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Title: Radiographic and scintigraphic evaluation of total knee arthroplasty

Abstract

Various radiographic and scintigraphic methods are used to supplement clinical findings in the evaluation of total knee arthroplasty and its complications. Serial roentgenograms offer reliable information for diagnosing mechanical loosening. Wide and extensive radiolucency at the cement-bone interface and shift in position and alignment of prosthetic components can be seen in almost all cases by the time revision is necessary. Radiographic abnormalities are usually not present in acute infection, but are often present in chronic infection. Bone scanning has a high sensitivity for diagnosis of infection or loosening, but is nonspecific because increased uptake is often present around asymptomatic total knee arthroplasties with normal radiographs. Differential bone and Gallium scanning and scanning with Indium 111-labeled leukocytes have a greater specificity for diagnosis of infection than does bone or Gallium scanning alone. Routine radiographic and scintigraphic studies have shown a high incidence of deep vein thrombosis in the calf after total knee arthroplasty. Clinically significant pulmonary embolization is infrequent.

Authors:
;
Publication Date:
Research Org.:
Cornell Univ. Medical College, NY
OSTI Identifier:
5622894
Resource Type:
Journal Article
Journal Name:
Clin. Orthop. Relat. Res.; (United States)
Additional Journal Information:
Journal Volume: 205
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BONE JOINTS; SCINTISCANNING; THROMBOSIS; DIAGNOSIS; GALLIUM ISOTOPES; INDIUM 111; INFLAMMATION; LEUKOCYTES; SKELETON; VEINS; BETA DECAY RADIOISOTOPES; BIOLOGICAL MATERIALS; BLOOD; BLOOD CELLS; BLOOD VESSELS; BODY; BODY FLUIDS; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; COUNTING TECHNIQUES; DAYS LIVING RADIOISOTOPES; DIAGNOSTIC TECHNIQUES; DISEASES; ELECTRON CAPTURE RADIOISOTOPES; INDIUM ISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; MATERIALS; MINUTES LIVING RADIOISOTOPES; NUCLEI; ODD-EVEN NUCLEI; ORGANS; PATHOLOGICAL CHANGES; RADIOISOTOPE SCANNING; RADIOISOTOPES; SYMPTOMS; VASCULAR DISEASES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics

Citation Formats

Schneider, R, and Soudry, M. Radiographic and scintigraphic evaluation of total knee arthroplasty. United States: N. p., 1986. Web. doi:10.1097/00003086-198604000-00014.
Schneider, R, & Soudry, M. Radiographic and scintigraphic evaluation of total knee arthroplasty. United States. https://doi.org/10.1097/00003086-198604000-00014
Schneider, R, and Soudry, M. 1986. "Radiographic and scintigraphic evaluation of total knee arthroplasty". United States. https://doi.org/10.1097/00003086-198604000-00014.
@article{osti_5622894,
title = {Radiographic and scintigraphic evaluation of total knee arthroplasty},
author = {Schneider, R and Soudry, M},
abstractNote = {Various radiographic and scintigraphic methods are used to supplement clinical findings in the evaluation of total knee arthroplasty and its complications. Serial roentgenograms offer reliable information for diagnosing mechanical loosening. Wide and extensive radiolucency at the cement-bone interface and shift in position and alignment of prosthetic components can be seen in almost all cases by the time revision is necessary. Radiographic abnormalities are usually not present in acute infection, but are often present in chronic infection. Bone scanning has a high sensitivity for diagnosis of infection or loosening, but is nonspecific because increased uptake is often present around asymptomatic total knee arthroplasties with normal radiographs. Differential bone and Gallium scanning and scanning with Indium 111-labeled leukocytes have a greater specificity for diagnosis of infection than does bone or Gallium scanning alone. Routine radiographic and scintigraphic studies have shown a high incidence of deep vein thrombosis in the calf after total knee arthroplasty. Clinically significant pulmonary embolization is infrequent.},
doi = {10.1097/00003086-198604000-00014},
url = {https://www.osti.gov/biblio/5622894}, journal = {Clin. Orthop. Relat. Res.; (United States)},
number = ,
volume = 205,
place = {United States},
year = {Tue Apr 01 00:00:00 EST 1986},
month = {Tue Apr 01 00:00:00 EST 1986}
}