Pseudotumor due to metallosis after total elbow arthroplasty
Total elbow arthroplasty (TEA) is the elective surgery for elderly patients with severe elbow osteoarthritis or unreconstructible elbow fractures. [1] Expanding these indications to a young and active population can significantly increase the risk of early wear and prosthesis loosening. [2] Revision surgery is difficult and the outcome is less satisfactory compared to primary implants. [3] We describe a unique case of pseudotumor in a young patient who underwent revision surgery 16 years after TEA.

A 56-year-old woman presented to us 16 years after left TEA with a Kudo prosthesis performed in another hospital for a complex fracture of the distal humerus, followed by plaster immobilization for 40 days with an outcome of joint stiffness. 18 months after surgery, manipulations under anesthesia were performed, a joint motion of 70-120° was obtained, and the patient resumed her normal activity level. 9 years after surgery, she returned to the same hospital complaining about pain and elbow swelling and underwent an exploratory surgery with removal of "a broken part." Afterwards, she resumed the same activity levels as before.

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