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The radiology of total hip replacement

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Abstract

The radiology of total hip replacement (THR) and its complications is reviewed in conjunction with a long-term follow-up study on 402 patients with 501 prostheses. The indications, contraindications, biomechanics, and operative management of these patients is discussed. Clinical complications such as deep vein thrombosis, pulmonary embolism, and hemorrhage are mentioned. Postoperative infections including granulomatous pseudotumors, dislocations and fractures, true loosening of the prosthesis, and heterotopic bone formation (HBF) are discussed and illustrated. The importance of differentiating the lucent line from true loosening is stressed. Mechanical and other clinical complications which are largely ignored by radiologists are also discussed. The uses of arthrography and bone scanning are included.

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Authors and Affiliations

  1. Department of Orthopaedics, The University of Rochester Medical Center, Rochester, New York, USA

    Harry J. Griffiths M.D., James E. Lovelock M.D., C. McCollister Evarts M.D. & David Geyer B.S.

  2. Department of Radiology, The University of Rochester Medical Center, P.O. Box 648, 14642, Rochester, NY, USA

    Harry J. Griffiths M.D., James E. Lovelock M.D., C. McCollister Evarts M.D. & David Geyer B.S.

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  1. Harry J. Griffiths M.D.
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  2. James E. Lovelock M.D.
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  3. C. McCollister Evarts M.D.
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  4. David Geyer B.S.
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Griffiths, H.J., Lovelock, J.E., McCollister Evarts, C. et al. The radiology of total hip replacement. Skeletal Radiol. 12, 1–11 (1984). https://doi.org/10.1007/BF00373168

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