Debridement of wear granulomata in revision total hip arthroplasty: use of a chondrotome shaver blade.
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.
Jeer
Parminder J S
PJ
Sportsmed S.A, Adelaide, Australia.
Oakeshott
Roger D
RD
D019644:Arthroplasty, Replacement, Hip; D003646:Debridement / Q000295:instrumentation*; D015745:Granuloma, Foreign-Body / Q000601:surgery*; D006801:Humans; D012086:Reoperation