Evidence map›Paper›PMID 39437502›Full record

ArticleInternational journal of surgery case reports2024

Pseudotumor in total knee revision arthroplasty resembling heterotopic ossification: A case report.

Norberto J Torres-Lugo, Patricia S Serrano-Boett, Jose Acosta-Julbe, Antonio Otero-Lopez, Juan Bibiloni-Rodríguez

Abstract readCase Reports
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Article in International journal of surgery case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Norberto J Torres-LugoDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan 00936-5067, Puerto Rico. Electronic address: norberto.torres1@upr.edu.
Patricia S Serrano-BoettDepartment of Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan 00936-5067, Puerto Rico.
Jose Acosta-JulbeDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan 00936-5067, Puerto Rico. Electronic address: jose.acosta14@upr.edu.
Antonio Otero-LopezDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan 00936-5067, Puerto Rico. Electronic address: antonio.otero3@upr.edu.
Juan Bibiloni-RodríguezDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan 00936-5067, Puerto Rico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPseudotumors are well-known complications following total hip arthroplasty (THA), usually attributed to debris-induced inflammation from direct metal-on-metal contact between implants. In total knee arthroplasty (TKA), the traditional use of polyethylene as a bearing surface prevents direct metal articulation. Thus, pseudotumor formation in TKA usually suggests atypical metal interaction between the prosthetic components. PRESENTATION OF CASE: We presented the case of a 65-year-old male who developed a progressively growing mass in the left posterior knee after revision TKA, debuting as heterotopic ossification (HO) based on the radiographic assessment. Subsequent histopathological examination establishes the diagnosis of a pseudotumor. DISCUSSION: Pseudotumors impose a diagnostic challenge in TKA due to their non-specific presentation and imaging, which may overlap with other etiologies. Currently, there are no standardized guidelines for pseudotumor assessment in TKA, and each case should be approached individually without relying on a simple diagnostic tool.

conclusionPhysicians should consider a comprehensive approach supported by a high index of suspicion to include pseudotumors within the differential diagnosis of knee periprosthetic masses.

Indexed as

Heterotopic ossificationMetallosisPseudotumorTotal knee arthroplasty

Identifiers

PMID39437502
PMCPMC11532899

What Socratic holds

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