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The diagnosis of loosening in total hip prosthesis clinical radiographic and scintigraphic investigation


, : The diagnosis of loosening in total hip prosthesis clinical radiographic and scintigraphic investigation. Italian Journal of Orthopaedics & Traumatology 13(2): 167-172

Based on the authors' clinical experience and a review of the literature, the methods used for the diagnosis of loosening in hip arthroprostheses are considered. Clinical and radiographic monitoring are essential but the authors believe that in suspected loosening it is particularly important to perform bone scintigraphy using Tc 99 M.D.P., Ga 67, and Indium 111. Arthrography is advised only in selected cases. The criteria of evaluation in the various tests are reported and a procedure for diagnosis is proposed.


Accession: 006628404

PMID: 3482832

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Related references

Lorenzi, G.L.; Rossi, P.; Denicolai, F.; Dettoni, A.; Quaglia, F., 1987: The diagnosis of loosening in total hip prostheses. Clinical, radiographic and scintigraphic investigation. Based on the authors' clinical experience and a review of the literature, the methods used for the diagnosis of loosening in hip arthroprostheses are considered. Clinical and radiographic monitoring are essential but the authors believe that...

Oyen, W.J.; Lemmens, J.A.; Claessens, R.A.; van Horn, J.R.; Slooff, T.J.; Corstens, F.H., 1996: Nuclear arthrography: combined scintigraphic and radiographic procedure for diagnosis of total hip prosthesis loosening. Radiographic arthrography and bone scintigraphy are common diagnostic procedures used for evaluating total hip prostheses. In this study, both techniques are combined, and nuclear contrast imaging (nuclear arthrography) is added. The efficacy of t...

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Aliabadi, P.; Tumeh, S.S.; Weissman, B.N.; McNeil, B.J., 1989: Cemented total hip prosthesis: radiographic and scintigraphic evaluation. Conventional radiographs, technetium-99m bone scans, and gallium-67 scans were reviewed in 44 patients who had undergone cemented total hip joint replacement and were imaged because of suspicion of prosthesis loosening or infection. A complete rad...

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