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Semin Musculoskelet Radiol 2015; 19(01): 012-020
DOI: 10.1055/s-0034-1396763
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radiographic Evaluation of Hip Implants

Connie Y. Chang
1   Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
Ambrose J. Huang
1   Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
William E. Palmer
1   Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Publikationsdatum:
29. Januar 2015 (online)

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Abstract

Serial radiographs are the mainstay in the longitudinal assessment of hip implants. The prosthesis, periprosthetic bone, and juxta-articular soft tissues are inspected for fracture, periosteal reaction, stress shielding, calcar resorption, osteolysis, bony remodeling, metallic debris, and heterotopic ossification. Comparison radiographs best confirm implant migration, subsidence, and aseptic loosening. Infection, particle disease, reaction to metal, and mechanical impingement are important causes of postsurgical pain, but in their earliest stages they may be difficult to diagnose using radiographs. This article addresses the role of radiography following hip arthroplasty.

Keywords

hip arthroplasty - radiograph - evaluation
 

  • References

  • 1 Health data interactive Centers for Disease Control and Prevention Web site. Available at: http://www.cdc.gov/nchs/hdi.htm
    PubMed
  • 2 Fritz J, Lurie B, Miller TT. Imaging of hip arthroplasty. Semin Musculoskelet Radiol 2013; 17 (3) 316-327
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 3 Mancuso CA, Salvati EA, Johanson NA, Peterson MG, Charlson ME. Patients' expectations and satisfaction with total hip arthroplasty. J Arthroplasty 1997; 12 (4) 387-396
    CrossrefPubMedGoogle Scholar
  • 4 Gross TP, Liu F. Outcomes after revision of metal-on-metal hip resurfacing arthroplasty. J Arthroplasty 2014; 29 (9, Suppl): 219-223
    PubMedGoogle Scholar
  • 5 Engh CA, Massin P, Suthers KE. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res 1990; (257) 107-128
    PubMedGoogle Scholar
  • 6 Hozack W, Parvizi J, Bender B. Surgical Treatment of Hip Arthritis: Reconstruction, Replacement, and Revision. Philadelphia, PA: Saunders Elsevier; 2009
    Google Scholar
  • 7 Spangehl MJ, Masri BA, O'Connell JX, Duncan CP. Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties. J Bone Joint Surg Am 1999; 81 (5) 672-683
    CrossrefPubMedGoogle Scholar
  • 8 Sanzén L, Carlsson AS. The diagnostic value of C-reactive protein in infected total hip arthroplasties. J Bone Joint Surg Br 1989; 71 (4) 638-641
    PubMedGoogle Scholar
  • 9 Delaunay CP. Metal-on-metal bearings in cementless primary total hip arthroplasty. J Arthroplasty 2004; 19 (8) (Suppl. 03) 35-40
    PubMedGoogle Scholar
  • 10 Clarke MT, Lee PTH, Arora A, Villar RN. Levels of metal ions after small- and large-diameter metal-on-metal hip arthroplasty. J Bone Joint Surg Br 2003; 85 (6) 913-917
    PubMedGoogle Scholar
  • 11 Mulcahy H, Chew FS. Current concepts of hip arthroplasty for radiologists: part 1, features and radiographic assessment. AJR Am J Roentgenol 2012; 199 (3) 559-569
    CrossrefPubMedGoogle Scholar
  • 12 Brown TE, Cui Q, Mihalko WM, Saleh KJ , eds. Arthritis and Arthroplasty: The Hip. Philadelphia, PA: Saunders Elsevier; 2009
    Google Scholar
  • 13 Amstutz HC, Beaulé PE, Dorey FJ, Le Duff MJ, Campbell PA, Gruen TA. Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study. J Bone Joint Surg Am 2004; 86-A (1) 28-39
    PubMedGoogle Scholar
  • 14 Jacobs JJ, Hallab NJ, Skipor AK, Urban RM. Metal degradation products: a cause for concern in metal-metal bearings?. Clin Orthop Relat Res 2003; (417) 139-147
