Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4062296 | The Journal of Arthroplasty | 2010 | 4 Pages |
Abstract
Infection, loosening, osteolysis, or other causes can lead to the development of pain about a previously well-functioning total hip arthroplasty. An inflammatory reaction unique to metal on metal arthroplasty can lead to a painful total hip. A synovial biopsy is needed to make this specific diagnosis, and included in the differential diagnosis is infection. The workup of infection includes obtaining a C-reactive protein and erythrocyte sedimentation rate. Elevations of both the C-reactive protein and erythrocyte sedimentation rate are felt to indicate possible infection. This case report describes both of these findings and the treatment rendered in a painful subluxing metal-on-metal total hip arthroplasty presenting with ongoing pain and a large effusion.
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Authors
Thomas J. MD, William L. MD, Pat A. PhD,