1. Adverse Soft-Tissue Reaction After Ceramic-On-Ceramic Bearing Fracture Mimicking a Periprosthetic Joint Infection
- Author
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Ruben Tresgallo-Parés, MD, Norberto J. Torres-Lugo, MD, Edwin Rosado-Hernández, MD, Gerardo Olivella, MD, MPH, Norman Ramírez, MD, and Antonio Otero-López, MD
- Subjects
Total hip arthroplasty ,Periprosthetic joint infection ,Adverse soft tissue reaction ,Implant fracture ,Ceramic bearing ,Foreign body ,Orthopedic surgery ,RD701-811 - Abstract
Prosthetic failure secondary to bearing fracture remains a potential complication in ceramic-on-ceramic total hip arthroplasty. We report the unusual presentation of a ceramic component fracture of a total hip arthroplasty performed 17 years ago that mimicked a periprosthetic joint infection. This case was managed based on the current guidelines and algorithms recommended for periprosthetic joint infection management. Histologic examination of periprosthetic tissue revealed an adverse inflammatory soft-tissue reaction to the ceramic fragments released from the fracture site. Our case highlights a misleading, inflammatory acute response usually associated with an infectious process corresponding to an adverse soft-tissue reaction. High clinical suspicion and a systematic approach are essential to address these deceiving clinical scenarios.
- Published
- 2022
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