CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(02): 271-278
DOI: 10.4103/0971-3026.184414
Musculoskeletal

Magnetic resonance imaging features of complications following hip replacement: A pictorial review

Khushboo Pilania
Department of Radiodiagnosis, Jankharia Imaging Center, Mumbai, Maharashtra, India
,
Bhavin Jankharia
Department of Radiodiagnosis, Jankharia Imaging Center, Mumbai, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Hip replacement surgery helps millions of people worldwide walk painlessly each year. With increasing life spans and decreased clinical threshold for surgery, this number will continue to rise. With the increase in the number of surgeries and the longevity of implants, the need for early and prompt diagnosis of complications is also rising. This essay underlines the fact that magnetic resonance imaging on a 1.5T scanner with specialized metal artefact reduction sequences is a viable technique to image the post-arthroplasty hip and has vast potential in the prompt and early diagnosis of complications in these patients.



Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Jansen JA, Smit F. The role of nuclear medicine techniques in differentiation between septic and aseptic loosening of total hip and knee arthroplasty. Tijdschr Nucl Geneesk 2012;34:988-94.
  • 2 Lee MJ, Kim S, Lee SA, Song HT, Huh YM, Kim DH, et al. Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multidetector CT. RadioGraphics 2007;27:791-803.
  • 3 White LM, Buckwalter KA. Technical considerations: CT and MR imaging in the postoperative orthopedic patient. Semin Musculoskelet Radiol 2002;6:5-17.
  • 4 Guermazi A, Miaux Y, Zaim S, Peterfy CG, White D, Genant HK. Metallic artefacts in MR imaging: Effects of main field orientation and strength. Clin Radiol 2003;58:322-8.
  • 5 Mitchell DG, Cohen MS. Transverse magnetization and T2 contrast. In: Mitchell DG, Cohen MS, eds. MRI principles. 2nd ed. New York, NY: Springer-Verlag; 2000. p. 35-47.
  • 6 Ostlere S. How to image Metal-on-Metal prostheses and their complications. AJR Am J Roentgenol 2011;197:558-67.
  • 7 Davies AP, Willert HG, Campbell PA, Learmonth ID, Case CP. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am 2005;87:18-27.
  • 8 Grammatopoulos G, Pandit H, Oxford Hip and Knee Group, Murray DW, Gill HS. The relationship between head-neck ratio and pseudotumour formation in metal-on-metal resurfacing arthroplasty of the hip. J Bone Joint Surg Br 2010;92:1527-34.
  • 9 De Haan R, Campbell PA, Su EP, De Smet KA. Revision of metal-on-metal resurfacing arthroplasty of the hip: The influence of malpositioning of the components. J Bone Joint Surg Br 2008;90:1158-63.
  • 10 Glyn-Jones S, Pandit H, Kwon YM, Doll H, Gill HS, Murray DW. Risk factors for inflammatory pseudotumour formation following hip resurfacing. J Bone Joint Surg Br 2009;91:1566-74.
  • 11 Soler R, Rodríguez E, Remuiñán C, Santos M. MRI of musculoskeletal extraspinal tuberculosis. J Comput Assist Tomogr 2001 25 (2);177-83.
  • 12 Sharma P. MR features of tuberculous osteomyelitis. Skeletal Radiol 2003;32:279-85.
  • 13 Hauptfleisch J, Pandit H, Grammatopoulos G, Gill HS, Murray DW, Ostlere S. A MRI classification of periprosthetic soft tissue masses (pseudotumours) associated with metal-on-metal resurfacing hip arthroplasty. Skeletal Radiol 2012;41:149-55.