    PubMedGoogle Scholar
  • 15 Naudie D, Roeder CP, Parvizi J, Berry DJ, Eggli S, Busato A. Metal-on-metal versus metal-on-polyethylene bearings in total hip arthroplasty: a matched case-control study. J Arthroplasty 2004; 19 (7) (Suppl. 02) 35-41
    PubMedGoogle Scholar
  • 16 Clarke MT, Lee PTH, Villar RN. Dislocation after total hip replacement in relation to metal-on-metal bearing surfaces. J Bone Joint Surg Br 2003; 85 (5) 650-654
    PubMedGoogle Scholar
  • 17 Amstutz HC, Campbell PA, Le Duff MJ. Fracture of the neck of the femur after surface arthroplasty of the hip. J Bone Joint Surg Am 2004; 86-A (9) 1874-1877
    PubMedGoogle Scholar
  • 18 Shimmin AJ, Bare J, Back DL. Complications associated with hip resurfacing arthroplasty. Orthop Clin North Am 2005; 36 (2) 187-193 , ix ix.
    CrossrefPubMedGoogle Scholar
  • 19 Little CP, Ruiz AL, Harding IJ , et al. Osteonecrosis in retrieved femoral heads after failed resurfacing arthroplasty of the hip. J Bone Joint Surg Br 2005; 87 (3) 320-323
    CrossrefPubMedGoogle Scholar
  • 20 Case CP. Chromosomal changes after surgery for joint replacement. J Bone Joint Surg Br 2001; 83 (8) 1093-1095
    CrossrefPubMedGoogle Scholar
  • 21 Frank ED, Long BW, Smith BJ. Merrill's Atlas of Radiographic Positioning & Procedures. 11th ed. St. Louis, MO: Mosby Elsevier; 2007
    Google Scholar
  • 22 Sutherland CJ. Radiographic evaluation of acetabular bone stock in failed total hip arthroplasty. J Arthroplasty 1988; 3 (1) 73-79
    CrossrefPubMedGoogle Scholar
  • 23 D'Lima DD, Urquhart AG, Buehler KO, Walker RH, Colwell Jr CW. The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J Bone Joint Surg Am 2000; 82 (3) 315-321
    PubMedGoogle Scholar
  • 24 Manaster BJ. From the RSNA refresher courses. Total hip arthroplasty: radiographic evaluation. Radiographics 1996; 16 (3) 645-660
    CrossrefPubMedGoogle Scholar
  • 25 De Haan R, Pattyn C, Gill HS, Murray DW, Campbell PA, De Smet K. Correlation between inclination of the acetabular component and metal ion levels in metal-on-metal hip resurfacing replacement. J Bone Joint Surg Br 2008; 90 (10) 1291-1297
    PubMedGoogle Scholar
  • 26 De Haan R, Campbell PA, Su EP, De Smet KA. Revision of metal-on-metal resurfacing arthroplasty of the hip: the influence of malpositioning of the components. J Bone Joint Surg Br 2008; 90 (9) 1158-1163
    PubMedGoogle Scholar
  • 27 DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 1976; (121) 20-32
    PubMedGoogle Scholar
  • 28 Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res 1979; (141) 17-27
    PubMedGoogle Scholar
  • 29 Moore MS, McAuley JP, Young AM, Engh Sr CA. Radiographic signs of osseointegration in porous-coated acetabular components. Clin Orthop Relat Res 2006; 444 (444) 176-183
    PubMedGoogle Scholar
  • 30 Vresilovic EJ, Hozack WJ, Rothman RH. Radiographic assessment of cementless femoral components. Correlation with intraoperative mechanical stability. J Arthroplasty 1994; 9 (2) 137-141
    CrossrefPubMedGoogle Scholar
  • 31 Engh Jr CA, McAuley JP, Sychterz CJ, Sacco ME, Engh Sr CA. The accuracy and reproducibility of radiographic assessment of stress-shielding. A postmortem analysis. J Bone Joint Surg Am 2000; 82-A (10) 1414-1420
    PubMedGoogle Scholar
  • 32 Bodén H, Adolphson P, Oberg M. Unstable versus stable uncemented femoral stems: a radiological study of periprosthetic bone changes in two types of uncemented stems with different concepts of fixation. Arch Orthop Trauma Surg 2004; 124 (6) 382-392
    PubMedGoogle Scholar
  • 33 Kwon DG, Lee TJ, Kang JS, Moon KH. Correlation between stress shielding and clinical outcomes after total hip arthroplasty with extensively porous coated stems. J Arthroplasty 2013; 28 (10) 1728-1730
