Late complications of total hip replacement from bone cement within the pelvis. A review of the literature and a case report involving dyspareunia.
It is not uncommon to observe bone cement in the pelvis on radiographs after total hip replacement, a finding which is generally considered to be benign. This paper reviews some catastrophic late complications from intrapelvic methylmethacrylate. We also describe a case of progressive, unbearable dyspareunia beginning three years after total hip replacement. A possible explanation of the pathophysiology is suggested. Recommendations for prevention, diagnosis, and treatment of these late complications are offered.
D000328:Adult; D001843:Bone Cements / Q000009:adverse effects*; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D005271:Femur Head Necrosis / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008768:Methylmethacrylates / Q000009:adverse effects*; D010388:Pelvis / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control; D011859:Radiography; D013997:Time Factors
D001843:Bone Cements; D008768:Methylmethacrylates