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The Journal of Bone and Joint Surgery 78:1784-5 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Cobi Lidor, M.D., Ph.D., David R. Morawski, M.D., Richard D. Coutts, M.D., Edgar G. Handal, M.D., Richard Santore, M.D., Joseph Luibel, M.D. and John L. Ricci, Ph.D.

TO THE EDITOR:

Morawski et al. provided important data in "Polyethylene Debris in Lymph Nodes after a Total Hip Arthroplasty. A Report of Two Cases" (77-A: 772–776, May 1995). However, the authors mentioned the metallic debris very briefly and did not mention cement debris at all. Thus, the workup for their second patient (Case 2) included only light microscopy for the detection of polyethylene. I want to call attention to the fact that cemented metal-on-polymer endoprostheses generate wear particles that are consistent with all of their components and that these particles can disseminate through the lymphatic system.

. . . [Full Text of this Article]


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