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Hip Arthroplasty: Normal Postoperative Findings

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Clinical Atlas of Bone SPECT/CT

Abstract

Conventional radiography is the standard imaging modality for routine follow-up after hip arthroplasty. Other imaging methods should be used only in case of prolonged or progressive symptoms. Bone SPECT/CT can accurately detect or rule out loosening of hip arthroplasty, heterotopic ossifications, and recurring pain following hip arthroplasty, but knowledge of the expected changes in bone turnover after hip arthroplasty is required. Due to inflammation, vascular and bloodpool uptake remains increased in the first 3 months following surgery, and the delayed-phase images take even longer to normalize. Typically, osteointegration takes longer in uncemented stems, and residual uptake can last for years in the greater trochanter and at the stem tip. This chapter describes the postoperative physiological evolution of hip arthroplasties on bone SPECT/CT.

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Authors and Affiliations

  1. Department of Nuclear Medicine, All India Institute of Medical Sciences, Bhubaneswar, India

    Kanhaiyalal Agrawal

  2. Department of Nuclear Medicine, Antwerp University Hospital, Edegem, Belgium

    Tim Van den Wyngaert

  3. Faculty of Medicine and Health Sciences (MICA – IPPON), University of Antwerp, Wilrijk, Belgium

    Tim Van den Wyngaert

Authors
  1. Kanhaiyalal Agrawal
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  2. Tim Van den Wyngaert
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Corresponding author

Correspondence to Kanhaiyalal Agrawal .

Editor information

Editors and Affiliations

  1. Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium

    Tim Van den Wyngaert

  2. Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London, UK

    Gopinath Gnanasegaran

  3. Department of Radiology and Nuclear Medicine, Luzerner Kantonsspital, Lucerne, Switzerland

    Klaus Strobel

Section Editor information

  1. Royal Free London NHS Foundation Trust, London, United Kingdom

    Arum Parthipun

  2. Royal Free London Hospital, London, UK

    Malavika Nathan

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Agrawal, K., Van den Wyngaert, T. (2023). Hip Arthroplasty: Normal Postoperative Findings. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_236

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  • DOI: https://doi.org/10.1007/978-3-031-26449-8_236

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-26448-1

  • Online ISBN: 978-3-031-26449-8

  • eBook Packages: MedicineReference Module Medicine

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