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Radiology, Vol 128, 677-682, Copyright © 1978 by Radiological Society of North America


ARTICLES

Radiography, radionuclide imaging, and arthrography in the evaluation of total hip and knee replacement

MI Gelman, RE Coleman, PM Stevens and BW Davey

Twenty patients with 21 total joint replacements including 17 hips and 4 knees were studied by plain film radiography, radionuclide imaging, and subtraction arthrography to evaluate these procedures for assessing prosthetic complications. Surgery was performed in 14 patients and confirmed loosening of 8 femoral and 7 acetabular hip prosthesis components and 1 femoral and 4 tibial knee prosthesis components. Plain films suggested loosening of only 9 hip components and no knee components. In contrast, radionuclide imaging and subtraction arthrography were considerably more effective in demonstrating loosening as well as other causes of the painful total joint prosthesis.


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J Bone Joint Surg BrHome page
O. P. P. Temmerman, P. G. H. M. Raijmakers, J. Berkhof, O. S. Hoekstra, G. J. J. Teule, and I. C. Heyligers
Accuracy of diagnostic imaging techniques in the diagnosis of aseptic loosening of the femoral component of a hip prosthesis: A META-ANALYSIS
J Bone Joint Surg Br, June 1, 2005; 87-B(6): 781 - 785.
[Abstract] [Full Text] [PDF]




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