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Radiology, Vol 133, 727-729, Copyright © 1979 by Radiological Society of North America

ARTICLES

99mTc-methylene diphosphonate bone imaging in the evaluation of total hip prostheses

PE Weiss, JC Mall, PB Hoffer, WR Murray, JJ Rodrigo and HK Genant

A retrospective study was performed to determine the accuracy of 99mTc- methylene diphosphonate bone imaging in the evaluation of total hip arthrosplasty for lossening and/or infection. Using focally increased activity at the tip of the femoral component or in the region of the acetabular component as a criterion, the examination was 77% specific and 100% sensitive for loosening and/or infection. A possible explanation for the increased uptake at the tip of the femoral component and the role of this examination in the management of a painful total hip prosthesis are discussed.


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O. P.P. Temmerman, P. G.H.M. Raijmakers, E. F.L. David, R. Pijpers, M. A. Molenaar, O. S. Hoekstra, J. Berkhof, R. A. Manoliu, G. J.J. Teule, and I. C. Heyligers
A Comparison of Radiographic and Scintigraphic Techniques to Assess Aseptic Loosening of the Acetabular Component in a Total Hip Replacement
J. Bone Joint Surg. Am., November 1, 2004; 86(11): 2456 - 2463.
[Abstract] [Full Text] [PDF]


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