    CrossrefPubMedGoogle Scholar
  • 34 Bugbee WD, Culpepper II WJ, Engh Jr CA, Engh Sr CA. Long-term clinical consequences of stress-shielding after total hip arthroplasty without cement. J Bone Joint Surg Am 1997; 79 (7) 1007-1012
    PubMedGoogle Scholar
  • 35 Chiang PP, Burke DW, Freiberg AA, Rubash HE. Osteolysis of the pelvis: evaluation and treatment. Clin Orthop Relat Res 2003; (417) 164-174
    PubMedGoogle Scholar
  • 36 Seel MJ, Hafez MA, Eckman K, Jaramaz B, Davidson D, DiGioia III AM. Three-dimensional planning and virtual radiographs in revision total hip arthroplasty for instability. Clin Orthop Relat Res 2006; 442 (442) 35-38
    PubMedGoogle Scholar
  • 37 Berman AT, McGovern KM, Paret RS, Yanicko Jr DR. The use of preoperative computed tomography scanning in total hip arthroplasty. Clin Orthop Relat Res 1987; (222) 190-196
    PubMedGoogle Scholar
  • 38 Udomkiat P, Wan Z, Dorr LD. Comparison of preoperative radiographs and intraoperative findings of fixation of hemispheric porous-coated sockets. J Bone Joint Surg Am 2001; 83-A (12) 1865-1870
    PubMedGoogle Scholar
  • 39 Hodgkinson JP, Shelley P, Wroblewski BM. The correlation between the roentgenographic appearance and operative findings at the bone-cement junction of the socket in Charnley low friction arthroplasties. Clin Orthop Relat Res 1988; (228) 105-109
    PubMedGoogle Scholar
  • 40 Yoder SA, Brand RA, Pedersen DR, O'Gorman TW. Total hip acetabular component position affects component loosening rates. Clin Orthop Relat Res 1988; (228) 79-87
    PubMedGoogle Scholar
  • 41 Harris WH, McCarthy Jr JC, O'Neill DA. Femoral component loosening using contemporary techniques of femoral cement fixation. J Bone Joint Surg Am 1982; 64 (7) 1063-1067
    PubMedGoogle Scholar
  • 42 Malik A, Maheshwari A, Dorr LD. Impingement with total hip replacement. J Bone Joint Surg Am 2007; 89 (8) 1832-1842
    CrossrefPubMedGoogle Scholar
  • 43 Phillips CB, Barrett JA, Losina E , et al. Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement. J Bone Joint Surg Am 2003; 85-A (1) 20-26
    PubMedGoogle Scholar
  • 44 Bauer TW, Parvizi J, Kobayashi N, Krebs V. Diagnosis of periprosthetic infection. J Bone Joint Surg Am 2006; 88 (4) 869-882
    CrossrefPubMedGoogle Scholar
  • 45 Berry DJ. Epidemiology: hip and knee. Orthop Clin North Am 1999; 30 (2) 183-190
    CrossrefPubMedGoogle Scholar
  • 46 Meek RMD, Garbuz DS, Masri BA, Greidanus NV, Duncan CP. Intraoperative fracture of the femur in revision total hip arthroplasty with a diaphyseal fitting stem. J Bone Joint Surg Am 2004; 86-A (3) 480-485
    PubMedGoogle Scholar
  • 47 Christiansen CG, Kassim RA, Callaghan JJ, Marsh JL, Schmidt AH. Pubic ramus insufficiency fractures following total hip arthroplasty. A report of six cases. J Bone Joint Surg Am 2003; 85-A (9) 1819-1822
    PubMedGoogle Scholar
  • 48 Kanaji A, Ando K, Nakagawa M, Fukaya E, Date H, Yamada H. Insufficiency fracture in the medial wall of the acetabulum after total hip arthroplasty. J Arthroplasty 2007; 22 (5) 763-767
    CrossrefPubMedGoogle Scholar
  • 49 Pritchett JW. Fracture of the greater trochanter after hip replacement. Clin Orthop Relat Res 2001; (390) 221-226
    PubMedGoogle Scholar
  • 50 Lindahl H, Malchau H, Herberts P, Garellick G. Periprosthetic femoral fractures classification and demographics of 1049 periprosthetic femoral fractures from the Swedish National Hip Arthroplasty Register. J Arthroplasty 2005; 20 (7) 857-865
    CrossrefPubMedGoogle Scholar
  • 51 Rayan F, Dodd M, Haddad FS. European validation of the Vancouver classification of periprosthetic proximal femoral fractures. J Bone Joint Surg Br 2008; 90 (12) 1576-1579
