Case Reports   |    
Suture Granuloma Mimicking Infection Following Total Hip Arthroplasty A Report of Three Cases
Samia Sayegh, MD; Louis Bernard, MD; Richard Stern, MD; Jean-Claude Pache, MD; Ildiko Szalay, MD; Pierre Hoffmeyer, MD
View Disclosures and Other Information
Investigation performed at the Orthopaedic and Pathology Services, University Hospital of Geneva, Geneva, Switzerland

Samia Sayegh, MD
Louis Bernard, MD
Richard Stern, MD
Jean-Claude Pache, MD
Ildiko Szalay, MD
Pierre Hoffmeyer, MD
Clinique d'Orthopédie et de Chirurgie de l'Appareil Moteur, Hópital Cantonal Universitaire, 24, rue Micheli-du-Crest, 1211 Geneva 14, Switzerland. E-mail: richard.stern@hcuge.ch

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2003 Oct 01;85(10):2006-2009
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Surgical suture material is usually inert and nontoxic and causes minimal inflammation of tissue. It is not ordinarily a source of infection. We report on three patients in whom an apparent infection developed at six, eight, and nine weeks following total hip arthroplasty. All three patients presented in the same manner. Each had signs and symptoms of a wound infection (i.e., pain, erythema, induration, and local tenderness with or without seropurulent drainage) as well as an elevated erythrocyte sedimentation rate and C-reactive protein level and hypereosinophilia after closure of the wound with Vicryl suture material (polyglactin 910; Johnson and Johnson International, Brussels, Belgium). In this report, we summarize the characteristics of all three patients ( Table I ) and present our most recent case in detail. Our patients were informed that data concerning their cases would be submitted for publication.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    VA - OrthoVirginia
    WY - Memorial Hospital of Sweetwater County
    NY - Icahn School of Medicine at Mount Sinai
    CT - Yale University School of Medicine