Radiographic evaluation of hip resurfacing: the role of x-rays in the diagnosis of a problematic resurfaced hip

2019 ◽  
Vol 30 (2) ◽  
pp. 167-175
Author(s):  
Catherine Van Der Straeten ◽  
Alessandro Calistri ◽  
George Grammatopoulos ◽  
Koen De Smet
Keyword(s):  
Metal Ions ◽  
Female Gender ◽  
Hip Resurfacing ◽  
Radiographic Evaluation ◽  
X Rays ◽  
Radiographic Findings ◽  
Clinical Scores ◽  
Soft Tissue Reactions ◽  
Tissue Reactions

Introduction: Hip resurfacing (HRA) requires a new standardised radiographic evaluation protocol. Evaluation of acetabular components is similar to total hip arthroplasty (THA) but femoral components require different criteria. This study evaluates the efficacy of a new femoral zonal system for radiographic HRA assessment in identifying clinical problems. Methods: A new proximal femoral zonal system divides implant-cement-bone interfaces at head and neck into 7 DeSmet zones. 611 in situ and 100 revised HRA were assessed for component positioning, borderline findings (reactive lines, cortical thickening, cancellous condensation) or sinister findings (lucent lines, bone resorption, osteolysis). Findings were correlated with gender, size, implant survival, clinical scores, metal ions, and adverse soft tissue reactions (ALTR). Results: Radiological changes were found in 265 hips (37.3%), 154 sinister (21.7%) and 111 borderline (15.6%). 84% of revisions had sinister findings versus 11.4% of in situ HRA ( p < 0.001). The mean number of abnormal acetabular and femoral zones was 3.3 in revised compared to 0.6 in situ HRA ( p < 0.001). Sinister findings were associated with female gender, lower clinical scores, smaller sizes or ASR design (all: p < 0.001). Metal ions were higher with sinister ( p < 0.001) and borderline ( p < 0.01) findings compared to normal radiographs. Pathological findings in ⩾4 zones had a sensitivity of 50% and specificity of 94.2% (AUC = 0.898) in detecting hips with ALTR (odds ratio = 49). Conclusion: In order to accurately evaluate progressive radiographic changes in HRA, specific zones have been established around the femoral component. There was a high correlation between radiographic findings and outcome measures. 84% of problematic hips and 90.4% of proven ALTR had sinister changes.

scholarly journals Bearing exchange in the management of pseudotumours

2013 ◽  
Vol 95 (4) ◽  
pp. 266-270 ◽  
Author(s):  
MA Kemp ◽  
A Mitra ◽  
T Mendes da Costa ◽  
RF Spencer
Keyword(s):  
Soft Tissue ◽  
Hip Resurfacing ◽  
Tissue Reaction ◽  
Wear Rates ◽  
Metal On Metal ◽  
Metal Wear ◽  
Soft Tissue Reactions ◽  
Tissue Reactions ◽  
Considerable Discussion ◽  
Ceramic On Ceramic

Introduction Soft tissue reactions following metal-on-metal (MoM) arthroplasty of the hip have been under considerable discussion. These reactions are seen following both hip resurfacing and MoM total hip arthroplasty (THA). The phenomenon may arise owing to shedding of metal particles in high wear states, hypersensitivity with normal metal wear rates or a combination of the two. Methods Three patients were identified who had developed a soft tissue reaction (pseudotumour) following MoM hip resurfacing procedures. The prostheses were revised to ceramic-on-ceramic (CoC) THA with only minimal debridement of the pseudotumour. Pre and postoperative magnetic resonance imaging was performed to assess the size of the lesions. Results Progressive and satisfactory resolution of the associated pseudotumours was identified following revision of the prostheses to CoC THA. Conclusions In the early stages of pseudotumour formation following MoM hip resurfacing, this potentially devastating condition can be managed adequately with revision to a CoC bearing THA with minimal soft tissue excision.

scholarly journals Novel Radiographic Indexes for Elbow Stability Assessment: Part B—Preliminary Clinical Study

2021 ◽  
Author(s):  
Francesco Luceri ◽  
Davide Cucchi ◽  
Enrico Rosagrata ◽  
Carlo Eugenio Zaolino ◽  
Alessandra Menon ◽  
...  
Keyword(s):  
Case Series ◽  
Radiographic Evaluation ◽  
Healthy Population ◽  
X Rays ◽  
The Novel ◽  
Level Of Evidence ◽  
Orthopaedic Surgeons ◽  
Joint Congruency ◽  
Radiological Parameters ◽  
The Mean

