Radiographic Evaluation of Hip Implants

被引:24
作者
Chang, Connie Y. [1 ]
Huang, Ambrose J. [1 ]
Palmer, William E. [1 ]
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Div Musculoskeletal Imaging & Intervent, Boston, MA 02114 USA
关键词
hip arthroplasty; radiograph; evaluation; METAL-ON-METAL; PERIPROSTHETIC FEMORAL FRACTURES; RESURFACING ARTHROPLASTY; VANCOUVER CLASSIFICATION; ILIOPSOAS IMPINGEMENT; ACETABULAR COMPONENT; SURFACE ARTHROPLASTY; REPLACEMENT; REVISION; DISLOCATION;
D O I
10.1055/s-0034-1396763
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Serial radiographs are the mainstay in the longitudinal assessment of hip implants. The prosthesis, periprosthetic bone, and juxta-articular soft tissues are inspected for fracture, periosteal reaction, stress shielding, calcar resorption, osteolysis, bony remodeling, metallic debris, and heterotopic ossification. Comparison radiographs best confirm implant migration, subsidence, and aseptic loosening. Infection, particle disease, reaction to metal, and mechanical impingement are important causes of postsurgical pain, but in their earliest stages they may be difficult to diagnose using radiographs. This article addresses the role of radiography following hip arthroplasty.
引用
收藏
页码:12 / 20
页数:9
相关论文
共 70 条
[1]   Metal-on-metal hybrid surface arthroplasty:: Two to six-year follow-up study [J].
Amstutz, HC ;
Beaulé, PE ;
Dorey, FJ ;
Le Duff, MJ ;
Campbell, PA ;
Gruen, TA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (01) :28-39
[2]   Fracture of the neck of the femur after surface arthroplasty of the hip [J].
Amstutz, HC ;
Campbell, PA ;
Le Duff, MJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (09) :1874-1877
[3]  
Barrack RL, 2004, CLIN ORTHOP RELAT R, P32
[4]   Diagnosis of periprosthetic infection [J].
Bauer, TW ;
Parvizi, J ;
Kobayashi, N ;
Krebs, V .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (04) :869-882
[5]  
BERMAN AT, 1987, CLIN ORTHOP RELAT R, P190
[6]   Epidemiology - Hip and knee [J].
Berry, DJ .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 1999, 30 (02) :183-+
[7]   Unstable versus stable uncemented femoral stems:: a radiological study of periprosthetic bone changes in two types of uncemented stems with different concepts of fixation [J].
Bodén, H ;
Adolphson, P ;
Öberg, M .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2004, 124 (06) :382-392
[8]  
Brown T., 2009, Arthritis and Arthroplasty: The Hip, V1st
[9]   Long-term clinical consequences of stress-shielding after total hip arthroplasty without cement [J].
Bugbee, WD ;
Culpepper, WJ ;
Engh, CA ;
Engh, CA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1997, 79A (07) :1007-1012
[10]   Chromosomal changes after surgery for joint replacement [J].
Case, CP .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2001, 83B (08) :1093-1095