title: Skin ulceration from tibial cement extrusion: case report and literature review.
abstract: Polymethyl methacrylate extrusion through a small tibial defect occurred during revision of a long-stemmed total knee arthroplasty. It caused necrosis and ulceration of the overlying skin. Resection of the protruding cement, debridement of the ulcer, and primary closure effected a cure. This is the first report of cement-induced skin necrosis and first report of tibial cement extrusion during revision of a total knee arthroplasty. Subcutaneous cement extrusion should be considered in the differential diagnosis of pretibial ulcers following total knee arthroplasty with cemented stems.
authors.affiliation: Department of Orthopaedic Surgery, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27157-1070, USA.
authors.forename: W G
authors.initials: WG
authors.lastname: Ward
authors.forename: D D
authors.initials: DD
authors.lastname: Haight
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D001843:Bone Cements / Q000009:adverse effects*; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D007720:Knee Prosthesis; D007871:Leg Ulcer / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D008297:Male; D009336:Necrosis; D019904:Polymethyl Methacrylate / Q000009:adverse effects*; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D012867:Skin / Q000187:drug effects* / Q000473:pathology; D013977:Tibia / Q000000981:diagnostic imaging / Q000187:drug effects / Q000601:surgery
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate