Asymptomatic Uncemented Total Hip Replacement(Changes in the femur): Natural History Determined Using Tc-99m MDP Bone Scan: Preliminary Report

1991 ◽  
Vol 26 (1) ◽  
pp. 55
Author(s):  
Chang Dong Han ◽  
Jin Seok Seo ◽  
Ick Hwan Yang ◽  
Joon Cheol Choi
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Preliminary Report ◽  
Bone Scan ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

Composition and morphology of wear debris in failed uncemented total hip replacement

1994 ◽  
Vol 76-B (1) ◽  
pp. 60-67 ◽  
Author(s):  
AS Shanbhag ◽  
JJ Jacobs ◽  
TT Glant ◽  
JL Gilbert ◽  
J Black ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Wear Debris ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

The natural history of a posteriorly dislocated total hip replacement

1999 ◽  
Vol 14 (8) ◽  
pp. 964-968 ◽  
Author(s):  
Emile Li ◽  
John B. Meding ◽  
Merrill A. Ritter ◽  
E.Michael Keating ◽  
Philip M. Faris
Keyword(s):  
Natural History ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
History Of

scholarly journals High survival in young patients using a second generation uncemented total hip replacement

2011 ◽  
Vol 36 (6) ◽  
pp. 1129-1136 ◽  
Author(s):  
Marcus R. Streit ◽  
Kerstin Schröder ◽  
Matthias Körber ◽  
Christian Merle ◽  
Tobias Gotterbarm ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Second Generation ◽  
Young Patients ◽  
High Survival ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

3-phase Technicium-99m bone scanning in patients with pain in the hip region after cemented total hip replacement: a multicentre series of 100 cases

2017 ◽  
Vol 28 (3) ◽  
pp. 259-265 ◽  
Author(s):  
Daniel S Hill ◽  
Soulat Naim ◽  
Roy J Powell ◽  
Denis Kinsella ◽  
Andrew D Toms ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Confidence Interval ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Bone Scan ◽  
Revision Arthroplasty ◽  
Microbiological Analysis ◽  
Bone Scanning ◽  
Concurrent Infection ◽  
Total Hip

Introduction: The aim of this study was to assess the benefit of a Technetium-99M (HDP) 3-phase bone scan (TPBS) as an additional diagnostic test in the evaluation of pain in the hip region following cemented total hip replacement (THR) surgery. Methods: A retrospective study over a 24-month period was performed comprising 100 patients investigated with a TPBS. Investigations were summarised and analysed, and were classified as entirely normal, possibly abnormal, and definitely abnormal. Results: 45% (45) of TPBSs were reported as being entirely normal, 50% (50) as possibly abnormal, and 5% (5) as definitely abnormal. During the 24-month study period 230 revision THR procedures were performed at our institution; 10% (24) were investigated with TPBS and 90% (206) were not. 29% (7/24) of patients investigated with a TPBS that subsequently underwent revision THR surgery had an entirely normal preoperative TPBS. 84% (38) with an abnormal TPBS were managed conservatively. A TPBS had a sensitivity of 29% (95% confidence interval (CI), 13%-51%) and a specificity of 50% (95% CI, 38%-62%) in the detection of infection, or loosening with concurrent infection. Conclusion: A TPBS should only be considered following clinical evaluation, serological investigation, diagnostic imaging and microbiological analysis of fluid obtained from arthrocentesis by a specialist revision arthroplasty surgeon. A TPBS may be useful in the situation where abnormal serology is present, but where repeated joint aspirations samples are inconclusive.

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