Arthrography of painful hips following arthroplasty: digital versus plain film subtraction.

Abstract:

:Digital and manual subtraction images obtained during the arthrographic evaluation of 78 painful hip prostheses were reviewed retrospectively. Revision arthroplasty was performed in 53 of these cases, and the arthrographic and surgical findings were correlated. The digital and manual subtraction images were evaluated without knowledge of the surgical results using established criteria for component loosening. Digital subtraction arthrography of the femoral component demonstrated a 96% sensitivity and 100% specificity for the diagnosis of component loosening. Sensitivity and specificity for acetabular component loosening were 83% and 80%, respectively. Plain film subtraction of the femoral component demonstrated a 79% sensitivity and 100% specificity; the sensitivity and specificity for the acetabular component were 75% and 80%, respectively. The difference between detection of femoral component loosening on digital as opposed to manual subtraction images was statistically significant (P less than 0.05). This study demonstrate that digital subtraction improves the evaluation of femoral component loosening in painful hip prostheses.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Walker CW,FitzRandolph RL,Collins DN,Dalrymple GV

doi

10.1007/BF00191080

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

403-7

issue

6

eissn

0364-2348

issn

1432-2161

journal_volume

20

pub_type

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