Skip to main content
  • 314 Accesses

Abstract

Hip replacement and internal fixation are major surgeries commonly performed in the hip region. Total hip arthroplasty (THA) is one of the most successful and cost-effective surgical procedures. The main indications are osteoarthritis, avascular necrosis, femur neck fracture, and inflammatory arthritis. The incidence of THA has increased dramatically over the past 20 years, despite a variety of early and late complications. Accordingly, the increase of revision arthroplasty has followed. It is still challenging to identify the cause of pain and failure in THA despite the advances in radiologic and nuclear imaging techniques. Internal fixation is widely used in treatment of hip fractures. Hip fractures are a common injury, and femur neck fractures are associated with high levels of patient morbidity and mortality after surgery. In this chapter, we present a brief review of cases to assess the cause of pain and complications after hip surgery rather than dealing with primary hip diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Herberts P, Malchau H. Long-term registration has improved the quality of hip replacement: a review of the Swedish THR Register comparing 160,000 cases. Acta Orthop Scand. 2000;71:111–21. https://doi.org/10.1080/000164700317413067.

    Article  CAS  PubMed  Google Scholar 

  2. Healy WL, Iorio R, Clair AJ, Pellegrini VD, Della Valle CJ, Berend KR. Complications of total hip arthroplasty: standardized list, definitions, and stratification developed by the hip society. Clin Orthop Relat Res. 2016;474:357–64. https://doi.org/10.1007/s11999-015-4341-7.

    Article  PubMed  Google Scholar 

  3. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976;121:20–32.

    Google Scholar 

  4. 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.

    Google Scholar 

  5. Temmerman OPP, Raijmakers PGHM, Deville WL, Berkhof J, Hooft L, Heyligers IC. The use of plain radiography, subtraction arthrography, nuclear arthrography, and bone scintigraphy in the diagnosis of a loose acetabular component of a total hip prosthesis: a systematic review. J Arthroplasty. 2007;22:818–27. https://doi.org/10.1016/j.arth.2006.08.004.

    Article  PubMed  Google Scholar 

  6. Temmerman OPP, Raijmakers PGHM, Berkhof J, Hoekstra OS, GJJ T, Heyligers IC. Accuracy of diagnostic imaging techniques in the diagnosis of aseptic loosening of the femoral component of a hip prosthesis: a meta-analysis. J Bone Joint Surg Br. 2005;87:781–5. https://doi.org/10.1302/0301-620X.87B6.15625.

    Article  CAS  PubMed  Google Scholar 

  7. Reid JD, Kommareddi S, Lankerani M, Park MC. Chronic expanding hematomas. A clinicopathologic entity. JAMA. 1980;244:2441–2.

    Article  CAS  Google Scholar 

  8. Goddard MS, Vakil JJ, McCarthy EF, Khanuja HS. Chronic expanding hematoma of the lateral thigh and massive bony destruction after a failed total hip arthroplasty. J Arthroplasty. 2011;26:338.e13–5. https://doi.org/10.1016/j.arth.2009.11.015.

    Article  Google Scholar 

  9. Ando W, Yamamoto K, Koyama T, Hashimoto Y, Yasui H, Tsujimoto T, et al. Chronic expanding hematoma after metal-on-metal total hip arthroplasty. Orthopedics. 2017;40:e1103–6. https://doi.org/10.3928/01477447-20170619-04.

    Article  PubMed  Google Scholar 

  10. Bozhkova S, Suardi V, Sharma HK, Tsuchiya H, Del Sel H, Hafez MA, et al. The W.A.I.O.T. definition of peri-prosthetic joint infection: a multi-center, retrospective validation study. J Clin Med. 2020;9:1965. https://doi.org/10.3390/jcm9061965.

    Article  PubMed Central  Google Scholar 

  11. Signore A, Sconfienza LM, Borens O, Glaudemans AWJM, Cassar-Pullicino V, Trampuz A, et al. Consensus document for the diagnosis of prosthetic joint infections: a joint paper by the EANM, EBJIS, and ESR (with ESCMID endorsement). Eur J Nucl Med Mol Imaging. 2019;46:971–88. https://doi.org/10.1007/s00259-019-4263-9.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Gemmel F, Van den Wyngaert H, Love C, Welling MM, Gemmel P, Palestro CJ. Prosthetic joint infections: radionuclide state-of-the-art imaging. Eur J Nucl Med Mol Imaging. 2012;39:892–909. https://doi.org/10.1007/s00259-012-2062-7.

