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Arthroplasty Complication
Umesh D. Oza, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      TERMINOLOGY

      • Definitions

        • Estimated over 800,000 hip and knee joint arthroplasties performed in USA annually
          • Less frequently shoulder, wrist, and elbow arthroplasty performed
        • Prosthesis made of metal (cobalt–chromium or titanium) and ultra high molecular-weight polyethylene material
        • Components attached to native bone with surgical cement (polymethylmethacrylate), application of hydroxyapatite compound to their surface, or by constructing prosthetic materials with porous coating to allow bone ingrowth

      IMAGING

      • General Features

        • Radiographic Findings

          • Nuclear Medicine Findings

            • Imaging Recommendations

              DIFFERENTIAL DIAGNOSIS

                CLINICAL ISSUES

                • Presentation

                  • Treatment

                    DIAGNOSTIC CHECKLIST

                    • Consider

                      • Image Interpretation Pearls

                        Selected References

                        1. Palestro CJ: Nuclear medicine and the failed joint replacement: Past, present, and future. World J Radiol. 6(7):446-58, 2014
                        2. Osmon DR et al: Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 56(1):e1-e25, 2013
                        3. Palestro CJ: FDG-PET in musculoskeletal infections. Semin Nucl Med. 43(5):367-76, 2013
                        4. Love C et al: Nuclear medicine and the infected joint replacement. Semin Nucl Med. 39(1):66-78, 2009
                        Related Anatomy
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                        Related Differential Diagnoses
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • Imaging

                          • Top Differential Diagnoses

                            TERMINOLOGY

                            • Definitions

                              • Estimated over 800,000 hip and knee joint arthroplasties performed in USA annually
                                • Less frequently shoulder, wrist, and elbow arthroplasty performed
                              • Prosthesis made of metal (cobalt–chromium or titanium) and ultra high molecular-weight polyethylene material
                              • Components attached to native bone with surgical cement (polymethylmethacrylate), application of hydroxyapatite compound to their surface, or by constructing prosthetic materials with porous coating to allow bone ingrowth

                            IMAGING

                            • General Features

                              • Radiographic Findings

                                • Nuclear Medicine Findings

                                  • Imaging Recommendations

                                    DIFFERENTIAL DIAGNOSIS

                                      CLINICAL ISSUES

                                      • Presentation

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Palestro CJ: Nuclear medicine and the failed joint replacement: Past, present, and future. World J Radiol. 6(7):446-58, 2014
                                              2. Osmon DR et al: Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 56(1):e1-e25, 2013
                                              3. Palestro CJ: FDG-PET in musculoskeletal infections. Semin Nucl Med. 43(5):367-76, 2013
                                              4. Love C et al: Nuclear medicine and the infected joint replacement. Semin Nucl Med. 39(1):66-78, 2009