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Z Orthop Unfall 1997; 135(2): 171-173
DOI: 10.1055/s-2008-1039575
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© 1997 F. Enke Verlag Stuttgart

Lymphombedingte Imitation einer Knieprothesenlockerung

Loosening of Total Knee Arthroplasty, Imitated by Non-Hodgkin's LymphomaC. Pellengahr, V. Jansson, F. W. Hagena, H. J. Refior
  • Orthopädische Klinik und Poliklinik, Ludwig-Maximilians-Universität München. Klinikum Großhadern (Direktor: Prof. H. J. Refior)
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Publication History

Publication Date:
18 March 2008 (online)

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Zusammenfassung

Häufige Ursachen für Schmerzsyndrome nach Implantation einer Knieendoprothese sind aseptische Implantatlockerungen. unphysiologisches Alignement, Implantatbruch. Infektionen. Narbenschmerzen oder Narbenneurome. Schmerzen und Schwellung des Kniegelenkes 1,5 Jahre nach endoprothetischem Ersatz des Kniegelenkes bei einem 70jährigen Patienten, die trotz dreier Revisionsoperationen persistierten, führten überraschend zur Diagnose eines Non-Hodgkin Lymphoms.

Abstract

Persistent pain after knee arthroplasty is often caused by aseptic loosening. implant failure. unphysiological alignment {especially of the patella), infection, scares and neuroma. In a case of a 70-year-old patient pain and swelling after knee arthroplasty persisted despite three revision procederes. Surprisingly. a non-Hodgkin's lymphoma was found in femoral bone marrow histology. A metastatic non-Hodgkin's lymphoma as cause of pain and swelling after knee arthroplasty. like in this case, is rare and has not been described up to now.

Schlüsselwörter

Knieprothese - Lockerung - Non-Hodgkin Lymphom

Key words

knee arthroplasty - loosening - non-Hodgkin's lymphoma

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