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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
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US-Guided Interventional Procedures for Total Hip Arthroplasty.

Domenico Albano1,2, Roberto Cintioli3, Carmelo Messina1,4

  • 1IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.

Journal of Clinical Medicine
|July 13, 2024
PubMed
Summary
This summary is machine-generated.

Ultrasound (US) and US-guided procedures offer prompt diagnosis and minimally invasive treatment for painful total hip arthroplasty (THA). These techniques aid in identifying causes of pain and delivering targeted therapies for improved patient outcomes.

Keywords:
arthroplastyaspirationcorticosteroidguidancehipiliopsoasinterventionlidocainetrochanterultrasound

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Area of Science:

  • Musculoskeletal Imaging
  • Interventional Radiology
  • Orthopedic Surgery

Background:

  • Recurrent pain after total hip arthroplasty (THA) can stem from joint or surrounding soft tissue issues.
  • Accurate diagnosis is crucial for effective management of painful THA.
  • Ultrasound (US) is a valuable tool for evaluating periprosthetic structures.

Purpose of the Study:

  • To review the diagnostic and therapeutic applications of US-guided percutaneous interventional procedures in painful THA.
  • To highlight the role of US in identifying causes of pain and guiding interventions.
  • To discuss the clinical utility of US in routine practice for painful THA.

Main Methods:

  • Direct identification of pathological changes in periprosthetic structures using US.
  • Indirect diagnosis via US-guided anesthetic injections to assess pain relief.
  • US guidance for fluid aspiration, biopsy, and percutaneous interventions (e.g., injections).

Main Results:

  • US enables prompt diagnosis of painful THA by visualizing periprosthetic abnormalities.
  • US-guided injections can differentiate pain sources and provide therapeutic relief.
  • US guidance facilitates minimally invasive treatments like aspirations, biopsies, and injections of corticosteroids or PRP.

Conclusions:

  • US-guided procedures are essential for the diagnosis and management of painful THA.
  • These techniques offer accurate, minimally invasive diagnostic and therapeutic options.
  • US-guided interventions can be integrated into daily practice for improved patient care in painful THA.