Retrieval and autopsy studies on failed total hip replacement have shown that wear debris induces thickening or blackening, by the metallic debris, of capsular and interfacial tissues. Most of the case, wear debris is stored in the capsular tissue. In...
Retrieval and autopsy studies on failed total hip replacement have shown that wear debris induces thickening or blackening, by the metallic debris, of capsular and interfacial tissues. Most of the case, wear debris is stored in the capsular tissue. In cases of large amount of particulate debris, debris are transported away via joint fluid channel or via the perivascular lymph space and stored in the interfacial membrane. In result, the size of the inflammatory tissue becomes enlarged. We are reporting sinus drainage of the wear debris from the failed Acetabular Cup System (ACS) total hip arthroplasty which has not been reported on the literature and discussing the mechanism of development of sinus drainage after catastrophic failure of the polyethylene liner.