Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2015

Open Access 01-12-2015 | Case report

Inflammatory pseudotumor around metal-on-polyethylene total hip arthroplasty in patients with ankylosing spondylitis: description of two cases and review of literature

Authors: Dong Fu, Wei Sun, Jiakang Shen, Xiaojun Ma, Zhengdong Cai, Yingqi Hua

Published in: World Journal of Surgical Oncology | Issue 1/2015

Login to get access

Abstract

Inflammatory pseudotumor has been commonly reported in patients undertaking total hip replacement (THR) for different reasons. The precise etiology of this biological reaction and whether the primary disease has an influence on pseudotumor formation remain unclear. There seems to be a consensus that metal ions and debris do play an important role during this process. Recently, however, compared to metal particles along, immune response induced by metal particles attracts more attention. We present two cases of pseudotumor who have accepted THR for ankylosing spondylitis (AS) and later required revision surgery and hindquarter amputation, respectively. By thorough literature review, we tried to investigate the association between inflammatory pseudotumors and immunology.
Literature
1.
go back to reference Evans EM, Freeman MA, Miller AJ, Vernon-Roberts B. Metal sensitivity as a cause of bone necrosis and loosening of the prosthesis in total joint replacement. J Bone Joint Surg Br. 1974;56-b(4):626.PubMed Evans EM, Freeman MA, Miller AJ, Vernon-Roberts B. Metal sensitivity as a cause of bone necrosis and loosening of the prosthesis in total joint replacement. J Bone Joint Surg Br. 1974;56-b(4):626.PubMed
2.
go back to reference Pandit H, Glyn-Jones S, McLardy-Smith P, Gundle R, Whitwell D, Gibbons CL, et al. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg. 2008;90(7):847.CrossRef Pandit H, Glyn-Jones S, McLardy-Smith P, Gundle R, Whitwell D, Gibbons CL, et al. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg. 2008;90(7):847.CrossRef
3.
go back to reference Hart AJ, Sabah S, Henckel J, Lewis A, Cobb J, Sampson B, et al. The painful metal-on-metal hip resurfacing. J Bone Joint Surg. 2009;91(6):738.CrossRef Hart AJ, Sabah S, Henckel J, Lewis A, Cobb J, Sampson B, et al. The painful metal-on-metal hip resurfacing. J Bone Joint Surg. 2009;91(6):738.CrossRef
4.
go back to reference Glyn-Jones S, Pandit H, Kwon YM, Doll H, Gill HS, Murray DW. Risk factors for inflammatory pseudotumour formation following hip resurfacing. J Bone Joint Surg. 2009;91(12):1566.CrossRef Glyn-Jones S, Pandit H, Kwon YM, Doll H, Gill HS, Murray DW. Risk factors for inflammatory pseudotumour formation following hip resurfacing. J Bone Joint Surg. 2009;91(12):1566.CrossRef
5.
go back to reference Mabilleau G, Kwon YM, Pandit H, Murray DW, Sabokbar A. Metal-on-metal hip resurfacing arthroplasty: a review of periprosthetic biological reactions. Acta Orthop. 2008;79(6):734.CrossRefPubMed Mabilleau G, Kwon YM, Pandit H, Murray DW, Sabokbar A. Metal-on-metal hip resurfacing arthroplasty: a review of periprosthetic biological reactions. Acta Orthop. 2008;79(6):734.CrossRefPubMed
6.
go back to reference Boardman DR, Middleton FR, Kavanagh TG. A benign psoas mass following metal-on-metal resurfacing of the hip. J Bone Joint Surg. 2006;88(3):402.CrossRef Boardman DR, Middleton FR, Kavanagh TG. A benign psoas mass following metal-on-metal resurfacing of the hip. J Bone Joint Surg. 2006;88(3):402.CrossRef
7.
go back to reference De Smet KA. Belgium experience with metal-on-metal surface arthroplasty. Orthop Clin North Am. 2005;36(2):203.CrossRefPubMed De Smet KA. Belgium experience with metal-on-metal surface arthroplasty. Orthop Clin North Am. 2005;36(2):203.CrossRefPubMed
8.
