Abstract
Pain is the primary presenting symptom of septic or aseptic loosening of total hip arthroplasty. However, other arthroplasty complications can present with pain, and imaging is frequently required to narrow the differential diagnosis. Indeed, particle disease, periprosthetic fractures, aseptic lymphocytic vasculitis and associated lesions (ALVAL), heterotopic ossification, and polyethylene wear can occur. This chapter describes common postoperative complications after total hip arthroplasty and illustrates the abnormal findings on bone SPECT/CT.
References
Dobrindt O, Amthauer H, Krueger A, et al. Hybrid SPECT/CT for the assessment of a painful hip after uncemented total hip arthroplasty. BMC Med Imaging. 2015;15:18.
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.
Horger M, Eschmann SM, Pfannenberg C, et al. Added value of SPECT/CT in patients suspected of having bone infection: preliminary results. Arch Orthop Trauma Surg. 2007;127:211–21.
Jansen JA, Smit F, Pereira Arias-Bouda LM. The role of nuclear medicine techniques in differentiation between septic and aseptic loosening of total hip and knee arthroplasty. Tijdschr Nucl Geneesk. 2012;34(4):988–94.
Mushtaq N, To K, Gooding CR, Khan WS. Radiological imaging evaluation of the failing total hip replacement. Front Surg. 2019;6
Palestro CJ. Nuclear medicine, the painful prosthetic joint, and orthopedic infection. J Nucl Med. 2003;44:927–9.
Roth TD, Maertz NA, Andrew Parr J, Buckwalter KA, Choplin RH. CT of the hip prosthesis: appearance of components, fixation, and complications. RadioGraphics. 2012;32(4):1089–107.
Tam H, Bhaludin BN, Rahman F, Weller A, Ejindu V, Parthipun A. SPECT-CT in total hip arthroplasty. Clin Radiol. 2014;69(1):82–95.
Vanrusselt J, Vansevenant M, Vanderschueren G, Vanhoenacker F. Postoperative radiograph of the hip arthroplasty: what the radiologist should know. Insights Imaging. 2015;6(6):591–600. https://doi.org/10.1007/s13244-015-0438-5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this entry
Cite this entry
Chow, G., Armstrong, T., Parthipun, A., Nathan, M. (2023). Hip Arthroplasty: Abnormal 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_267
Download citation
DOI: https://doi.org/10.1007/978-3-031-26449-8_267
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-26448-1
Online ISBN: 978-3-031-26449-8
eBook Packages: MedicineReference Module Medicine