Clinical Radiology
Volume 64, Issue 10 , Pages 961-971 , October 2009

Hip arthroplasty. Part 2: normal and abnormal radiographic findings

  • E. Pluot

      Affiliations

    • Department of Radiology, The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK
  • ,
  • E.T. Davis

      Affiliations

    • Department of Orthopaedic Surgery, The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK
  • ,
  • M. Revell

      Affiliations

    • Department of Orthopaedic Surgery, The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK
  • ,
  • A.M. Davies

      Affiliations

    • Department of Radiology, The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK
  • ,
  • S.L.J. James

      Affiliations

    • Department of Radiology, The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK
    • Corresponding Author InformationGuarantor and correspondent: S.L.J. James, Department of Radiology, The Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road, Northfield, Birmingham B31 2AP, UK. Tel.: +44 121 685 4135; fax: +44 121 685 4134.

Received 29 January 2009 ,Revised 8 May 2009 ,Accepted 11 May 2009.

References 

  1. Harris WH, Sledge CB. Total hip and total knee replacement (1). N Engl J Med. 1990;323:725–731
  2. National Joint Registry . 4th Annual report. Hemel Hempstead: NJR Centre, Northgate Information Solutions; 2007;
  3. Bauer TW, Schils J. The pathology of total joint arthroplasty. II. Mechanisms of implant failure. Skeletal Radiol. 1999;28:483–497
  4. Bauer TW, Schils J. The pathology of total joint arthroplasty. I. Mechanisms of implant fixation. Skeletal Radiol. 1999;28:423–432
  5. Tigges S, Stiles RG, Roberson JR. Complications of hip arthroplasty causing periprosthetic radiolucency on plain radiographs. AJR Am J Roentgenol. 1994;162:1387–1391
  6. Weissman BN. Imaging of total hip replacement. Radiology. 1997;202:611–623
  7. Manaster BJ. From the RSNA refresher courses. Total hip arthroplasty: radiographic evaluation. Radiographics. 1996;16:645–660
  8. Tigges S, Stiles RG, Roberson JR. Appearance of septic hip prostheses on plain radiographs. AJR Am J Roentgenol. 1994;163:377–380
  9. Engh CA, Sychterz CJ, Young AM, et al. Interobserver and intraobserver variability in radiographic assessment of osteolysis. J Arthroplasty. 2002;17:752–759
  10. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976;20–32
  11. Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;17–27
  12. Johnston RC, Fitzgerald RH, 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
  13. DeSmet AA, Kramer D, Martel W. The metal–cement interface in total hip prostheses. AJR Am J Roentgenol. 1977;129:279–282
  14. Jasty M, Maloney WJ, Bragdon CR, et al. Histomorphological studies of the long-term skeletal responses to well fixed cemented femoral components. J Bone Joint Surg Am. 1990;72:1220–1229
  15. Wixson RL, Stulberg SD, Mehlhoff M. Total hip replacement with cemented, uncemented, and hybrid prostheses. A comparison of clinical and radiographic results at two to four years. J Bone Joint Surg Am. 1991;73:257–270
  16. Beckenbaugh RD, Ilstrup DM. Total hip arthroplasty. J Bone Joint Surg Am. 1978;60:306–313
  17. Howie DW, Vernon-Roberts B, Oakeshott R, et al. A rat model of resorption of bone at the cement–bone interface in the presence of polyethylene wear particles. J Bone Joint Surg Am. 1988;70:257–263
  18. Goldring SR, Jasty M, Roelke MS, et al. Formation of a synovial-like membrane at the bone–cement interface. Its role in bone resorption and implant loosening after total hip replacement. Arthritis Rheum. 1986;29:836–842
