Arthroplasty Today (Feb 2023)

Osteosarcoma Around a Ceramic-on-Ceramic Total Hip Arthroplasty

  • Jordan J. Levett,
  • Robert E. Turcotte, MD, FRCSC,
  • Sungmi Jung, MD,
  • John Antoniou, MD, PhD, FRCSC,
  • Olga L. Huk, MD, MSc, FRCSC

Journal volume & issue
Vol. 19
p. 101094

Abstract

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Sarcoma arising at the site of a total hip arthroplasty (THA) is uncommon. We present a case report of a patient diagnosed with an osteosarcoma around a ceramic-on-ceramic THA and a narrative literature review of sarcomas around THA. A search of PubMed MEDLINE was performed from inception. Our case report was included in the analysis. A total of 13 studies were included in the review. We report the first case of a sarcoma around a ceramic-on-ceramic hip implant. All cases in the literature reported poor outcomes with an average time from index THA to diagnosis of 9.3 ± 8.2 years. Sarcomas around THA are extremely rare. Despite the rarity of the diagnosis, osteosarcoma must be considered in the differential diagnosis when investigating a periprosthetic mass.

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