Clinical Radiology
Volume 63, Issue 1 , Pages 49-58 , January 2008

MRI of early symptomatic metal-on-metal total hip arthroplasty: a retrospective review of radiological findings in 20 hips

  • A.P. Toms

      Affiliations

    • Department of Radiology, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK
    • Corresponding Author InformationGuarantor and correspondent: A.P. Toms, Department of Radiology, Norfolk & Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. Tel.: +44 1603 286104; fax: +44 1603 286077.
  • ,
  • T.J. Marshall

      Affiliations

    • Department of Radiology, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK
  • ,
  • J. Cahir

      Affiliations

    • Department of Radiology, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK
  • ,
  • C. Darrah

      Affiliations

    • Department of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK
  • ,
  • J. Nolan

      Affiliations

    • Department of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK
  • ,
  • S.T. Donell

      Affiliations

    • Institute of Health, University of East Anglia, Norwich, Norfolk, UK
  • ,
  • T. Barker

      Affiliations

    • Department of Pathology, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK
  • ,
  • J.K. Tucker

      Affiliations

    • Department of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK

Received 11 December 2006 ,Revised 17 May 2007 ,Accepted 22 July 2007.

References 

  1. Czerny C, Krestan C, Imhof H, et al. Magnetic resonance imaging of the postoperative hip. Top Magn Reson Imaging. 1999;10:214–220
  2. Potter HG, Nestor BJ, Sofka CM, et al. Magnetic resonance imaging after total hip arthroplasty: evaluation of periprosthetic soft tissue. J Bone Joint Surg Am. 2004;86-A:1947–1954
  3. White LM, Kim JK, Mehta M, et al. Complications of total hip arthroplasty: MR imaging-initial experience. Radiology. 2000;215:254–262
  4. Pfirrmann CW, Notzli HP, Dora C, et al. Abductor tendons and muscles assessed at MR imaging after total hip arthroplasty in asymptomatic and symptomatic patients. Radiology. 2005;235:969–976
  5. Chang SD, Lee MJ, Munk PL, et al. MRI of spinal hardware: comparison of conventional T1-weighted sequence with a new metal artefact reduction sequence. Skeletal Radiol. 2001;30:213–218
  6. Olsen RV, Munk PL, Lee MJ, et al. Metal artefact reduction sequence: early clinical applications. RadioGraphics. 2000;20:699–712
  7. Suh JS, Jeong EK, Shin KH, et al. Minimizing artefacts caused by metallic implants at MR imaging: experimental and clinical studies. AJR Am J Roentgenol. 1998;171:1207–1213
  8. Eustace S, Goldberg R, Williamson D, et al. MR imaging of soft tissues adjacent to orthopaedic hardware: techniques to minimize susceptibility artefact. Clin Radiol. 1997;52:589–594
  9. Eustace S, Jara H, Goldberg R, et al. A comparison of conventional spin-echo and turbo spin-echo imaging of soft tissues adjacent to orthopedic hardware. AJR Am J Roentgenol. 1998;170:455–458
  10. Tormanen J, Tervonen O, Koivula A, et al. Image technique optimization in MR imaging of a titanium alloy joint prosthesis. J Magn Reson Imaging. 1996;6:805–811
  11. Allen AM, Ward WG, Haygood TM. Imaging of the total hip arthroplasty. J South Orthop Assoc. 1995;4:96–123
  12. Davies AP, Willert HG, Campbell PA, et al. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am. 2005;87:18–27
  13. Willert HG, Buchhorn GH, Fayyazi A, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005;87:28–36
  14. Park YS, Moon YW, Lim SJ, et al. Early osteolysis following second-generation metal-on-metal hip replacement. J Bone Joint Surg Am. 2005;87:1515–1521
  15. Johnston RC, Fitzgerald RHJ, Harris WH, et al. Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results. J Bone Joint Surg Am. 1990;72:161–168
