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Imaging of total hip arthroplasty: Part I – Implant design, imaging techniques, and imaging of component wear and fracture

  • Author Footnotes
    1 Current address: Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, 8440 112 St NW, Edmonton AB T6G 2B7, Canada.
    Bashiar Thejeel
    Footnotes
    1 Current address: Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, 8440 112 St NW, Edmonton AB T6G 2B7, Canada.
    Affiliations
    Department of Radiology and Imaging, Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021, USA
    Search for articles by this author
  • Yoshimi Endo
    Correspondence
    Corresponding author.
    Affiliations
    Department of Radiology and Imaging, Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021, USA
    Search for articles by this author
  • Author Footnotes
    1 Current address: Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, 8440 112 St NW, Edmonton AB T6G 2B7, Canada.

      Highlights

      • Hip arthroplasties vary in component design, bearing surfaces, and fixation, each with its unique set of complications.
      • Imaging evaluation of complications associated with hip arthroplasties requires a multi-modality approach.
      • All bearing surfaces are susceptible to wear, and polyethylene wear can incite an inflammatory reaction causing osteolysis.
      • Metal-on-metal arthroplasties are associated with adverse reaction to metal debris.
      • Fractures associated with arthroplasties can involve the periprosthetic bone or the components themselves.

      Abstract

      Despite being one of the most reliable procedures in orthopedic surgery, complications can occur after total hip arthroplasty, and radiology plays an essential role in their evaluation. This article will review the various types of hip arthroplasty and their normal appearances on imaging, followed by mechanisms and imaging appearances of component wear and fracture.

      Keywords

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