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Archives of Orthopaedic and Trauma Surgery

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01-12-2008 | Orthopaedic Surgery

A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties

Authors: Mark S. Eskander, Erika McPhee, Jonathan P. Eskander, Robert Nascimento, Jeremy J. McCormick, Suyang Hao, David Shepro, Kirk Johnson

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2008

Abstract

A 70-year-old woman with a history of bilateral primary knee osteoarthritis presented with a left knee wound complication, a non-Hodgkins lymphoma, after bilateral total knee arthroplasties. After exploring several etiologies, the evidence in this unusual case suggests a coincidental preexisting lymphoma.

The following are ASTM F75 composition guidelines: Chromium (27–30%), Molybdenum (5–7%), Carbon (max 0.35%), Iron (max 0.75%), Nickel (max 0.5%), Magnesium (max 1%), Silicone (max 1%), Nitrogen (max 0.25%), Tungsten (max 0.2%), Phosphorus (max 0.02%), Sulphur (max 0.01%), Aluminum (max 0.1%), and Titanium (max 0.1%). The following are performance guidelines: yield strength Rp 0.2 (65 KSi), ultimate tensile strength (95 KSi), Rockwell hardness (25–35 HRC), and elongation (> 8%).

Ganapathi M, Lake DNW, Griffiths AP (2001) Periprosthetic high-grade B-cell lymphoma complicating an infected revision total hip arthroplasty. J Arthroplasty 16:229–232PubMedCrossRef

Dodion P, Putz P, Amiri-Lamraski MH, et al. (1982) Immunoblastic lymphoma at the site of an infected vitallium bone plate. Histopathology 6:807–813PubMedCrossRef

Ito H, Shimizu A (1999) Malignant lymphoma at the site of a total hip replacement. Orthopedics 22:82–84PubMed

McDonald I (1981) Malignant lymphoma associated with internal fixation of a fractured tibia. Cancer 48:1009–1011PubMedCrossRef

Radhi JM, Ibrahiem K, al-Tweigeri T (1998) Soft tissue malignant lymphoma at sites of previous surgery. J Clin Pathol 51:629–632PubMedCrossRef

Syed AA, Agarwal M, Fenelon G, et al. (2002) Osseous malignant non-Hodgkin’s B-cell lymphoma associated with total hip replacement. Leuk Lymphoma 43:2213–2216PubMedCrossRef

Cheuk W, Chan A, Chan J, Lau G, Chan V, Yiu H (2005) A distinct subgroup of large B-cell lymphoma related to pyothorax-associated lymphoma? Am J Surg Pathol 29:832–836PubMedCrossRef

Nyren O, McLaughlin JK, Gridley G, et al. (1995) Cancer risk after hip replacement with metal implants: a population-based cohort study in Sweden. J Natl Cancer Inst 87:28–33PubMedCrossRef

Ostrowski ML, Unni KK, Banks PM, et al. (1986) Malignant lymphoma of bone. Cancer 58:2646–2655PubMedCrossRef

10.

Parsonnet J, Hansen S, Rodriguez L, et al. (1994) Heliocobacter pylori infection and gastric lymphoma. N Engl J Med 330:1267–1271PubMedCrossRef

11.

Posnett DN, Collins RD, Krantz SB (1979) Osteomyelitis and lymphoma. Lancet 2:1085PubMedCrossRef

12.

Gillespie WJ, Frampton CMA, Henderson RJ, et al. (1988) The incidence of cancer following total hip replacement. J Bone Joint Surg Br 70:539–542PubMed

13.

Visuri T, Koskenvuo M (1991) Cancer risk after McKee–Farrar total hip replacement. Orthopedics 14:137–142PubMed

14.

Paavolainen P, Pukkala E, Pulkkinen P, et al. (1999) Cancer inidence in Finnish hip replacement patients from 1980 to 1995. A nationwide cohort study involving 31,651 patients. J Arthroplasty 14:272–280PubMedCrossRef

15.

Androulaki A, Drakos E, Hatzianastassiou D, et al. (2004) Pyothorax-associated lymphoma (PAL): a western case with marked angiocentricity and review of the literature. Histopathology 44:69–76PubMedCrossRef

16.

Nakatsuka S, Yao M, Hoshida Y, et al. (2002) Pyothorax-associated lymphoma: a review of 106 cases. J Clin Oncol 20:4255–4260PubMedCrossRef

17.

Laurent G, Pris J, Delsol G, et al. (1980) Immunoblastic lymphoma and osteomyelitis. Lancet 1:258PubMedCrossRef

18.

Copie-Bergman C, Niedobitek G, Mangham DC, et al. (1997) Epstein-Barr virus in B-cell lymphomas associated with chronic suppurative inflammation. J Pathol 183:287–292PubMedCrossRef

19.

Hussell T, Isaacson PG, Crabtree E, et al. (1996) Heliobacter pylori-specific tumour infiltrating T cells provide contact dependent help for the growth of malignant B cells in low grade gastric lymphoma of mucosa-associated lymphoid tissue. J Pathol 178:122–127PubMedCrossRef

20.

Vahey JW, Simonian PT, Conrad EU (1995) Carcinogenicity and metallic implants. Am J Orthop 24:319–324PubMed

Title: A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties
Authors: Mark S. Eskander
Erika McPhee
Jonathan P. Eskander
Robert Nascimento
Jeremy J. McCormick
Suyang Hao
David Shepro
Kirk Johnson
Publication date: 01-12-2008
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-008-0568-z

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Springer Medicine

A left knee wound complication by non-Hodgkins lymphoma in bilateral total knee arthroplasties

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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