  16. Engh CAJ, McAuley JP, Sychterz CJ, et al. The accuracy and reproducibility of radiographic assessment of stress-shielding. A postmortem analysis. J Bone Joint Surg Am. 2000;82-A:1414–1420
  17. Payne LZ, DeLuca PA. Heterotopic ossification after rhizotomy and femoral osteotomy. J Pediatr Orthop. 1993;13:733–738
  18. Brooker AF, Bowerman JW, Robinson RA, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55:1629–1632
  19. Chambers IR, Fender D, McCaskie AW, et al. Radiological features predictive of aseptic loosening in cemented Charnley femoral stems. J Bone Joint Surg Br. 2001;83:838–842
  20. Harris WH, McCarthy JCJ, O'Neill DA. Femoral component loosening using contemporary techniques of femoral cement fixation. J Bone Joint Surg Am. 1982;64:1063–1067
  21. Hodgkinson JP, Shelley P, Wroblewski BM. The correlation between the roentgenographic appearance and operative findings at the bone–cement junction of the socket in Charnley low friction arthroplasties. Clin Orthop Relat Res. 1988;228:105–109
  22. Kobayashi A, Donnelly WJ, Scott G, et al. Early radiological observations may predict the long-term survival of femoral hip prostheses. J Bone Joint Surg Br. 1997;79:583–589
  23. Loudon JR, Charnley J. Subsidence of the femoral prosthesis in total hip replacement in relation to the design of the stem. J Bone Joint Surg Br. 1980;62-B:450–453
  24. Madey SM, Callaghan JJ, Olejniczak JP, et al. Charnley total hip arthroplasty with use of improved techniques of cementing. The results after a minimum of fifteen years of follow-up. J Bone Joint Surg Am. 1997;79:53–64
  25. Mulroy RDJ, Harris WH. The effect of improved cementing techniques on component loosening in total hip replacement. An 11-year radiographic review. J Bone Joint Surg Br. 1990;72:757–760
  26. Barrack RL, Mulroy RDJ, Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. J Bone Joint Surg Br. 1992;74:385–389
  27. Bullough PG. Tissue response to implanted prosthesis. Orthopaedic pathology. London: Mosby; 2003;p. 327–346
  28. Saito S, Ryu J, Watanabe M, et al. Midterm results of Metasul metal-on-metal total hip arthroplasty. J Arthroplasty. 2006;21:1105–1110
  29. Boardman DR, Middleton FR, Kavanagh TG. A benign psoas mass following metal-on-metal resurfacing of the hip. J Bone Joint Surg Br. 2006;88:402–404
  30. Shetty VD, Villar RN. Development and problems of metal-on-metal hip arthroplasty. Proc Inst Mech Eng [H]. 2006;220:371–377
  31. Harvey EJ, Tanzer M, Bobyn JD. Femoral cement grading in total hip arthroplasty. J Arthroplasty. 1998;13:396–401
  32. Berquist TH, Bender CE, Maus TP, et al. Pseudobursae: a useful finding in patients with painful hip arthroplasty. AJR Am J Roentgenol. 1987;148:103–106
  33. Twair A, Ryan M, O'Connell M, et al. MRI of failed total hip replacement caused by abductor muscle avulsion. AJR Am J Roentgenol. 2003;181:1547–1550
  34. Miles KA. The painful prosthetic joint. In:  Peters AM editors. Nuclear medicine in radiological diagnosis. London: Martin Dunitz; 2003;p. 55–64
  35. Palestro CJ, Love C, Tronco GG, et al. Combined labeled leukocyte and technetium 99m sulfur colloid bone marrow imaging for diagnosing musculoskeletal infection. RadioGraphics. 2006;26:859–870
  36. Dixon MC, Scott RD, Schai PA, et al. A simple capsulorrhaphy in a posterior approach for total hip arthroplasty. J Arthroplasty. 2004;19:373–376
  37. Weeden SH, Paprosky WG, Bowling JW. The early dislocation rate in primary total hip arthroplasty following the posterior approach with posterior soft-tissue repair. J Arthroplasty. 2003;18:709–713
  38. Stahelin T, Vienne P, Hersche O. Failure of reinserted short external rotator muscles after total hip arthroplasty. J Arthroplasty. 2002;17:604–607
  39. Kao JT, Woolson ST. Piriformis tendon repair failure after total hip replacement. Orthop Rev. 1992;21:171–174

PII: S0009-9260(07)00315-7

doi: 10.1016/j.crad.2007.07.012

Clinical Radiology
Volume 63, Issue 1 , Pages 49-58 , January 2008