recovered completely from the treatment and returned to pain-free full activities of daily living.
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spelling pubmed-56728692017-11-07 Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty Cottino, Umberto Dettoni, Federico Risitano, Salvatore Marmotti, Antonio Rossi, Roberto Joints The authors report a case of a huge cystic pseudotumor, surrounding a failed metal-on-metal total hip arthroplasty (THA). The cyst surrounded the hip anteriorly, occupied part of the anterior portion of the thigh, and extended to the anterolateral aspect of the abdomen. The case was treated by a two-stage procedure. The first stage consisted of a percutaneous drainage of the fluid content of the cyst (∼1,200 mL). This procedure reduced the risk of tearing the cyst capsule spreading the liquid in the tissues surrounding the THA, and in the abdomen. Thanks to this simple procedure, the second stage treatment consisted of a relatively usual THA revision. The patient recovered completely from the treatment and returned to pain-free full activities of daily living. Georg Thieme Verlag KG 2017-07-28 /pmc/articles/PMC5672869/ /pubmed/29114642 http://dx.doi.org/10.1055/s-0037-1603676 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Cottino, Umberto
Dettoni, Federico
Risitano, Salvatore
Marmotti, Antonio
Rossi, Roberto
Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty
title Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty
title_full Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty
title_fullStr Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty
title_full_unstemmed Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty
title_short Two-Stage Treatment of a Large Pelvic Cystic Pseudotumor in a Metal-On-Metal Total Hip Arthroplasty
title_sort two-stage treatment of a large pelvic cystic pseudotumor in a metal-on-metal total hip arthroplasty
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672869/
https://www.ncbi.nlm.nih.gov/pubmed/29114642
http://dx.doi.org/10.1055/s-0037-1603676
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