  19. Goldring SR, Schiller AL, Roelke M, et al. The synovial-like membrane at the bone–cement interface in loose total hip replacements and its proposed role in bone lysis. J Bone Joint Surg Am. 1983;65:575–584
  20. Chew FS, Lev MH. Polyethylene osteolysis. AJR Am J Roentgenol. 1992;159:1254
  21. Horowitz SM, Doty SB, Lane JM, et al. Studies of the mechanism by which the mechanical failure of polymethylmethacrylate leads to bone resorption. J Bone Joint Surg Am. 1993;75:802–813
  22. Reinus WR, Gilula LA, Kyriakos M, et al. Histiocytic reaction to hip arthroplasty. Radiology. 1985;155:315–318
  23. Scott WW, Riley LH, Dorfman HD. Focal lytic lesions associated with femoral stem loosening in total hip prosthesis. AJR Am J Roentgenol. 1985;144:977–982
  24. Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am. 1992;74:849–863
  25. Spector M, Shortkroff S, Hsu HP, et al. Tissue changes around loose prostheses. A canine model to investigate the effects of an antiinflammatory agent. Clin Orthop Relat Res. 1990;140–152
  26. Hernigou P, Le Mouel S. Do voids in a femoral cement mantle affect the outcome?. J Arthroplasty. 1999;14:1005–1010
  27. Engh CA, Griffin WL, Marx CL. Cementless acetabular components. J Bone Joint Surg Br. 1990;72:53–59
  28. Kaplan PA, Montesi SA, Jardon OM, et al. Bone-ingrowth hip prostheses in asymptomatic patients: radiographic features. Radiology. 1988;169:221–227
  29. Kattapuram SV, Lodwick GS, Chandler H, et al. Porouscoated anatomic total hip prostheses: radiographic analysis and clinical correlation. Radiology. 1990;174:861–864
  30. Santavirta S, Hoikka V, Eskola A, et al. Aggressive granulomatous lesions in cementless total hip arthroplasty. J Bone Joint Surg Br. 1990;72:980–984
  31. Moore MS, McAuley JP, Young AM, et al. Radiographic signs of osseointegration in porous-coated acetabular components. Clin Orthop Relat Res. 2006;444:176–183
  32. Tharani R, Dorey FJ, Schmalzried TP. The risk of cancer following total hip or knee arthroplasty. J Bone Joint Surg Am. 2001;83-A:774–780
  33. Visuri T, Pulkkinen P, Paavolainen P. Malignant tumors at the site of total hip prosthesis. Analytic review of 46 cases. J Arthroplasty. 2006;21:311–323
  34. Keel SB, Jaffe KA, Petur Nielsen G, et al. Orthopaedic implant-related sarcoma: a study of twelve cases. Mod Pathol. 2001;14:969–977
  35. Mallick A, Jain S, Proctor A, et al. Angiosarcoma around a revision total hip arthroplasty and review of literature. J Arthroplasty. 2008;
  36. Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br. 1987;69:45–55
  37. Taljanovic MS, Jones MD, Hunter TB, et al. Joint arthroplasties and prostheses. Radiographics. 2003;23:1295–1314
  38. Engh CA, Massin P, Suthers KE. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res. 1990;107–128
  39. Goodman SB, Adler SJ, Fyhrie DP, et al. The acetabular teardrop and its relevance to acetabular migration. Clin Orthop Relat Res. 1988;199–204
  40. Massin P, Schmidt L, Engh CA. Evaluation of cementless acetabular component migration. An experimental study. J Arthroplasty. 1989;4:245–251
  41. Kalteis T, Handel M, Herold T, et al. Position of the acetabular cup — accuracy of radiographic calculation compared to CT-based measurement. Eur J Radiol. 2006;58:294–300
  42. Mian SW, Truchly G, Pflum FA. Computed tomography measurement of acetabular cup anteversion and retroversion in total hip arthroplasty. Clin Orthop Relat Res. 1992;206–209
  43. Alfaro-Adrian J, Gill HS, Murray DW. Cement migration after THR. A comparison of charnley elite and exeter femoral stems using RSA. J Bone Joint Surg Br. 1999;81:130–134
