Evaluation of radiographic findings in painful hip arthroplasties

Journal Article · Wed May 01 00:00:00 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), Vol. 195
• Country of Publication: United States
• Language: English

Related Subjects

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