Evaluation of radiographic findings in painful hip arthroplasties

Journal Article · Wed May 01 04:00:00 EDT 1985 · Clin. Orthop. Relat. Res.; (United States)

DOI:https://doi.org/10.1097/00003086-198505000-00027· OSTI ID:5568652

Lyons, C W; Berquist, T H; Lyons, J C; Rand, J A; Brown, M L

A retrospective study of 50 surgically confirmed painful hip arthroplasties was performed to identify the roentgenographic findings that are most important in the detection of component loosening or infection. Plain film radiographs and subtraction arthrograms were reviewed in all cases, and specific features revealed by these two radiographic modalities indicative of component failure were identified. Seventeen patients had radioisotope bone scans and 13 of these had additional gallium scans. Plain film roentgenograms correctly identified loosening in 69% of acetabular and 84% of femoral components. Subtraction arthrography had an accuracy of 96% for both acetabular and femoral component loosening. Scintigraphic studies were correct in 77% of acetabular and 89% of femoral components; gallium scans identified 77% of infected hip prostheses.

• Research Organization: Mayo Clinic, Rochester, MN
• OSTI ID: 5568652
• Journal Information: Clin. Orthop. Relat. Res.; (United States), Journal Name: Clin. Orthop. Relat. Res.; (United States) Vol. 195; ISSN CORTB
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
BODY
BODY AREAS
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
FEMUR
GALLIUM ISOTOPES
INFLAMMATION
INJURIES
ISOTOPES
MEDICAL SUPPLIES
MEDICINE
ORGANS
PATHOLOGICAL CHANGES
PATIENTS
PELVIS
PROSTHESES
RADIOISOTOPE SCANNING
SCINTISCANNING
SKELETON
SURGERY
SYMPTOMS
WOUNDS