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Rheumatoid nodules at the cement-bone interface in revision arthroplasty of rheumatoid patients.

AbstractWe studied the histology of the cement-bone interface and the regenerated synovium in ten aseptically loosened arthroplasties in rheumatoid patients. In two patients we found rheumatoid nodules at the cement-bone interface and marked lymphoplasmacytic infiltration in another three. Failed joints in osteoarthritic patients did not show these changes, and it seems likely that the presence of abundant immunocompetent cells was due to the background disease. We speculate that rheumatoid inflammation contributed to the process of loosening.
AuthorsK Inoue, J Nishioka, S Hukuda, K Shichikawa, H Okabe (Affiliation: Department of Orthopaedic Surgery, Shiga University of Medical, Japan.)
JournalThe Journal of bone and joint surgery. British volume (J Bone Joint Surg Br) Vol. 75 Issue 3 Pg. 455-8 (May 1993) ISSN: 0301-620X ENGLAND
PMID8496222 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Bone Cements
Topics
  • Adult
  • Aged
  • Arthritis, Juvenile Rheumatoid (pathology, radiography, surgery)
  • Arthritis, Rheumatoid (pathology, radiography, surgery)
  • Biopsy
  • Bone Cements
  • Female
  • Hip Prosthesis
  • Humans
  • Knee Prosthesis
  • Male
  • Middle Aged
  • Prosthesis Failure
  • Reoperation
  • Rheumatoid Nodule (pathology)
  • Synovial Membrane (pathology)
  • Time Factors