ArticleCureus2024
Foreign Body Entrapment on the Bearing Surface in Total Hip Arthroplasty: A Report of Three Cases.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total hip arthroplasty (THA) is a highly effective surgical intervention for end-stage hip joint disorders. While common complications such as infection, dislocation, and prosthetic loosening are well-documented, rarer complications remain underreported. One such complication is foreign body interposition on the bearing surface, which can compromise joint mechanics and adversely affect outcomes. This study presents three cases of foreign body interposition involving soft tissue, bone fragments, and cement debris, observed postoperatively in patients undergoing THA. In the first case, a 79-year-old woman presented with soft tissue interposition, which resolved spontaneously through joint motion without surgical intervention. The second case involved a 71-year-old woman with a bone fragment interposed between the femoral head and liner, necessitating reoperation for removal. The third case, a 32-year-old man, required immediate reoperation to remove a 1 cm cement fragment causing a gap on the bearing surface. In all cases, postoperative outcomes were favorable, with patients resuming independent ambulation and reporting no persistent symptoms. These cases underscore the potential for foreign body interposition to occur during or after THA due to residual debris or displaced tissues. This rare complication has an estimated incidence of 0.2% based on 1,340 procedures at three affiliated hospitals over two years. Key preventive strategies include meticulous removal of debris before reduction, thorough irrigation, and intraoperative imaging to confirm proper alignment. For management, immediate mobilization may resolve soft tissue interpositions, but solid foreign bodies typically require reoperation to prevent long-term damage to the bearing surfaces and subsequent complications, such as osteolysis, implant loosening, or catastrophic ceramic fracture. This report emphasizes the importance of heightened awareness, careful intraoperative techniques, and prompt postoperative imaging to identify and address this preventable complication. By sharing these insights, we aim to enhance perioperative safety and improve long-term outcomes for patients undergoing THA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.