Volume 2013, Issue 1 305180
Case Report
Open Access

Massive Deposition and Accumulation of Hydroxyapatite Crystal after Total Hip Arthroplasty: A Case Report

Shin Yamada

Corresponding Author

Shin Yamada

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan akita-u.ac.jp

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Koji Nozaka

Koji Nozaka

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan akita-u.ac.jp

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Hidetomo Saito

Hidetomo Saito

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan akita-u.ac.jp

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Hiroaki Kijima

Hiroaki Kijima

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan akita-u.ac.jp

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Hiroshi Tazawa

Hiroshi Tazawa

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan akita-u.ac.jp

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Yasusi Takasaki

Yasusi Takasaki

International Center for Research and Education on Mineral and Energy Resources, Akita University, Japan akita-u.ac.jp

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Yoichi Shimada

Yoichi Shimada

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan akita-u.ac.jp

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First published: 07 February 2013
Academic Editor: K. Erler
Academic Editor: M. Pirpiris

Abstract

We presented a case in which massive hydroxyapatite accumulation was observed around the artificial hip joint. A 66-year-old female showed a massive accumulation of fluid in and around the hip joint, and milk-like aspirate was obtained. Her aspirate culture was negative, and sediment analysis by X-ray diffraction showed that its component was hydroxyapatite. Since pain was mild, the patient was treated conservatively. To our knowledge, this is the first case in which liquid hydroxyapatite (milk of calcium) was accumulated around the artificial hip joint.

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