go back to reference Gruber FW, Bock A, Trattnig S, Lintner F, Ritschl P. Cystic lesion of the groin due to metallosis: a rare long-term complication of metal-on-metal total hip arthroplasty. J Arthroplasty. 2007;22(6):923.CrossRefPubMed Gruber FW, Bock A, Trattnig S, Lintner F, Ritschl P. Cystic lesion of the groin due to metallosis: a rare long-term complication of metal-on-metal total hip arthroplasty. J Arthroplasty. 2007;22(6):923.CrossRefPubMed
9.
go back to reference Langton DJ, Jameson SS, Joyce TJ, Hallab NJ, Natu S, Nargol AV. Early failure of metal-on-metal bearings in hip resurfacing and large-diameter total hip replacement: a consequence of excess wear. J Bone Joint Surg. 2010;92(1):38.CrossRef Langton DJ, Jameson SS, Joyce TJ, Hallab NJ, Natu S, Nargol AV. Early failure of metal-on-metal bearings in hip resurfacing and large-diameter total hip replacement: a consequence of excess wear. J Bone Joint Surg. 2010;92(1):38.CrossRef
10.
go back to reference Jasty MJ, Floyd 3rd WE, Schiller AL, Goldring SR, Harris WH. Localized osteolysis in stable, non-septic total hip replacement. J Bone Joint Surg Am. 1986;68(6):912.PubMed Jasty MJ, Floyd 3rd WE, Schiller AL, Goldring SR, Harris WH. Localized osteolysis in stable, non-septic total hip replacement. J Bone Joint Surg Am. 1986;68(6):912.PubMed
11.
go back to reference Maloney WJ, Jasty M, Harris WH, Galante JO, Callaghan JJ. Endosteal erosion in association with stable uncemented femoral components. J Bone Joint Surg Am. 1990;72(7):1025.PubMed Maloney WJ, Jasty M, Harris WH, Galante JO, Callaghan JJ. Endosteal erosion in association with stable uncemented femoral components. J Bone Joint Surg Am. 1990;72(7):1025.PubMed
12.
go back to reference Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am. 1992;74(6):849.PubMed Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am. 1992;74(6):849.PubMed
13.
go back to reference Wang JW, Lin CC. Pelvic mass caused by polyethylene wear after uncemented total hip arthroplasty. J Arthroplasty. 1996;11(5):626.CrossRefPubMed Wang JW, Lin CC. Pelvic mass caused by polyethylene wear after uncemented total hip arthroplasty. J Arthroplasty. 1996;11(5):626.CrossRefPubMed
14.
go back to reference Leigh W, O’Grady P, Lawson EM, Hung NA, Theis JC, Matheson J. Pelvic pseudotumor: an unusual presentation of an extra-articular granuloma in a well-fixed total hip arthroplasty. J Arthroplasty. 2008;23(6):934.CrossRefPubMed Leigh W, O’Grady P, Lawson EM, Hung NA, Theis JC, Matheson J. Pelvic pseudotumor: an unusual presentation of an extra-articular granuloma in a well-fixed total hip arthroplasty. J Arthroplasty. 2008;23(6):934.CrossRefPubMed
15.
go back to reference Clayton RA, Beggs I, Salter DM, Grant MH, Patton JT, Porter DE. Inflammatory pseudotumor associated with femoral nerve palsy following metal-on-metal resurfacing of the hip. A case report. J Bone Joint Surg Am. 1988;90(9):2008. Clayton RA, Beggs I, Salter DM, Grant MH, Patton JT, Porter DE. Inflammatory pseudotumor associated with femoral nerve palsy following metal-on-metal resurfacing of the hip. A case report. J Bone Joint Surg Am. 1988;90(9):2008.
16.
go back to reference Grammatopolous G, Pandit H, Kwon YM, Gundle R, McLardy-Smith P, Beard DJ, et al. Hip resurfacings revised for inflammatory pseudotumour have a poor outcome. J Bone Joint Surg. 2009;91(8):1019.CrossRef Grammatopolous G, Pandit H, Kwon YM, Gundle R, McLardy-Smith P, Beard DJ, et al. Hip resurfacings revised for inflammatory pseudotumour have a poor outcome. J Bone Joint Surg. 2009;91(8):1019.CrossRef
17.
go back to reference Fabbri N, Rustemi E, Masetti C, Kreshak J, Gambarotti M, Vanel D, et al. Severe osteolysis and soft tissue mass around total hip arthroplasty: description of four cases and review of the literature with respect to clinico-radiographic and pathologic differential diagnosis. Eur J Radiol. 2011;77(1):43.CrossRefPubMed Fabbri N, Rustemi E, Masetti C, Kreshak J, Gambarotti M, Vanel D, et al. Severe osteolysis and soft tissue mass around total hip arthroplasty: description of four cases and review of the literature with respect to clinico-radiographic and pathologic differential diagnosis. Eur J Radiol. 2011;77(1):43.CrossRefPubMed
