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Titolo:
IMPORTANCE OF RADIOLOGIC AND SCINTIGRAPHI C EXAMINATION IN PATIENTS WITH AND WITHOUT THIGH PAIN AFTER IMPLANTATION OF PCA CEMENTLESS TOTAL HIPS
Autore:
POHLEMANN T; STEINMETZ M; EHRENHEIM C; HUNDESHAGEN H; TSCHERNE H;
Indirizzi:
HANNOVER MED SCH,UNFALLCHIRURG KLIN,KONSTANTY GUTSCHOW STR 8 D-30625 HANNOVER 61 GERMANY
Titolo Testata:
Zeitschrift fur Orthopadie und Ihre Grenzgebiete
fascicolo: 1, volume: 133, anno: 1995,
pagine: 25 - 33
SICI:
0044-3220(1995)133:1<25:IORASC>2.0.ZU;2-W
Fonte:
ISI
Lingua:
GER
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
T. Pohlemann et al., "IMPORTANCE OF RADIOLOGIC AND SCINTIGRAPHI C EXAMINATION IN PATIENTS WITH AND WITHOUT THIGH PAIN AFTER IMPLANTATION OF PCA CEMENTLESS TOTAL HIPS", Zeitschrift fur Orthopadie und Ihre Grenzgebiete, 133(1), 1995, pp. 25-33

Abstract

Persisting postoperative thigh pain is a common problem in cementlesstotal hip protheses occuring in a rate of about 15-20% of the patients. The reason for that phenomenon has not become clear so far. In a clinical, radiological and scintigraphic study 70 patients with 81 PCA cementless total hips were randomized in groups with (n=34) and withoutsignificant thigh pain (n=36). All patients underwent clinical examination including a standardized questionnaire, x-ray and 3-phase bone scintigraphy. Quantitative assessment of Tc-99m-MDP uptake was made. Inthe group of patients with persisting thigh pain the szintigraphic analysis showed an significantly increased uptake at the tip and the medial and lateral femur. These findings could not be correlated with clinical loosening of the protheses. Slight or moderate uptake in the area of the greater and lesser trochanter as well as the tip was a commonfinding in PCA protheses in all patients. In the radiological analysis no difference between both groups was evident. The study showed thatpatients with thigh pain after cementless PCA total hip protheses have specific regions of significantly increased uptake in scintigraphic examination (tip, medial and lateral femur), which cannot be correllated with clinically or radiologically signs of loosening. The morphologic reasons for the thigh pain remain unclear.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 18:20:25