  44. Huiskes R, Verdonschot N, Nivbrant B. Migration, stem shape, and surface finish in cemented total hip arthroplasty. Clin Orthop Relat Res. 1998;103–112
  45. Kiss J, Murray DW, Turner-Smith AR, et al. Migration of cemented femoral components after THR. Roentgen stereophotogrammetric analysis. J Bone Joint Surg Br. 1996;78:796–801
  46. Yates PJ, Burston BJ, Whitley E, et al. Collarless polished tapered stem: clinical and radiological results at a minimum of ten years' follow-up. J Bone Joint Surg Br. 2008;90:16–22
  47. Scheerlinck T, Casteleyn PP. The design features of cemented femoral hip implants. J Bone Joint Surg Br. 2006;88:1409–1418
  48. Biedermann R, Krismer M, Stockl B, et al. Accuracy of EBRA-FCA in the measurement of migration of femoral components of total hip replacement. Einzel-Bild-Rontgen-Analyse-femoral component analysis. J Bone Joint Surg Br. 1999;81:266–272
  49. Munuera L, Garcia-Cimbrelo E. The femoral component in low-friction arthroplasty after ten years. Clin Orthop Relat Res. 1992;163–175
  50. Khalily C, Lester DK. Results of a tapered cementless femoral stem implanted in varus. J Arthroplasty. 2002;17:463–466
  51. Min BW, Song KS, Bae KC, et al. The effect of stem alignment on results of total hip arthroplasty with a cementless tapered-wedge femoral component. J Arthroplasty. 2008;23:418–423
  52. Dumbleton JH, Manley MT, Edidin AA. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty. 2002;17:649–661
  53. Dowd JE, Sychterz CJ, Young AM, et al. Characterization of long-term femoral-head-penetration rates. Association with and prediction of osteolysis. J Bone Joint Surg Am. 2000;82-A:1102–1107
  54. Willert HG, Bertram H, Buchhorn GH. Osteolysis in alloarthroplasty of the hip. The role of ultra-high molecular weight polyethylene wear particles. Clin Orthop Relat Res. 1990;95–107
  55. McCalden RW, Naudie DD, Yuan X, et al. Radiographic methods for the assessment of polyethylene wear after total hip arthroplasty. J Bone Joint Surg Am. 2005;87:2323–2334
  56. Quale JL, Murphey MD, Huntrakoon M, et al. Titanium-induced arthropathy associated with polyethylene-metal separation after total joint replacement. Radiology. 1992;182:855–858
  57. Mihalko WM, Papademetriou T. Polyethylene liner dissociation with the Harris-Galante II acetabular component. Clin Orthop Relat Res. 2001;166–172
  58. Werle J, Goodman S, Schurman D, et al. Polyethylene liner dissociation in Harris-Galante acetabular components: a report of 7 cases. J Arthroplasty. 2002;17:78–81
  59. White SP, Blom AW, Lee M, et al. The crescent sign: dissociation of the polyethylene liner from a modular acetabular component in total hip arthroplasty. Skeletal Radiol. 2005;34:620–624
  60. 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
  61. British Orthopaedic Association . Primary total hip replacement: a guide to good practice. London: British Orthopaedic Association; 2006;
  62. Crawford RW, Murray DW. Total hip replacement: indications for surgery and risk factors for failure. Ann Rheum Dis. 1997;56:455–457
  63. Tigges S, Roberson JR, Cohen DE. Hip arthroplasty: the role of plain radiographs in outpatient management. Radiology. 1995;194:73–75
  64. Roder C, Eggli S, Aebi M, et al. The validity of clinical examination in the diagnosis of loosening of components in total hip arthroplasty. J Bone Joint Surg Br. 2003;85:37–44

PII: S0009-9260(09)00177-9

doi: 10.1016/j.crad.2009.05.002

Clinical Radiology
Volume 64, Issue 10 , Pages 961-971 , October 2009