Skin ulceration from tibial cement extrusion Case report and literature review

Posteromedial compartment cement extrusion after unicompartmental knee arthroplasty treated by arthroscopy: a case report

“…Thermal injury to the surrounding bones, joints, nerves, vessels, adjacent organs and surrounding soft tissues can occur [9, 17]. Although we could find only one case report [20] of extrusion of cement after UKA, there have been few cases reported after a total knee arthroplasty [19, 24]. We experienced this in the case in which the extrusion of cement into the posteromedial compartment caused continuous pain, a catching sensation and a clicking in the knee, after UKA.…”

“…Common complications after UKA, which have been described, include aseptic loosening [1, 4, 8, 12, 14], infection [3], patellofemoral pain [7], polyethylene wear [6, 25] and progressive arthritic changes in the unreplaced compartments [1, 4, 8, 12, 14]. Complications specifically related to the extrusion of cement after UKA are not well documented, although there are a few reports concerning complications of cement extrusion associated with total knee arthroplasty [19, 24]. Here, we report on a case in which the extrusion of bone cement into the posteromedial compartment caused continuous pain, a clicking sensation and restriction of knee movement after UKA.…”

Pretibial Full Thickness Skin Burn following Indirect Contact from Bone-Cement Use in a Giant Cell Tumour

“…Two previous reports of skin burn due to bone-cement use have been found in the literature. One report was following subcutaneous cement extrusion following a revision total knee replacement [ 5 ] and the other was following a prolonged contact of skin with a piece of discarded cement during a total hip replacement [ 6 ]. The possibility of a pressure sore in our patient is unlikely as the presentation (blister turning to an eschar) was similar to the two reports in the literature.…”

“…The thermal effects of bone cement on various tissues like nerves [ 1 ], vessels [ 2 ], bladder [ 3 ], and the bone [ 4 ] after direct contact have been reported. Skin damage from bone-cement use has been previously reported but was either following cement extrusion from a cortical defect [ 5 ] or skin contact with discarded cement [ 6 ]. Aggressive curettage and cement application are a procedure done with reasonable success for large giant cell tumours of bone [ 7 ].…”