Pseudotumors in Total Joint Arthroplasty

JBJS Rev. 2021 Apr 5;9(4). doi: 10.2106/JBJS.RVW.20.00125.

Abstract

»: The true incidence of pseudotumors in association with total joint arthroplasty is underestimated.

»: Pseudotumors occur with metal-on-metal, metal-on-polyethylene, and metal-on-ceramic articulations.

»: Metal ion levels should not be the only factor in decision-making regarding revision surgery.

»: Revision surgery is only indicated in symptomatic patients with clinical and radiographic findings and elevated metal ion levels.

»: Revision to a non-metal articulation is strongly suggested.

MeSH terms

  • Arthroplasty, Replacement, Hip*
  • Hip Prosthesis*
  • Humans
  • Metal-on-Metal Joint Prostheses*
  • Prosthesis Design
  • Reoperation