18.
go back to reference McDonald DJ, Enneking WF, Sundaram M. Metal-associated angiosarcoma of bone: report of two cases and review of the literature. Clin Orthop Relat Res. 2002;396:206.CrossRefPubMed McDonald DJ, Enneking WF, Sundaram M. Metal-associated angiosarcoma of bone: report of two cases and review of the literature. Clin Orthop Relat Res. 2002;396:206.CrossRefPubMed
19.
go back to reference Vives P, Sevestre H, Grodet H, Marie F. Malignant fibrous histiocytoma of the femur after total hip prosthesis. Apropos of a case. Rev Chir Orthop Reparatrice Appar Mot. 1987;73(5):407.PubMed Vives P, Sevestre H, Grodet H, Marie F. Malignant fibrous histiocytoma of the femur after total hip prosthesis. Apropos of a case. Rev Chir Orthop Reparatrice Appar Mot. 1987;73(5):407.PubMed
20.
go back to reference Swann M. Malignant soft-tissue tumour at the site of a total hip replacement. J Bone Joint Surg. 1984;66(5):629. Swann M. Malignant soft-tissue tumour at the site of a total hip replacement. J Bone Joint Surg. 1984;66(5):629.
21.
go back to reference Penman HG, Ring PA. Osteosarcoma in association with total hip replacement. J Bone Joint Surg. 1984;66(5):632. Penman HG, Ring PA. Osteosarcoma in association with total hip replacement. J Bone Joint Surg. 1984;66(5):632.
22.
go back to reference Bago-Granell J, Aguirre-Canyadell M, Nardi J, Tallada N. Malignant fibrous histiocytoma of bone at the site of a total hip arthroplasty. A case report. J Bone Joint Surg. 1984;66(1):38. Bago-Granell J, Aguirre-Canyadell M, Nardi J, Tallada N. Malignant fibrous histiocytoma of bone at the site of a total hip arthroplasty. A case report. J Bone Joint Surg. 1984;66(1):38.
23.
go back to reference Weber PC. Epithelioid sarcoma in association with total knee replacement. A case report. J Bone Joint Surg. 1986;68(5):824. Weber PC. Epithelioid sarcoma in association with total knee replacement. A case report. J Bone Joint Surg. 1986;68(5):824.
24.
go back to reference Carter RL, Roe FJ. Induction of sarcomas in rats by solid and fragmented polyethylene: experimental observations and clinical implications. Br J Cancer. 1969;23(2):401.CrossRefPubMedCentralPubMed Carter RL, Roe FJ. Induction of sarcomas in rats by solid and fragmented polyethylene: experimental observations and clinical implications. Br J Cancer. 1969;23(2):401.CrossRefPubMedCentralPubMed
25.
go back to reference Kwon YM, Glyn-Jones S, Simpson DJ, Kamali A, McLardy-Smith P, Gill HS, et al. Analysis of wear of retrieved metal-on-metal hip resurfacing implants revised due to pseudotumours. J Bone Joint Surg. 2010;92(3):356.CrossRef Kwon YM, Glyn-Jones S, Simpson DJ, Kamali A, McLardy-Smith P, Gill HS, et al. Analysis of wear of retrieved metal-on-metal hip resurfacing implants revised due to pseudotumours. J Bone Joint Surg. 2010;92(3):356.CrossRef
26.
go back to reference Mahendra G, Pandit H, Kliskey K, Murray D, Gill HS, Athanasou N. Necrotic and inflammatory changes in metal-on-metal resurfacing hip arthroplasties. Acta Orthop. 2009;80(6):653.CrossRefPubMedCentralPubMed Mahendra G, Pandit H, Kliskey K, Murray D, Gill HS, Athanasou N. Necrotic and inflammatory changes in metal-on-metal resurfacing hip arthroplasties. Acta Orthop. 2009;80(6):653.CrossRefPubMedCentralPubMed
27.
go back to reference Harvie P, Giele H, Fang C, Ansorge O, Ostlere S, Gibbons M, et al. The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. Hip Int. 2008;18(4):313.PubMed Harvie P, Giele H, Fang C, Ansorge O, Ostlere S, Gibbons M, et al. The treatment of femoral neuropathy due to pseudotumour caused by metal-on-metal resurfacing arthroplasty. Hip Int. 2008;18(4):313.PubMed
28.
