Abstract

YEREGUI, Santiago et al. Seudotumor infectado en un paciente con artroplastia de cadera con par de fricción metal-metal. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2023, vol.88, n.5, pp.573-580. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2023.88.5.1764.

Total hip arthroplasty (THA) is the main treatment for advanced hip osteoarthritis and its complications include dislocation, infection, aseptic loosening and, to a lesser extent, adverse reactions to metal. Pseudotumor is a rare complication of THA with a metal-on-metal friction couple; its diagnosis and treatment are extremely important to reduce morbidity and mortality. We present the case of a 63-year-old male patient with a 13-year history of THA with a metal-on-metal friction couple who, at the time of consultation, presented a large palpable mass in the right gluteus and paresthesias in the homolateral sciatic nerve. The diagnosis of an infected pseudotumor was reached and treated with hip revision and antibiotic therapy.

Keywords : Pseudotumor; total hip arthroplasty; metal-on-metal friction couple.

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