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Coloarticular Fistula Associated with a Pseudotumor After Metal-on-Metal Hip Resurfacing ArthroplastyA Case Report
Robert Bruce-Brand, MSc, MCh, MRCSI1; Thomas Kennedy, MB, BCh1; Rehan Gul, FRCSI1
1 Department of Trauma & Orthopaedic Surgery, Cork University Hospital, Wilton, Cork, Ireland. E-mail address for R. Bruce-Brand: robbrucebrand@gmail.com
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Investigation performed at the Department of Trauma & Orthopaedic Surgery, Cork University Hospital, Wilton, Cork, Ireland



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Jul 10;3(3):e67 1-4. doi: 10.2106/JBJS.CC.L.00224
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Extract

Fistula formation between the bowel and an implant following hip arthroplasty is rare1-11. Documented predisposing conditions include pelvic radiation therapy, long-term corticosteroid use, pelvic migration of the hip arthroplasty acetabular component, diverticulitis, and Crohn disease2,4-7,9-13. To our knowledge, we report the first known coloarticular fistula associated with a pseudotumor after a metal-on-metal hip resurfacing arthroplasty. The patient was informed that data concerning the case would be submitted for publication, and she provided consent.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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