Bookmarks
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Definitions
- Revision arthroplasty: Placement of new component(s) following removal of failed implant
- Wide spectrum of revision
- Small changes may not be obvious
- Exchange of polyethylene component
- Change of femoral head (modular; may be changed without extracting stem)
- Larger changes of entire components
- Small changes may not be obvious
- Some revisions have implications related to substantial bone loss: Large defects to fill, little bone to support arthroplasty
- Loose components may fracture and lyse large regions of bone
- Infection may destroy bone
- Particle disease with massive osteolysis leaves osseous defects
- Imaging evaluation required both pre-op and post-op
- Preop: Evaluation of bone stock for surgical planning
- Postop: Evaluation for complications
- Wide spectrum of revision
- Revision arthroplasty: Placement of new component(s) following removal of failed implant
IMAGING
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
CLINICAL ISSUES
Demographics
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Schmolders J et al: Validation of the Charlson comorbidity index in patients undergoing revision total hip arthroplasty. Int Orthop. ePub, 2015
- Eswaramoorthy VK et al: Clinical and radiological outcome of stemmed hip replacement after revision from metal-on-metal resurfacing. J Bone Joint Surg Br. 91(11):1454-8, 2009
- Symeonides PP et al: The Effectiveness of the Burch-Schneider antiprotrusio cage for acetabular bone deficiency: five to twenty-one years' follow-up. J Arthroplasty. 24(2):168-74, 2009
- Williams D et al: Revision arthroplasty: an update. Skeletal Radiol. 38(11):1031-6, 2009
- Choplin RH et al: Total hip arthroplasty in patients with bone deficiency of the acetabulum. Radiographics. 28(3):771-86, 2008
- Ogawa H et al: Morcellized bone grafting for acetabular deficiency in cementless total hip arthroplasty. Orthopedics. 31(10), 2008
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Definitions
- Revision arthroplasty: Placement of new component(s) following removal of failed implant
- Wide spectrum of revision
- Small changes may not be obvious
- Exchange of polyethylene component
- Change of femoral head (modular; may be changed without extracting stem)
- Larger changes of entire components
- Small changes may not be obvious
- Some revisions have implications related to substantial bone loss: Large defects to fill, little bone to support arthroplasty
- Loose components may fracture and lyse large regions of bone
- Infection may destroy bone
- Particle disease with massive osteolysis leaves osseous defects
- Imaging evaluation required both pre-op and post-op
- Preop: Evaluation of bone stock for surgical planning
- Postop: Evaluation for complications
- Wide spectrum of revision
- Revision arthroplasty: Placement of new component(s) following removal of failed implant
IMAGING
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
CLINICAL ISSUES
Demographics
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Schmolders J et al: Validation of the Charlson comorbidity index in patients undergoing revision total hip arthroplasty. Int Orthop. ePub, 2015
- Eswaramoorthy VK et al: Clinical and radiological outcome of stemmed hip replacement after revision from metal-on-metal resurfacing. J Bone Joint Surg Br. 91(11):1454-8, 2009
- Symeonides PP et al: The Effectiveness of the Burch-Schneider antiprotrusio cage for acetabular bone deficiency: five to twenty-one years' follow-up. J Arthroplasty. 24(2):168-74, 2009
- Williams D et al: Revision arthroplasty: an update. Skeletal Radiol. 38(11):1031-6, 2009
- Choplin RH et al: Total hip arthroplasty in patients with bone deficiency of the acetabulum. Radiographics. 28(3):771-86, 2008
- Ogawa H et al: Morcellized bone grafting for acetabular deficiency in cementless total hip arthroplasty. Orthopedics. 31(10), 2008
