Nuclear imaging in loosening of hip-joint endoprostheses
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Auteurs : RBID : ISTEX:402_1988_Article_BF00451509.pdfAbstract
In 28 patients with surgically proved loosening of hip-joint endoprostheses and 42 patients without loosening between 2 and 12 years after implantation and without clinical or radiological signs of loosening we performed clinical evaluation, and radiographs, a three-phase bone scan, and a 111indium-labeled leukocyte scan (ILLS). The sensitivity of radiographs in the group with loosening of hip-joint endoprostheses in the femoral as well as in the acetabular component was only about 50%, while the specificity was almost 100%. With a combination of radiographs and ILLS we reached a sensitivity in the acetabular component of 100% and in the femoral component of 88%, but specificities of only 57% in the acetabular component and 40% in the femoral component were found. We found that the ILLS is a very helpful method of examination to detect loosening of hip-joint arthroplasties in doubtful cases.
DOI: 10.1007/BF00451509
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Wicke</name><affiliation wicri:level="3"><mods:affiliation>Department of Nuclear Medicine, Medical Faculty, RWTH, Aachen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Nuclear Medicine, Medical Faculty, RWTH, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author><author><name>J. Zilkens</name><affiliation wicri:level="1"><mods:affiliation>Rheinische Orthopädische Landesklinik, Süchtelen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Rheinische Orthopädische Landesklinik, Süchtelen</wicri:regionArea><wicri:noRegion>Süchtelen</wicri:noRegion><wicri:noRegion>Süchtelen</wicri:noRegion></affiliation></author><author><name>U. Büll</name><affiliation wicri:level="3"><mods:affiliation>Department of Nuclear Medicine, Medical Faculty, RWTH, Aachen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Nuclear Medicine, Medical Faculty, RWTH, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="RBID">ISTEX:402_1988_Article_BF00451509.pdf</idno><date when="1988">1988</date><idno type="doi">10.1007/BF00451509</idno><idno type="wicri:Area/Main/Corpus">000110</idno><idno type="wicri:Area/Main/Curation">000110</idno><idno type="wicri:Area/Main/Exploration">000531</idno></publicationStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="eng">In 28 patients with surgically proved loosening of hip-joint endoprostheses and 42 patients without loosening between 2 and 12 years after implantation and without clinical or radiological signs of loosening we performed clinical evaluation, and radiographs, a three-phase bone scan, and a 111indium-labeled leukocyte scan (ILLS). The sensitivity of radiographs in the group with loosening of hip-joint endoprostheses in the femoral as well as in the acetabular component was only about 50%, while the specificity was almost 100%. With a combination of radiographs and ILLS we reached a sensitivity in the acetabular component of 100% and in the femoral component of 88%, but specificities of only 57% in the acetabular component and 40% in the femoral component were found. We found that the ILLS is a very helpful method of examination to detect loosening of hip-joint arthroplasties in doubtful cases.</div></front></TEI><mods xsi:schemaLocation="http://www.loc.gov/mods/v3 file:///applis/istex/home/loadistex/home/etc/xsd/mods.xsd" version="3.4" istexId="133dc7e037ac1b41153714bd90b6d1732f5db192"><titleInfo lang="eng"><title>Nuclear imaging in loosening of hip-joint endoprostheses</title></titleInfo><name type="personal"><namePart type="given">K. 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The sensitivity of radiographs in the group with loosening of hip-joint endoprostheses in the femoral as well as in the acetabular component was only about 50%, while the specificity was almost 100%. With a combination of radiographs and ILLS we reached a sensitivity in the acetabular component of 100% and in the femoral component of 88%, but specificities of only 57% in the acetabular component and 40% in the femoral component were found. We found that the ILLS is a very helpful method of examination to detect loosening of hip-joint arthroplasties in doubtful cases.</abstract><relatedItem type="series"><titleInfo type="abbreviated"><title>Arch. Orth. Traum. Surg.</title></titleInfo><titleInfo><title>Archives of orthopaedic and traumatic surgery</title><partNumber>Year: 1988</partNumber><partNumber>Volume: 107</partNumber><partNumber>Number: 5</partNumber></titleInfo><genre>Archive Journal</genre><originInfo><dateIssued encoding="w3cdtf">1988-08-01</dateIssued><copyrightDate encoding="w3cdtf">1988</copyrightDate></originInfo><subject usage="primary"><topic>Medicine & Public Health</topic><topic>Orthopedics</topic></subject><identifier type="issn">0344-8444</identifier><identifier type="issn">Electronic: 1434-3916</identifier><identifier type="matrixNumber">402</identifier><identifier type="local">IssueArticleCount: 12</identifier><recordInfo><recordOrigin>Springer-Verlag, 1988</recordOrigin></recordInfo></relatedItem><identifier type="doi">10.1007/BF00451509</identifier><identifier type="matrixNumber">Art6</identifier><identifier type="local">BF00451509</identifier><accessCondition type="use and reproduction">MetadataGrant: OpenAccess</accessCondition><accessCondition type="use and reproduction">AbstractGrant: OpenAccess</accessCondition><accessCondition type="restriction on access">BodyPDFGrant: Restricted</accessCondition><accessCondition type="restriction on access">BodyHTMLGrant: Restricted</accessCondition><accessCondition type="restriction on access">BibliographyGrant: Restricted</accessCondition><accessCondition type="restriction on access">ESMGrant: Restricted</accessCondition><part><extent unit="pages"><start>288</start><end>292</end></extent></part><recordInfo><recordOrigin>Springer-Verlag, 1988</recordOrigin><recordIdentifier>402_1988_Article_BF00451509.pdf</recordIdentifier></recordInfo></mods></record>Pour manipuler ce document sous Unix (Dilib)
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