Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty
Joint Authors
Yamada, Shin
Miyakoshi, Naohisa
Kamo, Keiji
Shimada, Yoichi
Okuyama, Koichiro
Seki, Nobutoshi
Kijima, Hiroaki
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The present case shows a case of progression of osteolysis of the greater trochanter caused by a foreign body granuloma associated with the number 5 Ethibond suture in cementless THA with the direct lateral approach that was completely healed by removal of the Ethibond suture.
A 55-year-old Japanese woman with secondary osteoarthritis caused by acetabular dysplasia underwent left cementless THA with the direct lateral approach.
After setting of the total hip prosthesis, the gluteus medius muscle and vastus lateralis muscle were reattached to the greater trochanter through two bone tunnels using number 5 Ethibond EXCEL sutures.
The left hip pain disappeared after surgery, but the bone tunnels enlarged gradually and developed osteolysis at 10 weeks.
The removal of the Ethibond sutures and debridement improved the osteolysis.
Histological examination showed the granuloma reaction to a foreign body with giant cell formation.
The Ethibond suture has the lowest inflammatory tissue reaction and relatively high tension strength among nonabsorbable suture materials.
However, number 5 Ethibond has the potential to cause osteolysis due to a foreign body granuloma, as in the present case.
American Psychological Association (APA)
Kamo, Keiji& Kijima, Hiroaki& Okuyama, Koichiro& Seki, Nobutoshi& Yamada, Shin& Miyakoshi, Naohisa…[et al.]. 2017. Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty. Case Reports in Orthopedics،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1148348
Modern Language Association (MLA)
Kamo, Keiji…[et al.]. Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty. Case Reports in Orthopedics No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1148348
American Medical Association (AMA)
Kamo, Keiji& Kijima, Hiroaki& Okuyama, Koichiro& Seki, Nobutoshi& Yamada, Shin& Miyakoshi, Naohisa…[et al.]. Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty. Case Reports in Orthopedics. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1148348
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148348