    Article  CAS  PubMed  Google Scholar 

  13. Erba PA, Glaudemans AWJM, Veltman NC, Sollini M, Pacilio M, Galli F, et al. Image acquisition and interpretation criteria for 99mTc-HMPAO-labelled white blood cell scintigraphy: results of a multicentre study. Eur J Nucl Med Mol Imaging. 2014;41:615–23. https://doi.org/10.1007/s00259-013-2631-4.

    Article  PubMed  Google Scholar 

  14. Kim HO, Na SJ, Oh SJ, Jung BS, Lee S, Chang JS, et al. Usefulness of adding SPECT/CT to 99mTc-hexamethylpropylene amine oxime (HMPAO)-labeled leukocyte imaging for diagnosing prosthetic joint infections. J Comput Assist Tomogr. 2014;38:313–9. https://doi.org/10.1097/RCT.0000000000000011.

    Article  PubMed  Google Scholar 

  15. Hallab NJ, Jacobs JJ. Biologic effects of implant debris. Bull NYU Hosp Jt Dis. 2009;67:182–8.

    PubMed  Google Scholar 

  16. Claus AM, Engh CA, Sychterz CJ, Xenos JS, Orishimo KF, Engh CA. Radiographic definition of pelvic osteolysis following total hip arthroplasty. J Bone Joint Surg Am. 2003;85:1519–26. https://doi.org/10.2106/00004623-200308000-00013.

    Article  PubMed  Google Scholar 

  17. Walde TA, Weiland DE, Leung SB, Kitamura N, Sychterz CJ, Engh CA, et al. Comparison of CT, MRI, and radiographs in assessing pelvic osteolysis: a cadaveric study. Clin Orthop Relat Res. 2005;437:138–44. https://doi.org/10.1097/01.blo.0000164028.14504.46.

    Article  Google Scholar 

  18. Geerdink CH, Grimm B, Rahmy AIA, Vencken W, Heyligers IC, Tonino AJ. Correlation of Technetium-99m scintigraphy, progressive acetabular osteolysis and acetabular component loosening in total hip arthroplasty. Hip Int. 2010;20:460–5. https://doi.org/10.1177/112070001002000408.

    Article  PubMed  Google Scholar 

  19. Butscheidt S, Moritz M, Gehrke T, Püschel K, Amling M, Hahn M, et al. Incorporation and remodeling of structural allografts in acetabular reconstruction: multiscale, micro-morphological analysis of 13 pelvic explants. J Bone Joint Surg Am. 2018;100:1406–15. https://doi.org/10.2106/JBJS.17.01636.

    Article  PubMed  Google Scholar 

  20. Han S, Oh M, Yoon S, Kim J, Kim J, Chang J, et al. Risk stratification for avascular necrosis of the femoral head after internal fixation of femoral neck fractures by post-operative bone SPECT/CT. Nucl Med Mol Imaging. 2017;51:49–57. https://doi.org/10.1007/s13139-016-0443-8.

    Article  PubMed  Google Scholar 

  21. Kim JW, Ryu J, Baek S, Byun S, Chang JS. The timing of bone SPECT to predict osteonecrosis after internal fixation of femur neck fractures. J Orthop Sci Off J Japan Orthop Assoc. 2017;22:457–62. https://doi.org/10.1016/j.jos.2016.12.014.

    Article  Google Scholar 

  22. Govaert GAM, Bosch P, Ijpma FFA, Glauche J, Jutte PC, Lemans JVC, et al. High diagnostic accuracy of white blood cell scintigraphy for fracture related infections: Results of a large retrospective single-center study. Injury. 2018;49:1085–90. https://doi.org/10.1016/j.injury.2018.03.018.

    Article  CAS  PubMed  Google Scholar 

  23. Cabarrus MC, Ambekar A, Lu Y, Link TM. MRI and CT of insufficiency fractures of the pelvis and the proximal femur. AJR Am J Roentgenol. 2008;191:995–1001. https://doi.org/10.2214/AJR.07.3714.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sun Jung Kim .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kim, S.J., Oh, S.W. (2022). Hip. In: Yang, SO., Oh, S.W., Choi, Y.Y., Ryu, JS. (eds) Atlas of Nuclear Medicine in Musculoskeletal System. Springer, Singapore. https://doi.org/10.1007/978-981-19-2677-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-981-19-2677-8_11

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-2676-1

  • Online ISBN: 978-981-19-2677-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics