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The Journal of Bone and Joint Surgery, Vol 68, Issue 6 912-919, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc


JOURNAL CONTENTS

Localized osteolysis in stable, non-septic total hip replacement

MJ Jasty, WE Floyd, AL Schiller, SR Goldring and WH Harris

We are reporting four cases of extensive, localized bone resorption adjacent to a rigidly anchored, cemented total hip replacement. None of these hips showed evidence of infection on clinical, bacteriological, or pathological evaluation. The tissue from the regions of osteolysis showed sheets of macrophages and foreign-body giant cells invading the femoral cortices. Abundant methylmethacrylate particulate debris was present in the tissues, but polyethylene wear debris was absent. The histological appearance of this tissue resembled that reported about loosened total hip implants with the exception of the synovial-like layer at the cement surface. The cases reported here show that aggressive bone lysis may occur around stable cemented total hip arthroplasties without the presence of sepsis or malignant disease.
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