Cemented total hip prosthesis: radiographic and scintigraphic evaluation.

Aliabadi, Piran; Tumeh, Sabah S.; Weissman, Barbara N.; McNeil, Barbara J.

doi:10.1148/radiology.173.1.2675184

Cited by 77 publications

(25 citation statements)

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“…Conventional X-radiography is able to detect loosening, but the periprosthetic bone resorption and other loosening signs are not specific for the differentiation between sepsis and loosening (Aliabadi et al 1989;Johnson et al 1988;Magnuson etal. 1988;Schneider and Soudry 1985;Weissmann 1983).…”

Section: Discussionmentioning

confidence: 99%

White blood cell scintigraphy with monoclonal antibodies in the study of the infected endoprosthesis

et al. 1992

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Forty-three patients with suspected infection of a hip or a knee prosthesis were studied with white blood cell scintigraphy (WBC), using technetium-99m (n = 37) or iodine-123 (n = 6) labelled monoclonal mouse antibody (MoAb). Previously, all patients had undergone skeletal scintigraphy, which was performed as a three-phase study in 33 cases. The final diagnosis was established by open surgery, histology and culture in 37 cases, by puncture and culture in 3 cases, and by clinical follow-up of at least 6 months in 3 cases. Eighteen prostheses were infected, 25 uninfected. The delayed phase of skeletal scintigraphy had a sensitivity of 92%, a specificity of 24% and an accuracy of 48% in the detection of infection. The perfusion and blood pool activity of the three-phase bone scan had a sensitivity of 67%, a specificity of 71% and an accuracy of 70%. The diagnostic value of WBC was sensitivity 89%, specificity 84% and accuracy 86%. WBC with 99m-Tc-MoAb is easy to perform and always available. Its diagnostic accuracy is similar to conventional WBC scintigraphy with either indium-111 or technetium-99m.

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Section: Discussionmentioning

confidence: 99%

White blood cell scintigraphy with monoclonal antibodies in the study of the infected endoprosthesis

et al. 1992

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“…[7][8][9][10] There are many methods being used for the diagnosis of infected THA. The spe -c i f i c i t y a n d s e n s i t i v i t y i n d e t e c t i n g i n f e c t e d o r t h opedic prosthesis in various scintigraphic studies in the literature are summarized in Table 5.6-8,h1- 16 A positive Tc-99m MDP scan indicates inflammation and possible loosening with high specificity,' but not always infection of the implant.…”

Section: Discussionmentioning

confidence: 99%

The value of Tc-99m Nanocolloid scintigraphy in the evaluation of infected total hip arthroplasties

et al. 1993

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The early diagnosis of loosening is very important, since it provides a chance to protect the bone structure by means of a good postrevision outcome. Although the delayed stage of infected loosenings can easily be detected by clinical presentations, significant laboratory data and plain X-rays, diagnosis becomes a problem in the early stage. In this study the value of Tc-99m Nanocolloid (NCol) scintigraphy in the diagnosis of infected loosenings was evaluated in 28 patients with painful total hip arthroplasty and 10 controls without any complaint after total hip arthroplasty, by comparing this method with laboratory data, plain X-rays and 3-phase Tc-99m methylene diphosphonate (MDP) scintigraphy. Tc-99m NCol scintigraphy was found out to be a very valuable method with 100% sensitivity, 84% specificity in the diagnosis of infected prosthesis and it was superior to laboratory data, plain X-rays and 3-phase Tc-99m MDP scintigraphy, but requires to be evaluated in conjunction with plain X-rays for more information and in order to prevent false positive results.

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“…Periprosthetic radiolucency may be detected around either cemented [7] or uncemented [6] prostheses. It may be detected around the stem or the acetabular component of THAs.…”

Section: Periprosthetic Radiolucencymentioning

confidence: 99%

Understanding, Interpreting and Reporting a Total Hip Arthroplasty Radiograph

Chan¹,

Khoriati²,

Chiang³

et al. 2017

Orthop Muscular Syst

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The number of Total Hip Arthroplasties (THAs) in England is increasing. Careful analysis of THA radiographs, by both orthopaedic surgeons and radiologists, is key to ascertaining both the short and the long-term survival and function of the implants in question. The aim of this article is to provide the reader with a systematic approach to assessing post-operative THA radiographs, with sufficient knowledge to critique the procedure and assess for complications. An outline of the prostheses, role of cement, positioning, and complications is presented. The authors also recommend a format for presenting these radiographs in a clear and structured manner.

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Cemented total hip prosthesis: radiographic and scintigraphic evaluation.

Cited by 77 publications

References 0 publications

White blood cell scintigraphy with monoclonal antibodies in the study of the infected endoprosthesis

White blood cell scintigraphy with monoclonal antibodies in the study of the infected endoprosthesis

The value of Tc-99m Nanocolloid scintigraphy in the evaluation of infected total hip arthroplasties

Understanding, Interpreting and Reporting a Total Hip Arthroplasty Radiograph

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