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[Radiological criteria of the evaluation of prosthetic hip implants]
M Solarino1, R Laforgia, F Specchiulli
1Servizio di Radiologia, Centro Traumatologico Ortopedico, Università Bari.
Abstract:
The radiographic criteria are described for the evaluation of total hip replacement. The authors' purpose is to uniform all different parameters for a correct long-term radiographic follow-up. The basic radiographic parameters are pointed out for the assessment of eventual loosening/wearing out of prosthetic material: 1) correct positioning of the acetabular and femoral components; 2) initial wearing of the plastic; 3) state of the bone-cement, bone-implant attachments. These criteria represent the base for a prognostic evaluation of the implant, for they allow the quantification of the radiographic changes (sinking, demarcations, fractures of cement, loosening etc.) during time.