Retroperitoneal Approach for Excision of Wear-Debris Pseudotumor: A Case Report

JBJS Case Connect. 2021 Feb 23;11(1). doi: 10.2106/JBJS.CC.20.00166.

Abstract

Case: Pelvic pseudotumors may occur as a reaction to wear-debris after hip arthroplasty and are rarely treated with surgery. We describe an instance in which a pelvic pseudotumor along the iliopsoas muscle tendon sheath was debulked using a retroperitoneal approach in a patient presenting for treatment of a prosthetic hip infection. The patient recovered uneventfully and was ambulatory with a new hip prosthesis at 3 months after procedure.

Conclusions: Retroperitoneal exposure provided safe, excellent exposure to a wear-debris pelvic pseudotumor in this case.

Publication types

  • Case Reports

MeSH terms

  • Arthroplasty, Replacement, Hip* / adverse effects
  • Hip
  • Hip Joint / pathology
  • Hip Prosthesis*
  • Humans