Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cemented total hip prosthesis: radiographic and scintigraphic evaluation.

P Aliabadi1, S S Tumeh, B N Weissman

  • 1Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115.

Radiology
|October 1, 1989
PubMed
Summary

Conventional radiographs and bone scans effectively detect hip prosthesis loosening or infection. Combining these imaging methods improves diagnostic accuracy for cemented total hip replacements.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevalence of intra-articular mineralization on knee computed tomography: the multicenter osteoarthritis study.

Osteoarthritis and cartilage·2023
Same author

Evidence that meniscus damage may be a component of osteoarthritis: the Framingham study.

Osteoarthritis and cartilage·2015
Same author

Pre-radiographic osteoarthritic changes are highly prevalent in the medial patella and medial posterior femur in older persons: Framingham OA study.

Osteoarthritis and cartilage·2013
Same author

Physical activity, alignment and knee osteoarthritis: data from MOST and the OAI.

Osteoarthritis and cartilage·2013
Same author

Pre-radiographic MRI findings are associated with onset of knee symptoms: the most study.

Osteoarthritis and cartilage·2009
Same author

Is obesity a risk factor for progressive radiographic knee osteoarthritis?

Arthritis and rheumatism·2009

Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Nuclear Medicine

Background:

  • Cemented total hip replacements can lead to prosthesis loosening or infection.
  • Accurate diagnosis of these complications is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the diagnostic performance of conventional radiographs, technetium-99m bone scans, and gallium-67 scans for detecting loosening or infection in cemented total hip replacements.
  • To assess the combined utility of radiographs and bone scans.

Main Methods:

  • Retrospective review of imaging studies (radiographs, Tc-99m bone scans, Ga-67 scans) in 44 patients with suspected complications.
  • Analysis of radiolucent lines on radiographs and radiopharmaceutical uptake on scintigraphy for diagnostic criteria.
  • Calculation of sensitivity and specificity for each modality and their combination.

Related Experiment Videos

Main Results:

  • Conventional radiographs showed 54% sensitivity and 96% specificity for loosening.
  • Bone scintigraphy demonstrated 73% sensitivity and 96% specificity for loosening.
  • Combining radiographs and bone scans yielded 84% sensitivity and 92% specificity for loosening or infection.
  • Ga-67 scintigraphy exhibited low sensitivity for infection detection.

Conclusions:

  • Conventional radiographs and bone scintigraphy are valuable tools for diagnosing loosening in cemented total hip replacements.
  • Combining conventional radiographs with bone scintigraphy enhances diagnostic sensitivity for prosthesis loosening and infection.
  • Gallium-67 scintigraphy is less sensitive for detecting hip prosthesis infection.