go back to reference Watters TS, Cardona DM, Menon KS, Vinson EN, Bolognesi MP, Dodd LG. Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Am J Clin Pathol. 2010;134(6):886.CrossRefPubMed Watters TS, Cardona DM, Menon KS, Vinson EN, Bolognesi MP, Dodd LG. Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Am J Clin Pathol. 2010;134(6):886.CrossRefPubMed
29.
go back to reference De Smet K, De Haan R, Calistri A, Campbell PA, Ebramzadeh E, Pattyn C, et al. Metal ion measurement as a diagnostic tool to identify problems with metal-on-metal hip resurfacing. J Bone Joint Surg Am. 2008;90 Suppl 4:202.CrossRefPubMed De Smet K, De Haan R, Calistri A, Campbell PA, Ebramzadeh E, Pattyn C, et al. Metal ion measurement as a diagnostic tool to identify problems with metal-on-metal hip resurfacing. J Bone Joint Surg Am. 2008;90 Suppl 4:202.CrossRefPubMed
30.
go back to reference Davies AP, Willert HG, Campbell PA, Learmonth ID, Case CP. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am. 2005;87(1):18.CrossRefPubMed Davies AP, Willert HG, Campbell PA, Learmonth ID, Case CP. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am. 2005;87(1):18.CrossRefPubMed
31.
go back to reference Korovessis P, Petsinis G, Repanti M, Repantis T. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Joint Surg Am. 2006;88(6):1183.CrossRefPubMed Korovessis P, Petsinis G, Repanti M, Repantis T. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Joint Surg Am. 2006;88(6):1183.CrossRefPubMed
32.
go back to reference Milosev I, Trebse R, Kovac S, Cor A, Pisot V. Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacements at a mean of seven years. J Bone Joint Surg Am. 2006;88(6):1173.CrossRefPubMed Milosev I, Trebse R, Kovac S, Cor A, Pisot V. Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacements at a mean of seven years. J Bone Joint Surg Am. 2006;88(6):1173.CrossRefPubMed
33.
go back to reference Willert HG, Buchhorn GH, Fayyazi A, Flury R, Windler M, Koster G, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005;87(1):28.CrossRefPubMed Willert HG, Buchhorn GH, Fayyazi A, Flury R, Windler M, Koster G, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005;87(1):28.CrossRefPubMed
34.
go back to reference Caicedo MS, Desai R, McAllister K, Reddy A, Jacobs JJ, Hallab NJ. Soluble and particulate Co-Cr-Mo alloy implant metals activate the inflammasome danger signaling pathway in human macrophages: a novel mechanism for implant debris reactivity. J Orthop Res. 2009;27(7):847.CrossRefPubMed Caicedo MS, Desai R, McAllister K, Reddy A, Jacobs JJ, Hallab NJ. Soluble and particulate Co-Cr-Mo alloy implant metals activate the inflammasome danger signaling pathway in human macrophages: a novel mechanism for implant debris reactivity. J Orthop Res. 2009;27(7):847.CrossRefPubMed
35.
go back to reference Campbell P, Shimmin A, Walter L, Solomon M. Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplasty. 2008;23(7):1080.CrossRefPubMed Campbell P, Shimmin A, Walter L, Solomon M. Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplasty. 2008;23(7):1080.CrossRefPubMed
36.
go back to reference Locht H, Skogh T, Kihlstrom E. Anti-lactoferrin antibodies and other types of anti-neutrophil cytoplasmic antibodies (ANCA) in reactive arthritis and ankylosing spondylitis. Clin Exp Immunol. 1999;117(3):568.CrossRefPubMedCentralPubMed Locht H, Skogh T, Kihlstrom E. Anti-lactoferrin antibodies and other types of anti-neutrophil cytoplasmic antibodies (ANCA) in reactive arthritis and ankylosing spondylitis. Clin Exp Immunol. 1999;117(3):568.CrossRefPubMedCentralPubMed
Metadata
Title
Inflammatory pseudotumor around metal-on-polyethylene total hip arthroplasty in patients with ankylosing spondylitis: description of two cases and review of literature
Authors
Dong Fu
Wei Sun
Jiakang Shen
Xiaojun Ma
Zhengdong Cai
Yingqi Hua
Publication date
01-12-2015
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2015
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-015-0487-8

Other articles of this Issue 1/2015

World Journal of Surgical Oncology 1/2015 Go to the issue