Wear debris pseudotumor following total knee arthroplasty: a case report.
BACKGROUND
In patients who have undergone a total joint replacement, any mass occurring in or adjacent to the joint needs thorough investigation and a wear debris-induced cyst should be suspected.


METHODS
An 81-year-old man presented with a painful and enlarging mass at the popliteal fossa and calf of his right knee. He had had a total right knee replacement seven years previously. Plain radiographs showed narrowing of the medial compartment. Magnetic resonance imaging showed a cystic lesion at the postero-medial aspect of the knee joint mimicking popliteal cyst or soft tissue sarcoma. Fine needle aspiration was non-diagnostic. A core-needle biopsy showed metallosis. Intraoperative findings revealed massive metallosis related to extensive polyethylene wear, delamination and deformation. Revision knee and patella arthroplasty was carried out after a thorough debridement of the knee joint.


CONCLUSIONS
Long-term follow-up is critical for patients with total joint replacement for early detection of occult polyethylene wear and prosthesis loosening. In these cases, revision arthroplasty may provide a satisfactory knee function.
Mavrogenis
Andreas F
AF
First Department of Orthopaedics, ATTIKON University General Hospital, Athens University Medical School, Athens, Greece.
Nomikos
George N
GN
Sakellariou
Vasileios I
VI
Karaliotas
George I
GI
Kontovazenitis
Panayiotis
P
Papagelopoulos
Panayiotis J
PJ