Abstract Introduction The coronoid process plays a key-role in preserving elbow stability. Currently, there are no radiographic indexes conceived to assess the intrinsic elbow stability and the joint congruency. The aim of this study is to present new radiological parameters, which will help assess the intrinsic stability of the ulnohumeral joint and to define normal values of these indexes in a normal, healthy population. Methods Four independent observers (two orthopaedic surgeons and two radiologists) selected lateral view X-rays of subjects with no history of upper limb disease or surgery. The following radiographic indexes were defined: trochlear depth index (TDI); anterior coverage index (ACI); posterior coverage index (PCI); olecranon–coronoid angle (OCA); radiographic coverage angle (RCA). Inter-observer and intra-observer reproducibility were assessed for each index. Results 126 subjects were included. Standardized lateral elbow radiographs (62 left and 64 right elbows) were obtained and analysed. The mean TDI was 0.46 ± 0.06 (0.3–1.6), the mean ACI was 2.0 ± 0.2 (1.6–3.1) and the mean PCI was 1.3 ± 0.1 (1.0–1.9). The mean RCA was 179.6 ± 8.3° (normalized RCA: 49.9 ± 2.3%) and the mean OCA was 24.6 ± 3.7°. The indexes had a high-grade of inter-observer and intra-observer reliability for each of the four observers. Significantly higher values were found for males for TDI, ACI, PCI and RCA. Conclusion The novel radiological parameters described are simple, reliable and easily reproducible. These features make them a promising tool for radiographic evaluation both for orthopaedic surgeons and for radiologists in the emergency department setting or during outpatient services. Level of evidence Basic Science Study (Case Series). Clinical relevance The novel radiological parameters described are reliable, easily reproducible and become handy for orthopaedic surgeons as well as radiologists in daily clinical practice.

In Situ Testing and X Rays Radiation Effects of Pt/Bi3.15Nd0.85Ti3O12/Pt Ferroelectric Capacitors

2013 ◽  
Vol 712-715 ◽  
pp. 293-297
Author(s):  
Li Li
Keyword(s):  
Radiation Effects ◽  
Hysteresis Loops ◽  
Electrical Performance ◽  
Hysteresis Curve ◽  
X Rays ◽  
Shanghai Synchrotron Radiation Facility ◽  
X Ray ◽  
In The Beginning ◽  
Ferroelectric Capacitors

Pt/Bi3.15Nd0.85Ti3O12(BNT)/Pt ferroelectric capacitors were monitored using in situ X-ray irradiation with 10 keV at BL14B1 beamline (Shanghai Synchrotron Radiation Facility). BL14B1 combined with a ferroelectric analyzer enabled measurements in situ of electrical performance. The hysteresis curve (PE) of distortion depended on the polarization during irradiation, but the diffracted intensities of the (117) peak did not change in the beginning. ThePEcurve had a negligible change from 2.09×109Gy to 4.45×109Gy. Finally, bothPrandPr+very rapidly increased, but the intensities of (117) decreased. The hysteresis loops were remarkably deformed at the maximum total dose of 4.87×109Gy.

Applications of High-Resolution Powder X-Ray Diffraction

2007 ◽  
Vol 130 ◽  
pp. 7-14 ◽  
Author(s):  
Andrew N. Fitch
Keyword(s):  
High Resolution ◽  
Synchrotron Radiation ◽  
Powder Diffraction ◽  
X Rays ◽  
X Ray Diffraction ◽  
Crystalline Materials ◽  
X Ray ◽  
Structural Characterisation ◽  
Pdf Analysis

The highly-collimated, intense X-rays produced by a synchrotron radiation source can be harnessed to build high-resolution powder diffraction instruments with a wide variety of applications. The general advantages of using synchrotron radiation for powder diffraction are discussed and illustrated with reference to the structural characterisation of crystalline materials, atomic PDF analysis, in-situ and high-throughput studies where the structure is evolving between successive scans, and the measurement of residual strain in engineering components.

Metal in situ surface functionalization of polymer-grafted-carbon nanotube composite membranes for fast efficient nanofiltration

2017 ◽  
Vol 5 (2) ◽  
pp. 583-592 ◽  
Author(s):  
Faizal Soyekwo ◽  
Qiugen Zhang ◽  
Runsheng Gao ◽  
Yan Qu ◽  
Ruixue Lv ◽  
...  
Keyword(s):  
Heavy Metal ◽  
Carbon Nanotube ◽  
Metal Ions ◽  
Surface Functionalization ◽  
Heavy Metal Ions ◽  
Composite Membranes ◽  
Carbon Nanotube Composite

Metal in situ surface functionalized PEI-g-MWCNT membranes are facilely prepared for nanofiltration of heavy metal ions in solution with high fluxes.

Paleopathological study of the Egyptian mummies collected in Italy: the Anubis project

1970 ◽  
Vol 80 (1) ◽  
Author(s):  
Rosalba Ciranni ◽  
Donata Pangoli ◽  
Valentina Giuffra ◽  
DAvide Caramella ◽  
Edda Bresciani ◽  
...  
Keyword(s):  
X Rays ◽  
Axial Tomography ◽  
Technical Problems ◽  
Histological Studies ◽  
Computed Axial Tomography ◽  
The University ◽  
First Time

Eighty-five Egyptian mummies belonging to different dynastic periods and collected in a number of Italian museums, have been censed and submitted for paleopathological research. In most cases the presence of bandages required the application of X- rays and computed axial tomography (CAT). Fifty-two mummies have been studied in situ with Xrays; twelve with CAT scanning. Technical problems kept us from investigating eleven of the censed mummies. In a few cases it was possible to perform autopsies, endoscopy, or histological studies. The mummies submitted for X- rays were divided into two groups: The first group thirty-six mummies studied by the team of Paleopathology-Egyptology of the University of Pisa were studied for the first time. The second group was composed of twenty-six mummies studied elsewhere in Italy. Those results also have been included in the Anubi Project database.

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