    PubMedGoogle Scholar
  • 52 Naqvi GA, Baig SA, Awan N. Interobserver and intraobserver reliability and validity of the Vancouver classification system of periprosthetic femoral fractures after hip arthroplasty. J Arthroplasty 2012; 27 (6) 1047-1050
    CrossrefPubMedGoogle Scholar
  • 53 Chitre A, Wynn Jones H, Shah N, Clayson A. Complications of total hip arthroplasty: periprosthetic fractures of the acetabulum. Curr Rev Musculoskelet Med 2013; 6 (4) 357-363
    CrossrefPubMedGoogle Scholar
  • 54 Wera GD, Gillespie RJ, Petty C, Petersilge WJ, Kraay MJ, Goldberg VM. Revision of hip resurfacing arthroplasty. Am J Orthop 2010; 39 (8) E78-E83
    PubMedGoogle Scholar
  • 55 Schmalzried TP, Silva M, de la Rosa MA, Choi E-S, Fowble VA. Optimizing patient selection and outcomes with total hip resurfacing. Clin Orthop Relat Res 2005; 441 (441) 200-204
    CrossrefPubMedGoogle Scholar
  • 56 Ritter MA, Lutgring JD, Berend ME, Pierson JL. Failure mechanisms of total hip resurfacing: implications for the present. Clin Orthop Relat Res 2006; 453 (453) 110-114
    CrossrefPubMedGoogle Scholar
  • 57 Masonis JL, Bourne RB. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res 2002; (405) 46-53
    PubMedGoogle Scholar
  • 58 Miki H, Masuhara K. Arthrographic examination of the pseudocapsule of the hip after posterior dislocation of total hip arthroplasty. Int Orthop 2000; 24 (5) 256-259
    CrossrefPubMedGoogle Scholar
  • 59 Roy BR, Binns MS, Horsfall H. Radiological diagnosis of abductor denervation after hip surgery. Skeletal Radiol 2001; 30 (2) 117-118
    CrossrefPubMedGoogle Scholar
  • 60 Barrack RL. Preoperative planning for revision total hip arthroplasty. Clin Orthop Relat Res 2004; (420) 32-38
    PubMedGoogle Scholar
  • 61 Johnston RC, Brand RA, Crowninshield RD. Reconstruction of the hip. A mathematical approach to determine optimum geometric relationships. J Bone Joint Surg Am 1979; 61 (5) 639-652
    PubMedGoogle Scholar
  • 62 Odri GA, Padiolleau GB, Gouin FT. Oversized cups as a major risk factor of postoperative pain after total hip arthroplasty. J Arthroplasty 2014; 29 (4) 753-756
    CrossrefPubMedGoogle Scholar
  • 63 Jerosch J, Neuhäuser C, Sokkar SM. Arthroscopic treatment of iliopsoas impingement (IPI) after total hip replacement. Arch Orthop Trauma Surg 2013; 133 (10) 1447-1454
    CrossrefPubMedGoogle Scholar
  • 64 Heaton K, Dorr LD. Surgical release of iliopsoas tendon for groin pain after total hip arthroplasty. J Arthroplasty 2002; 17 (6) 779-781
    CrossrefPubMedGoogle Scholar
  • 65 Rezig R, Copercini M, Montet X, Martinoli C, Bianchi S. Ultrasound diagnosis of anterior iliopsoas impingement in total hip replacement. Skeletal Radiol 2004; 33 (2) 112-116
    CrossrefPubMedGoogle Scholar
  • 66 Staple TW, Jung D, Mork A. Snapping tendon syndrome: hip tenography with fluoroscopic monitoring. Radiology 1988; 166 (3) 873-874
    CrossrefPubMedGoogle Scholar
  • 67 Harwin SF. Trochanteric heterotopic ossification after total hip arthroplasty performed using a direct lateral approach. J Arthroplasty 2005; 20 (4) 467-472
    CrossrefPubMedGoogle Scholar
  • 68 Spinarelli A, Patella V, Petrera M, Abate A, Pesce V, Patella S. Heterotopic ossification after total hip arthroplasty: our experience. Musculoskelet Surg 2011; 95 (1) 1-5
    PubMedGoogle Scholar
  • 69 O'Shea K, Kearns SR, Blaney A, Murray P, Smyth HA, McElwain JP. Periprosthetic malignancy as a mode of failure in total hip arthroplasty. J Arthroplasty 2006; 21 (6) 926-930
    CrossrefPubMedGoogle Scholar
  • 70 Visuri T, Pulkkinen P, Paavolainen P. Malignant tumors at the site of total hip prosthesis. Analytic review of 46 cases. J Arthroplasty 2006; 21 (3) 311-323
    CrossrefPubMedGoogle Scholar