title: Debridement of wear granulomata in revision total hip arthroplasty: use of a chondrotome shaver blade.
abstract: Osteolysis is a common complication following uncemented total hip arthroplasty and is usually secondary to a biological reaction to polyethylene wear debris. The resultant periprosthestic bone resorption and granulomata is frequently not associated with implant loosening. In such circumstances, an option is to leave the well-fixed component, debride the granulomata, and exchange the polyethylene liner. We describe a simple method of accessing and debriding periprosthestic ranulomata using a chondrotome shaver blade.
authors.affiliation: Sportsmed S.A, Adelaide, Australia.
authors.forename: Parminder J S
authors.initials: PJ
authors.lastname: Jeer
authors.forename: Roger D
authors.initials: RD
authors.lastname: Oakeshott
mesh_terms: D019644:Arthroplasty, Replacement, Hip; D003646:Debridement / Q000295:instrumentation*; D015745:Granuloma, Foreign-Body / Q000601:surgery*; D006801:Humans; D012086:Reoperation