Hip arthroplasty.

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Abstract

[Indexed for MEDLINE] 3. Semin Nucl Med. 2018 Sep;48(5):425-438. doi: 10.1053/j.semnuclmed.2018.05.002. Epub 2018 Jun 19. SPECT/CT in Postoperative Painful Hip Arthroplasty. Van den Wyngaert T(1), Paycha F(2), Strobel K(3), Kampen WU(4), Kuwert T(5), van der Bruggen W(6), Gnanasegaran G(7). Author information: (1)Department of Nuclear Medicine, Antwerp University Hospital, Edegem, Belgium.; Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.. Electronic address: tim.van.den.wyngaert@uza.be. (2)Department of Nuclear Medicine, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Paris, France. (3)Department of Radiology and Nuclear Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland. (4)Nuclear Medicine Spitalerhof, Hamburg, Germany. (5)Clinic of Nuclear Medicine, University Hospital Erlangen, Erlangen, Germany. (6)Department of Radiology and Nuclear Medicine, Slingeland Hospital, Doetinchem, The Netherlands. (7)Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London, UK. Consecutive milestones in hip arthroplasty design and surgical technique have contributed to the successful and cost-effective intervention this procedure has become today in maintaining mobility and quality of life in patients with osteoarthritis, fracture, or other hip conditions. With the increasing prevalence of hip joint replacements, the need for improved diagnostic imaging tools to guide revision surgery has risen in parallel. Over the last few years, promising data have emerged on the potential role of bone SPECT/CT imaging in the assessment of patients with recurrent pain after arthroplasty. This review summarizes the trends in hip arthroplasty surgery (partial vs total arthroplasty; cemented vs cementless arthroplasty; resurfacing arthroplasty) and prosthesis design (bearing materials; stem designs) over the last decade. In particular, the impact on the biomechanics and interpretation of bone SPECT/CT findings is discussed, with emphasis on integrative reporting in the following frequently encountered conditions: lysis/aseptic loosening, septic loosening, heterotopic ossification, periprosthetic fracture, tendinopathies, and adverse local tissue reactions. Based on the available literature data, bone SPECT/CT is increasingly being used as second-line imaging modality when conventional investigations are nondiagnostic. Further outcome research is warranted to examine whether this technique could be used earlier in patient management. Copyright © 2018 Elsevier Inc. All rights reserved. DOI: 10.1053/j.semnuclmed.2018.05.002