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Related Experiment Videos

[Complications after total hip replacement (author's transl)]

K P Schulitz, H O Dustmann

    Archiv Fur Orthopadische Und Unfall-Chirurgie
    |June 18, 1976
    PubMed
    Summary

    Hip replacement surgery has risks, including fat embolism and prosthesis complications. Careful monitoring and understanding of the post-operative phase are crucial for patient outcomes.

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    [Postoperative, appositional ossifications after lumbar laminectomy].

    Zentralblatt fur Chirurgie·1999

    Area of Science:

    • Orthopedic surgery
    • Biomaterials science
    • Surgical complication research

    Context:

    • Alloarthroplastic hip replacement involves inherent risks requiring meticulous pre-operative and post-operative management.
    • Understanding the biological responses during the post-operative phase is essential for mitigating complications.

    Purpose:

    • To analyze the incidence and nature of early and late complications following hip arthroplasty.
    • To investigate the pathogenesis of fat embolism associated with acrylic cement implantation.
    • To evaluate diagnostic methods for implant loosening and associated bone rarefaction.

    Summary:

    • Operative complications occurred in 1.3% of cases, with fat embolism after acrylic cement implantation being a significant concern, supported by animal studies.
    • Early complications (1.8%) included prosthesis luxation, bleeding, nerve syndromes, thrombosis, and embolism; late complications (0.9%) involved infection and loosening.
    • Arthrography is the most reliable method for diagnosing implant loosening, which can be associated with periarticular calcifications (30%) and aggressive granulomas leading to bone rarefaction.

    Impact:

    • Highlights the importance of advanced equipment and biological knowledge in reducing hip replacement risks.
    • Provides data on complication rates, aiding in risk assessment and patient counseling.
    • Emphasizes the diagnostic utility of arthrography for late complications like implant loosening.

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